Personal Protective Equipment (PPE) Compliance Checklist

Date: 2025-08-03

Inspector: [INSPECTOR NAME]

Location/Area: [LOCATION/AREA]

Department: [DEPARTMENT]

Purpose

To ensure worker safety and adherence to safety regulations by verifying the proper use, maintenance, and condition of personal protective equipment (PPE). This checklist helps identify deficiencies and ensure corrective actions are taken to maintain a safe working environment.

Instructions for Use

Review the checklist before starting work.
Inspect each item of PPE carefully.
Document any deficiencies and take corrective action.
Sign and date the checklist to verify completion.

Frequency

This checklist should be completed: Daily or before each shift

Safety Checklist

General PPE Requirements

These items apply to all types of PPE used on the job site.

Item	Pass	Fail	Comments
PPE is appropriate for the hazards present. Check: PPE is selected based on a thorough hazard assessment. If failed: Review hazard assessment and select appropriate PPE.			_________________
PPE fits the worker properly. Check: PPE is the correct size and adjusted for a snug and secure fit. If failed: Provide properly sized PPE and training on proper adjustment.			_________________
PPE is clean and in good working order. Check: PPE is free from dirt, damage, and defects. If failed: Clean or replace damaged or defective PPE.			_________________
Workers are trained on the proper use, maintenance, and limitations of the PPE. Check: Training records are up-to-date, and workers can demonstrate proper use and care. If failed: Provide additional training and document understanding.			_________________
PPE is used consistently and correctly. Check: Observe workers to ensure PPE is worn properly and consistently. If failed: Reinforce PPE requirements and provide coaching.			_________________

Head Protection

Inspection of helmets and other head protection.

Item	Pass	Fail	Comments
Hard hats are free from cracks, dents, or other damage. Check: Visually inspect the shell and suspension system for any signs of damage. If failed: Replace damaged hard hats immediately.			_________________
Hard hats meet the required safety standards. Check: Check for ANSI or CSA certification markings on the hard hat. If failed: Replace non-compliant hard hats with certified ones.			_________________
Suspension system is properly adjusted and in good condition. Check: Ensure the suspension system is intact and adjusted to fit the worker's head size. If failed: Adjust or replace the suspension system as needed.			_________________
If required, a suitable liner and a cold weather face guard is used in cold conditions. Check: Verify that the head protection is equipped with a suitable liner and a cold weather face guard. If failed: Equip the head protection with a suitable liner and a cold weather face guard.			_________________

Eye and Face Protection

Inspection of safety glasses, goggles, and face shields.

Item	Pass	Fail	Comments
Eye and face protectors are free from scratches, cracks, or other damage that impairs vision. Check: Visually inspect lenses and frames for any defects. If failed: Replace damaged eye and face protectors.			_________________
Eye and face protectors meet the required safety standards. Check: Check for ANSI or CSA certification markings on the eye and face protectors. If failed: Replace non-compliant eye and face protectors with certified ones.			_________________
Eye and face protectors provide adequate protection against specific hazards (e.g., impact, chemical splash, radiation). Check: Ensure the selected eye and face protection is appropriate for the identified hazards. If failed: Provide appropriate eye and face protection based on the hazard assessment.			_________________
If there is a risk of irritation or injury to the face or eyes of a worker from flying objects or particles, splashing liquids, molten metal or ultraviolet, visible or infrared radiation, an employer shall provide and require the worker to use an approved industrial eye protector or approved face protector to eliminate or reduce the risk. Check: Ensure that the approved industrial eye protector or approved face protector is used to eliminate or reduce the risk. If failed: Provide and require the worker to use an approved industrial eye protector or approved face protector to eliminate or reduce the risk.			_________________

Hand and Arm Protection

Inspection of gloves and other arm protection.

Item	Pass	Fail	Comments
Gloves are appropriate for the task and hazards involved (e.g., chemical resistance, cut resistance, electrical protection). Check: Verify that the gloves are made of the correct material and provide adequate protection for the specific hazards. If failed: Provide appropriate gloves based on the hazard assessment.			_________________
Gloves are free from holes, tears, or other damage. Check: Inspect gloves for any signs of wear and tear. If failed: Replace damaged gloves immediately.			_________________
Gloves fit properly and allow for dexterity. Check: Ensure gloves are the correct size and do not restrict movement. If failed: Provide properly sized gloves.			_________________
Suitable and properly fitted hand or arm protection is used to protect the worker from injury to the hand or arm, including injury arising from exposure to chemical or biological substances; injury arising from exposure to work processes that result in extreme temperatures; injury arising from prolonged exposure to water; and puncture, abrasion or irritation of the skin. Check: Verify that suitable and properly fitted hand or arm protection is used. If failed: Provide, and require a worker to use, suitable and properly fitted hand or arm protection.			_________________

Foot and Leg Protection

Inspection of safety shoes/boots and leg protection.

Item	Pass	Fail	Comments
Footwear is appropriate for the task and hazards involved (e.g., steel toe, slip resistance, electrical protection). Check: Verify that the footwear provides adequate protection for the specific hazards. If failed: Provide appropriate footwear based on the hazard assessment.			_________________
Footwear is in good condition, with no damage to the soles, uppers, or protective elements. Check: Inspect footwear for any signs of wear and tear. If failed: Replace damaged footwear.			_________________
Leg protection (e.g., chaps) is used when required to protect against specific hazards (e.g., cuts, punctures). Check: Ensure leg protection is worn when necessary and is in good condition. If failed: Provide and enforce the use of leg protection.			_________________
A worker uses footwear suitable to minimize any risks associated with the work site and the worker's work. Check: Verify that a worker uses footwear suitable to minimize any risks associated with the work site and the worker's work. If failed: Require that a worker uses footwear suitable to minimize any risks associated with the work site and the worker's work.			_________________

Respiratory Protection

Inspection of respirators and other respiratory protection equipment.

Item	Pass	Fail	Comments
Respirator is appropriate for the specific airborne hazards present. Check: Verify that the respirator is NIOSH-approved for the identified contaminants and concentrations. If failed: Provide appropriate respirators based on the hazard assessment.			_________________
Respirator fits properly and forms a tight seal. Check: Ensure workers have been fit-tested and can perform a user seal check each time they wear the respirator. If failed: Conduct fit testing and provide training on user seal checks.			_________________
Respirator is clean, sanitized, and in good working order. Check: Inspect the respirator for damage, and ensure it is cleaned and sanitized regularly. If failed: Clean, sanitize, or replace damaged respirators.			_________________
Respirators that depends on an effective facial seal for its safe use is correctly fit tested and tested in accordance with CSA Standard Z94.4-02, Selection, Use and Care of Respirators. Check: Verify that respirators that depends on an effective facial seal for its safe use is correctly fit tested and tested in accordance with CSA Standard Z94.4-02, Selection, Use and Care of Respirators. If failed: Ensure that respirators that depends on an effective facial seal for its safe use is correctly fit tested and tested in accordance with CSA Standard Z94.4-02, Selection, Use and Care of Respirators.			_________________

General Requirements

Item	Pass	Fail	Comments
PPE must be approved and meet relevant safety standards (e.g., ANSI, CSA). Check: Check for certification markings on PPE. If failed: Replace non-approved PPE with certified equipment.			_________________
Workers must be clean shaven where the face piece of the equipment seals to the skin of the face. Check: Ensure that workers are clean shaven where the face piece of the equipment seals to the skin of the face. If failed: Require workers to be clean shaven where the face piece of the equipment seals to the skin of the face.			_________________

Failed Item Procedures

Remove the defective PPE from service immediately.
Replace or repair the PPE before allowing the worker to continue the task.
Retrain the worker on proper PPE use and maintenance if necessary.
Document the failed item and corrective action taken.

Documentation Requirements

Maintain records of hazard assessments, PPE selection, training, and inspections.

Checklist Completion

Overall Status: ☐ Pass ☐ Fail ☐ Corrective Actions Required

Inspector Signature: Date:

Supervisor Review: Date:

Corrective Actions Completed By: Date:

References and Standards

CSA Standard Z94.4-18 (R2023) Selection, Use and Care of Respirators [1]
ANSI Standard Z87.1-2003, Occupational and Educational Personal Eye and Face Protection Devices [2]
ANSI Standard Z87.1-1989, Practice for Occupational and Educational Eye and Face Protection. [2]
CSA Standard Z94.3-15, Eye and face protectors [2]
CSA Standard Z195-14, Protective footwear [3]
ASTM Standard F2413-05, Specification for Performance Requirements for Protective Footwear [3]
NFPA Standard 1971, Protective Ensemble for Structural Fire Fighting, 2007 Edition [3]
NFPA Standard 1977, Protective Clothing and Equipment for Wildland Fire Fighting, 2005 Edition [3]

This checklist must be retained for [RETENTION PERIOD].