PPE Compliance Safety Checklist

Purpose: To ensure that all personnel are using the appropriate Personal Protective Equipment (PPE) for the task at hand, in compliance with safety regulations and to minimize workplace hazards.

Instructions: Complete this checklist before starting work. Mark "Yes" if the item is compliant, "No" if it is not, and "N/A" if it is not applicable to the task. If any item is marked "No", take corrective action before proceeding with the work.

I. General PPE Requirements

• 1. Has a hazard assessment been conducted to determine required PPE? (Yes/No/NA)
  • Corrective Actions:
• 2. Is appropriate PPE readily available and in good condition? (Yes/No/NA)
  • Corrective Actions:
• 3. Have all employees been trained on the proper use, maintenance, and storage of required PPE? (Yes/No/NA)
  • Corrective Actions:
• 4. Is there a system in place for regular inspection and replacement of PPE? (Yes/No/NA)
  • Corrective Actions:
• 5. Are employees aware of the location of PPE and emergency procedures? (Yes/No/NA)
  • Corrective Actions:

II. Head Protection

• 1. Is head protection (hard hat) required for the task? (Yes/No/NA)
  • Corrective Actions:
• 2. If required, is the hard hat ANSI-approved and in good condition (no cracks, dents, or damage)? (Yes/No/NA)
  • Corrective Actions:
• 3. Is the hard hat properly fitted and adjusted? (Yes/No/NA)
  • Corrective Actions:

III. Eye and Face Protection

• 1. Is eye and/or face protection required for the task (e.g., safety glasses, goggles, face shield)? (Yes/No/NA) [1]
  • Corrective Actions:
• 2. If required, is the eye and/or face protection ANSI-approved and appropriate for the specific hazard (e.g., impact, chemical splash, dust)? (Yes/No/NA) [1]
  • Corrective Actions:
• 3. Is the eye and/or face protection clean and free from scratches or damage that could impair vision? (Yes/No/NA) [1]
  • Corrective Actions:
• 4. For chemical handling, are close-fitting safety goggles used; are eye lenses avoided? 1, 5, 6, 12
  • Corrective Actions:

IV. Hand Protection

• 1. Are gloves required for the task? (Yes/No/NA)
  • Corrective Actions:
• 2. If required, are the gloves appropriate for the specific hazard (e.g., chemical, cut, abrasion, heat)? (Yes/No/NA) 1, 5, 6, 12
  • Corrective Actions:
• 3. Are the gloves in good condition (no tears, punctures, or degradation)? (Yes/No/NA) 1, 5, 6, 12
  • Corrective Actions:
• 4. For chemical exposure, are gloves made of suitable materials (e.g., Polychloroprene, Nitrile rubber, Butyl rubber, Fluorinated rubber) with appropriate thickness and breakthrough time? 1, 5, 6, 12
  • Corrective Actions:

V. Body Protection

• 1. Is appropriate clothing worn to protect the body from hazards such as chemical splashes, cuts, or extreme temperatures? (Yes/No/NA) 1, 5, 6, 12
  • Corrective Actions:
• 2. Is the clothing in good condition and appropriately fitted? (Yes/No/NA) 1, 5, 6, 12
  • Corrective Actions:
• 3. For tasks with a risk of ignition from static electricity, is anti-static protective clothing worn? 8, 14
  • Corrective Actions:

VI. Foot Protection

• 1. Is appropriate footwear worn to protect feet from hazards such as falling objects, punctures, or chemical exposure? (Yes/No/NA)
  • Corrective Actions:
• 2. Is the footwear in good condition and appropriate for the working environment (e.g., slip-resistant soles)? (Yes/No/NA)
  • Corrective Actions:

VII. Respiratory Protection

• 1. Is respiratory protection required based on exposure levels and potential hazards? (Yes/No/NA) 1, 5, 6, 12
  • Corrective Actions:
• 2. If required, has a fit test been performed to ensure proper respirator fit? (Yes/No/NA)
  • Corrective Actions:
• 3. Is the correct type of respirator being used for the specific hazard (e.g., dust, vapor, gas)? (Yes/No/NA) [1]
  • Corrective Actions:
• 4. Are cartridges/filters within their expiration date and appropriate for the hazard? (Yes/No/NA)
  • Corrective Actions:
• 5. Is the respirator clean, properly maintained, and stored correctly? (Yes/No/NA)
  • Corrective Actions:

VIII. Hearing Protection

• 1. Is hearing protection required due to noise levels? (Yes/No/NA)
  • Corrective Actions:
• 2. If required, are earplugs or earmuffs provided and properly fitted? (Yes/No/NA)
  • Corrective Actions:
• 3. Are employees trained on the proper use and care of hearing protection? (Yes/No/NA)
  • Corrective Actions:

IX. Other PPE

• 1. Is any other PPE required for the task (e.g., high-visibility clothing, fall protection)? (Yes/No/NA)
  • Corrective Actions:
• 2. If yes, is the PPE appropriate for the hazard and in good working condition? (Yes/No/NA)
  • Corrective Actions:

Notes/Comments:

Inspector Name:

Date:

Supervisor Signature: (Placeholder)

Employee Signature: (Placeholder)