Personal Protective Equipment (PPE) Compliance Checklist

Date: 2025-08-05

Inspector: [INSPECTOR NAME]

Location/Area: [LOCATION/AREA]

Department: [DEPARTMENT]

Purpose

To ensure workers are using the correct PPE, that it is in good condition, and that they know how to use it properly, thereby minimizing exposure to hazards.

Instructions for Use

1. Review the checklist items before starting work.
2. Inspect each item of PPE for damage or defects.
3. Verify that PPE fits properly and is comfortable.
4. Document any failed items and corrective actions taken.

Frequency

This checklist should be completed: Daily, before each shift

Safety Checklist

General PPE Requirements

Item	Pass	Fail	Comments
PPE is appropriate for the hazards present. [1] Check: PPE is selected based on a thorough hazard assessment. If failed: Review hazard assessment and select appropriate PPE.			_________________
PPE fits the worker properly. [1] Check: PPE is the correct size and adjusted for a snug and secure fit. If failed: Provide PPE in various sizes and ensure proper fitting.			_________________
PPE is in good condition. [4] Check: PPE is inspected before each use for damage, wear, or defects. If failed: Replace damaged or defective PPE immediately.			_________________
Workers are trained on PPE use. [4] Check: Workers demonstrate understanding of how to don, doff, adjust, wear, and maintain PPE. If failed: Provide training on proper PPE use and maintenance.			_________________
PPE is used correctly. [1] Check: Workers wear PPE consistently and as required by the task. If failed: Enforce PPE usage policy and provide reminders.			_________________

Eye and Face Protection

Item	Pass	Fail	Comments
Appropriate eye protection is selected. [7] Check: Safety glasses, goggles, or face shields are used based on the specific hazards (flying particles, chemical splash, radiation). If failed: Provide appropriate eye protection based on hazard assessment.			_________________
Eye protection provides side protection. [7] Check: Safety glasses have side shields or goggles are used. If failed: Provide eye protection with side shields or goggles.			_________________
Prescription eyewear is accommodated. [7] Check: Workers who wear prescription glasses use either prescription safety glasses or goggles that fit over their glasses. If failed: Provide prescription safety glasses or goggles that fit over prescription glasses.			_________________
Filter lenses are appropriate for the task. [7] Check: Workers use filter lenses with the correct shade number for welding or other tasks involving radiant energy. If failed: Provide filter lenses with appropriate shade numbers and train workers on their use.			_________________

Hand Protection

Item	Pass	Fail	Comments
Appropriate gloves are selected. [1] Check: Gloves are selected based on the specific hazards (chemical, cut, flame, etc.). If failed: Provide appropriate gloves based on hazard assessment.			_________________
Gloves are chemical resistant when needed. [5] Check: For chemical hazards, gloves are made of a material that resists degradation by the chemicals being used. If failed: Provide chemical-resistant gloves and ensure proper selection.			_________________
Gloves are inspected before use. [1] Check: Gloves are checked for punctures, tears, or degradation before each use. If failed: Train workers to inspect gloves before use and replace damaged gloves.			_________________
Gloves are the correct size and fit. [1] Check: Gloves fit snugly but allow for adequate dexterity. If failed: Provide gloves in various sizes and ensure proper fitting.			_________________

Head Protection

Item	Pass	Fail	Comments
Hard hats are worn when required. [8] Check: Hard hats are worn where there is a risk of head injury from falling or flying objects. If failed: Enforce hard hat policy and provide hard hats.			_________________
Hard hats meet safety standards. [8] Check: Hard hats meet ANSI or CSA standards. If failed: Ensure hard hats meet required safety standards.			_________________
Hard hats are inspected for damage. [1] Check: Hard hats are checked for cracks, dents, or other damage before each use. If failed: Train workers to inspect hard hats and replace damaged ones.			_________________

Respiratory Protection

Item	Pass	Fail	Comments
Respirators are approved for the hazard. [1] Check: Respirators are NIOSH-approved and appropriate for the specific airborne contaminants. If failed: Provide NIOSH-approved respirators and ensure proper selection.			_________________
Respirators fit properly. [3] Check: Respirators are fit-tested to ensure a tight seal. If failed: Conduct fit testing for respirators.			_________________
Respirators are used correctly. [1] Check: Respirators are worn according to manufacturer's instructions. If failed: Train workers on proper respirator use.			_________________
Respirators are maintained and stored properly. [1] Check: Respirators are cleaned, inspected, and stored in a clean, dry place. If failed: Establish a respirator maintenance and storage program.			_________________

General Requirements

Item	Pass	Fail	Comments
PPE is provided at no cost to the employee. [2] Check: The employer provides all required PPE without charging the employee. If failed: Ensure that PPE is provided free of charge.			_________________
A written PPE program is in place. [6] Check: The company has a written program that outlines PPE requirements, selection, use, and maintenance. If failed: Develop and implement a written PPE program.			_________________
The PPE program is reviewed annually. [1] Check: The PPE program is reviewed and updated at least annually. If failed: Schedule and conduct an annual review of the PPE program.			_________________

Failed Item Procedures

1. Remove the defective PPE from service immediately.
2. Replace the PPE with a new or properly functioning item.
3. Retrain the worker if the failure was due to improper use or maintenance.

Documentation Requirements

Record the dates of PPE inspections, maintenance, and training sessions.

Checklist Completion

Overall Status: ☐ Pass     ☐ Fail     ☐ Corrective Actions Required

Inspector Signature: Date:

Supervisor Review: Date:

Corrective Actions Completed By: Date:

References and Standards

• Refer to OSHA 29 CFR 1910.132 for general requirements.
• Refer to CSA standards for specific PPE requirements.

This checklist must be retained for [RETENTION PERIOD].

Safety powered by SALUS