Create a safety checklist for PPE compliance

PPE Compliance Safety Checklist

Purpose: To ensure that all personnel are using the appropriate personal protective equipment (PPE) for the task and environment, and that the PPE is in good working condition.

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

I. General Requirements

• 1. Has a hazard assessment been performed to determine required PPE? (Yes/No/NA) Corrective Actions:
• 2. Is a copy of the hazard assessment available to all workers? (Yes/No/NA) Corrective Actions:
• 3. Have all workers been trained on the proper use, maintenance, and storage of required PPE? (Yes/No/NA) Corrective Actions:
• 4. Is there a designated area for PPE storage that keeps equipment clean and accessible? (Yes/No/NA) Corrective Actions:

II. Head Protection

• 1. Are hard hats required in the work area? (Yes/No/NA) Corrective Actions:
• 2. If yes, are hard hats ANSI-approved and in good condition (no cracks, dents, or damage)? (Yes/No/NA) Corrective Actions:
• 3. Are hard hat suspensions properly adjusted and in good condition? (Yes/No/NA) Corrective Actions:

III. Eye and Face Protection

• 1. Is eye protection required for the task? (Yes/No/NA) Corrective Actions:
• 2. Are appropriate eye protection (safety glasses, goggles, or face shield) provided and used? (Yes/No/NA) [1] Corrective Actions:
• 3. Is the eye protection ANSI-approved and suitable for the specific hazard (impact, chemical splash, dust)? (Yes/No/NA) [1] Corrective Actions:
• 4. Are safety glasses equipped with side shields, if required? (Yes/No/NA) [2] Corrective Actions:
• 5. Is a face shield used when there is a risk of splashing liquids, sprays, or flying particles? (Yes/No/NA) [3] Corrective Actions:
• 6. Are eyewash stations readily accessible in areas where chemical exposure is possible? (Yes/No/NA) [3] Corrective Actions:

IV. Hand Protection

• 1. Are gloves required for the task? (Yes/No/NA) Corrective Actions:
• 2. Are the gloves appropriate for the specific hazard (chemical, cut, abrasion, temperature)? (Yes/No/NA) [4], [5] Corrective Actions:
• 3. Are gloves inspected for damage (tears, punctures, degradation) before use? (Yes/No/NA) [6] Corrective Actions:
• 4. Are the correct type of gloves being used? (e.g., Nitrile, Butyl rubber, Fluorinated rubber) [7], [4], [5] Corrective Actions:

V. Body Protection

• 1. Is appropriate clothing worn to protect against hazards such as chemical splashes, cuts, or extreme temperatures? (Yes/No/NA) [7], [4], [5], [8] Corrective Actions:
• 2. Is clothing clean and in good condition? (Yes/No/NA) Corrective Actions:
• 3. Is specialized clothing (e.g., flame-retardant, chemical-resistant) used when required? (Yes/No/NA) [9] Corrective Actions:

VI. Foot Protection

• 1. Is appropriate footwear worn for the task and environment (e.g., steel-toed boots, slip-resistant shoes)? (Yes/No/NA) Corrective Actions:
• 2. Is footwear in good condition (no holes, tears, or worn soles)? (Yes/No/NA) Corrective Actions:
• 3. Are specialized boots (e.g., chemical-resistant, electrical hazard) used when required? (Yes/No/NA) Corrective Actions:

VII. Respiratory Protection

• 1. Is respiratory protection required based on exposure levels? (Yes/No/NA) [7], [4], [5], [10] Corrective Actions:
• 2. Has the worker been fit-tested for the respirator being used? (Yes/No/NA) Corrective Actions:
• 3. Is the respirator NIOSH-approved and appropriate for the specific hazard? (Yes/No/NA) [3], [4], [5], [10] Corrective Actions:
• 4. Is the respirator clean, properly maintained, and stored correctly? (Yes/No/NA) Corrective Actions:
• 5. Are cartridges/filters appropriate for the hazard and within their expiration date? (Yes/No/NA) [3] Corrective Actions:

VIII. Hearing Protection

• 1. Is hearing protection required in designated areas? (Yes/No/NA) Corrective Actions:
• 2. Are appropriate hearing protection devices (earplugs or earmuffs) provided and used? (Yes/No/NA) Corrective Actions:
• 3. Are hearing protection devices clean and in good condition? (Yes/No/NA) Corrective Actions:

IX. Other PPE

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

Completed by:

Name: __________________________

Date: __________________________

Signature: _______________________

Supervisor Review:

Name: __________________________

Date: __________________________

Signature: _______________________