Free Lone Working Templates | Not A Lone Worker

Lone-working policy template

A ready-to-edit policy for UK employers covering roles, risk assessment, check-in and escalation, emergencies, training and review.

Purpose, scope and legal background (HSWA 1974 s2, MHSWR 1999 reg 3, HSE INDG73)

Roles and responsibilities, activities not to be done alone

Check-in, escalation and emergency procedures (999 first)

Training, incident reporting and RIDDOR, review, consultation, sign-off table

Lone-worker risk assessment template

A landscape risk assessment form with lone-working prompts and a 5x5 risk matrix.

Risk assessment table: hazard, who is harmed, controls, rating, action, owner, date

Prompts: violence, medical conditions, remote locations, no signal, driving, manual handling, out of hours

5x5 matrix with rating bands

Review and sign-off

Supervisor check-in and escalation checklist

A practical checklist for the person who receives check-ins, with clear steps for a missed check-in.

Before the shift and during the shift

Missed check-in steps: contact, nominated contacts, senior manager, 999

After an incident, record keeping and review

Incident log table

Before you use them

These templates are a starting point. Tailor them to your organisation's activities and risks, and take competent advice where needed.
These are independent templates, not official HSE documents.

Want to know what a good policy covers? Read our lone-working policy guide.

Want help setting up a check-in procedure? See how Not A Lone Worker works.