Here is a safety checklist for PPE compliance, designed to be practical and easy to use in the workplace.

PPE Compliance Safety Checklist

Purpose: To ensure that all employees are using the appropriate personal protective equipment (PPE) for the task at hand, in compliance with safety regulations and company policies.

Instructions: Complete this checklist before beginning work. Mark each item as either "Yes" (compliant), "No" (non-compliant), or "N/A" (not applicable). If any item is marked "No", take immediate corrective action and record it in the "Corrective Actions" section.

I. General PPE Requirements

• 1. Hazard Assessment Complete: Has a hazard assessment been conducted to determine the necessary PPE for the task? (Y/N/NA)
  • Corrective Actions:
• 2. PPE Availability: Is the required PPE readily available and in good condition? (Y/N/NA)
  • Corrective Actions:
• 3. PPE Training: Have all employees been trained on the proper use, maintenance, and storage of PPE? (Y/N/NA)
  • Corrective Actions:
• 4. PPE Inspection: Is PPE inspected regularly for damage or wear? (Y/N/NA)
  • Corrective Actions:
• 5. Hygiene Measures: Are employees following proper hygiene practices, such as washing hands after handling chemicals [1]? (Y/N/NA)
  • Corrective Actions:

II. Specific PPE Checks

• Eye and Face Protection
  • 1. Appropriate Eye Protection: Are employees wearing appropriate eye protection (e.g., safety glasses, goggles, face shields) based on the task and potential hazards 4, 15, 17? (Y/N/NA)
    • Corrective Actions:
  • 2. Proper Fit: Does the eye protection fit properly and provide adequate coverage? (Y/N/NA)
    • Corrective Actions:
  • 3. Chemical Splash Goggles: If there is a risk of chemical splashes, are chemical splash goggles being used [1]? (Y/N/NA)
    • Corrective Actions:
• Hand Protection
  • 1. Appropriate Gloves: Are employees wearing the correct type of gloves for the materials they are handling 4, 17? (Y/N/NA)
    • Corrective Actions:
  • 2. Glove Condition: Are gloves in good condition, without tears or punctures? (Y/N/NA)
    • Corrective Actions:
  • 3. Chemical Resistance: Do gloves provide adequate chemical resistance for the task [2]? (Y/N/NA)
    • Corrective Actions:
• Skin and Body Protection
  • 1. Appropriate Clothing: Are employees wearing appropriate protective clothing to prevent skin exposure [3]? (Y/N/NA)
    • Corrective Actions:
  • 2. Waterproof Clothing: Is waterproof clothing used when working with wet materials 4, 14? (Y/N/NA)
    • Corrective Actions:
  • 3. Flame Retardant Clothing: Is flame retardant clothing used when there is a risk of fire [4]? (Y/N/NA)
    • Corrective Actions:
• Respiratory Protection
  • 1. Respirator Required: Is respiratory protection required based on the hazard assessment and exposure levels 3, 11, 16, 17, 19? (Y/N/NA)
    • Corrective Actions:
  • 2. Proper Respirator: Are employees using the correct type of respirator for the specific hazard (e.g., dust mask, air-purifying respirator) 3, 12? (Y/N/NA)
    • Corrective Actions:
  • 3. Fit Testing: Have employees been properly fit-tested for their respirators 11, 16, 17, 19? (Y/N/NA)
    • Corrective Actions:
  • 4. Cartridge/Filter Condition: Are respirator cartridges or filters in good condition and within their expiration date [5]? (Y/N/NA)
    • Corrective Actions:

III. Environmental Factors

• 1. Ventilation: Is there adequate ventilation in the work area to minimize exposure to hazardous substances 3, 4, 15, 16, 19? (Y/N/NA)
  • Corrective Actions:
• 2. Engineering Controls: Are engineering controls (e.g., process enclosures, local exhaust ventilation) being used to reduce exposure levels 7, 16, 19? (Y/N/NA)
  • Corrective Actions:

IV. Specific Material Handling

• 1. Chemical Handling: When handling chemicals like alpha-Methylstyrene, are appropriate gloves and eye protection being worn 1, 3? (Y/N/NA)
  • Corrective Actions:
• 2. Concrete Handling: When handling concrete or similar materials, is respiratory protection being used to minimize dust inhalation 4, 12? (Y/N/NA)
  • Corrective Actions:

V. Additional Considerations

• 1. Specific Exposure Limits: Are employees aware of the exposure limits for the substances they are working with 3, 5, 6? (Y/N/NA)
  • Corrective Actions:

Checklist Completed By:

Name: __________________________

Title: __________________________

Date: __________________________

Signature: ______________________

Supervisor Review:

Name: __________________________

Date: __________________________

Signature: ______________________