Personal Protective Equipment (PPE) Compliance Checklist

Date: 2025-08-18

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 and complying with safety regulations.

Instructions for Use

1. 1. Review the checklist prior to the inspection to understand the criteria.
2. 2. Physically inspect the PPE for each worker or area covered by the checklist.
3. 3. Compare the observed condition and usage of PPE against the verification criteria.
4. 4. Document findings accurately, noting any failures or deficiencies.
5. 5. Initiate corrective actions immediately for any failed items.
6. 6. Follow up to ensure corrective actions are completed and effective.

Frequency

This checklist should be completed: Daily before start of work or shift

Safety Checklist

Hazard Assessment

Confirm that a hazard assessment has been conducted to determine the appropriate PPE for the task.

Item	Pass	Fail	Comments
Hazard assessment documentation Check: Written hazard assessment is available and identifies the specific hazards present. If failed: Conduct a hazard assessment immediately and document findings.			_________________
PPE selection Check: PPE selected is appropriate for the hazards identified in the assessment. If failed: Replace PPE with the correct type for the identified hazards.			_________________

Head Protection

Inspection of hard hats for damage and proper fit.

Item	Pass	Fail	Comments
Hard hat condition Check: Hard hat is free from cracks, dents, or other damage. Suspension is intact and properly adjusted. If failed: Replace damaged hard hat immediately. Adjust suspension for proper fit.			_________________

Eye and Face Protection

Inspection of safety glasses, goggles, and face shields for damage, cleanliness, and appropriate use.

Item	Pass	Fail	Comments
Safety glasses/goggles Check: Lenses are clean and clear, free from scratches or cracks. Side shields are present when required. If failed: Clean or replace damaged safety glasses/goggles. Ensure side shields are attached if required.			_________________

Hand Protection

Inspection of gloves for type, condition, and appropriate use.

Item	Pass	Fail	Comments
Glove type Check: Gloves are appropriate for the task and hazards involved (e.g., chemical resistance, cut resistance). If failed: Replace gloves with the correct type for the task.			_________________

Foot Protection

Inspection of safety shoes/boots for condition and appropriate use.

Item	Pass	Fail	Comments
Safety shoe/boot condition Check: Shoes/boots are free from damage (e.g., cuts, punctures, worn soles). Steel toe is intact if required. If failed: Replace damaged shoes/boots. Ensure steel toe is present if required.			_________________

Respiratory Protection

Inspection of respirators for type, fit, and condition.

Item	Pass	Fail	Comments
Respirator type Check: Respirator is NIOSH-approved and appropriate for the airborne hazards present. If failed: Replace respirator with the correct type for the hazard.			_________________

Protective Clothing

Inspection of protective clothing (e.g., coveralls, aprons) for condition and appropriate use.

Item	Pass	Fail	Comments
Clothing condition Check: Clothing is clean and free from tears or damage. Provides adequate coverage for the task. If failed: Clean or replace damaged clothing. Ensure adequate coverage.			_________________

General PPE Use

Observation of workers to ensure PPE is worn correctly and consistently.

Item	Pass	Fail	Comments
Proper wear Check: PPE is worn correctly and consistently while performing the task. If failed: Provide immediate retraining on proper PPE use. Enforce consistent use.			_________________

General Requirements

Item	Pass	Fail	Comments
PPE is provided at no cost to the worker. Check: Employer provides all required PPE without charge to employees. If failed: Ensure employer provides required PPE at no cost to employees.			_________________
Workers are trained on proper PPE use, maintenance, and limitations. Check: Training records are up-to-date, and workers can demonstrate proper PPE use. If failed: Provide refresher training on PPE use, maintenance, and limitations.			_________________
PPE is stored in a clean and accessible location. Check: PPE storage area is clean, organized, and readily accessible to workers. If failed: Relocate PPE storage to a clean and accessible area.			_________________
Workers are aware of the location of PPE. Check: Workers know where PPE is stored and how to access it. If failed: Inform workers of PPE storage locations and access procedures.			_________________
PPE is a proper fit for each worker. Check: PPE is available in various sizes to ensure a proper fit for all workers. If failed: Provide a range of PPE sizes and ensure workers are fitted correctly.			_________________
PPE is maintained in a sanitary condition. Check: PPE is cleaned and sanitized regularly. If failed: Establish a cleaning and sanitization schedule for PPE.			_________________
Damaged PPE is removed from service. Check: Damaged PPE is immediately replaced or repaired. If failed: Replace or repair damaged PPE immediately.			_________________

Failed Item Procedures

1. 1. Immediately remove the failed PPE from service.
2. 2. Replace or repair the PPE as necessary.
3. 3. Retrain the worker on the proper use and maintenance of PPE if the failure was due to misuse or neglect.
4. 4. Document the failure and corrective action taken.

Documentation Requirements

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

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 local, state, and federal regulations regarding PPE requirements.
• Refer to ANSI standards for specific PPE types (e.g., Z87.1 for eye protection, Z41 for foot protection).

This checklist must be retained for [RETENTION PERIOD].

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