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The first pages of the Health and Safety Policy template

Health and Safety Policy

Document template for Google Docs and Word

Make a copy in Google Docs
Price
Free
Style
Minimal
Difficulty
Beginner
Updated
November 1, 2026

Every page (8)

Overview

A safety policy fails when it is a generic document nobody owns. This template follows the standard three-part layout for small and mid-size employers: a signed statement of intent, who is responsible for what, and the arrangements that make it real, with a risk register, fire and first aid rules and an annual review.

The sample follows Inkberry Group, a 240-person print and packaging firm on three sites, with near-miss reports up to 402 a year, 20 recordable injuries and a 3 minute 40 second evacuation. Replace the statement with your own wording, name real people, rewrite the arrangements to fit your site and put the review date in the calendar.

Useful for

  • A director signing the first written safety policy for a growing company of 50 to 250 people
  • A safety manager refreshing arrangements after a site audit or an insurer's request
  • A supervisor briefing new starters on fire, first aid and who to report hazards to

What's included

  • Cover and statement of intent with injury and near-miss trends, a cause breakdown and key figures
  • Responsibilities page with role cards and a RACI matrix for six safety duties
  • Fire and emergency arrangements as numbered clauses with lettered rules
  • Risk register with owners, controls, review months and a ranked risk list
  • First aid and accident reporting arrangements covering cover levels and kit checks
  • Annual review page with a timeline and actions, plus a guide page

How to use it

  1. 1

    Click Make a copy in Google Docs, then confirm on the Google page. The copy is saved to your own Google Drive.

  2. 2

    Replace the statement of intent with your own wording and have the top person sign and date it.

  3. 3

    Name the people who hold each responsibility, from director to fire warden to first aider, and update the RACI matrix.

  4. 4

    Rewrite each arrangement to match how your site works, delete topics that do not apply and link each to a risk assessment with a review month.

  5. 5

    Delete the guide page at the end, then share the policy with your team and put the annual review in the calendar.

What you need

Requirements

  • A Google account with access to Google Drive

Works with

  • Google Docs
  • Microsoft Word (download the .docx)

Questions

Does this policy meet legal requirements?

It follows the usual structure of statement, responsibilities and arrangements, but laws vary by state and industry. Check the final policy against your local requirements and have a qualified adviser review it.

How many first aiders do we need?

The sample uses 1 per 50 staff in offices and 1 per 20 on production floors. Your number depends on site risk and rules in your area, so set it from your own risk assessment.

Are the company and figures real?

No. Inkberry Group, its people, email addresses and every figure are fictional sample data. Replace them with your own details before you publish the policy.

  • #health-and-safety
  • #safety-policy
  • #risk-register
  • #fire-safety
  • #first-aid
  • #workplace-safety
  • #hr-policy

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