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Health and safety policy statement

You can use this form to create a health and safety policy statement. 

Before you start

​Before you start, please read our health and safety policy article.

You will be asked to record all of your health and safety policy commitments. You should consider:

  • training
  • emergency procedures
  • consulting staff
  • plant, equipment and machinery
  • storage and use of substances
  • working conditions
  • occupational health support.

For each commitment, you will need to say who is responsible, and the actions being taken or arrangements in place.​​

You can download our example health and safety policy statement as a guide to completing the form.

Saving your form

If you sign in to your account, you can save your form as you go along and come back to it later.


If you are a registered user and have signed in to your account, we will:

  • store your form data for 7 days if you choose to save your progress and come back to it later
  • record that you have used a form.
You can read our privacy policy for more details.

Start the health and safety policy statement form