Create a safety checklist for PPE compliance
Generated on: August 10, 2025
Personal Protective Equipment (PPE) Compliance Checklist
Date: 2025-08-10
Inspector: [INSPECTOR NAME]
Location/Area: [LOCATION/AREA]
Department: [DEPARTMENT]
Purpose
To ensure workers are using appropriate personal protective equipment (PPE) and that the equipment is in good working order. This checklist aids in hazard assessment and risk mitigation by verifying PPE compliance with safety regulations.
Instructions for Use
- 1. Gather the appropriate PPE for the task and work area.
- 2. Inspect each piece of PPE for damage or defects before each use. [6]
- 3. Don the PPE in the correct order, ensuring a proper fit.
- 4. Perform the work task, being mindful of the PPE's limitations.
- 5. After use, clean and store the PPE properly. [6]
Frequency
This checklist should be completed: Daily or before each shift
Safety Checklist
General PPE Requirements
These requirements apply to all PPE used on site.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| PPE is appropriate for the hazards present. [1] Check: PPE selection matches the identified hazards in the work area. If failed: Replace PPE with the correct type for the specific hazard. | _________________ | ||
| PPE fits the worker properly. [1] Check: PPE is the correct size and adjusted for a snug and secure fit. If failed: Provide correctly sized PPE and training on proper adjustment. | _________________ | ||
| PPE is clean and in good condition. [6] Check: PPE is free from dirt, damage, and defects. If failed: Clean, repair, or replace damaged PPE. | _________________ | ||
| Workers are trained on proper PPE use. [1] Check: Workers can demonstrate correct donning, doffing, adjustment, and maintenance of PPE. If failed: Provide additional training on PPE use and maintenance. | _________________ |
Head Protection
Inspection of hard hats and other head protection.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Hard hat shell is free from cracks, dents, or damage. Check: Visually inspect the shell for any signs of physical damage. If failed: Replace the hard hat immediately. | _________________ | ||
| Suspension system is intact and properly adjusted. Check: Check the suspension system for tears, fraying, or missing parts. Ensure it is adjusted to fit the worker's head size. If failed: Replace the suspension system or the entire hard hat if damaged. | _________________ | ||
| Hard hat meets ANSI or CSA standards. [1] Check: Verify the hard hat has the appropriate certification markings. If failed: Replace non-compliant hard hats with certified ones. | _________________ |
Eye and Face Protection
Inspection of safety glasses, goggles, and face shields.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Eye protection is appropriate for the hazard (impact, chemical splash, etc.). Check: Verify the type of eye protection matches the potential hazards identified in the area. If failed: Provide appropriate eye protection based on the hazard assessment. | _________________ | ||
| Lenses are clean and free from scratches or damage. Check: Inspect lenses for any scratches, cracks, or other damage that could impair vision. If failed: Clean or replace damaged lenses or eye protection. | _________________ | ||
| Eye protection fits securely and comfortably. Check: Ensure eye protection fits snugly and does not interfere with vision or movement. If failed: Adjust or replace eye protection for a proper fit. | _________________ |
Hand Protection
Inspection of gloves.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Gloves are appropriate for the task (chemical resistance, cut resistance, etc.). [3] Check: Verify the glove type protects against the specific hazards encountered. If failed: Provide appropriate gloves based on the task and hazard assessment. | _________________ | ||
| Gloves are free from tears, punctures, or degradation. Check: Inspect gloves for any signs of damage or wear. If failed: Replace damaged gloves immediately. | _________________ | ||
| Gloves fit properly and allow for dexterity. Check: Ensure gloves fit snugly without restricting movement or grip. If failed: Provide different sizes of gloves to ensure proper fit. | _________________ |
Foot Protection
Inspection of safety footwear.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Footwear is appropriate for the hazard (impact, compression, puncture, chemical, electrical). [3] Check: Verify the footwear type protects against specific foot hazards. If failed: Provide appropriate safety footwear based on hazard assessment. | _________________ | ||
| Footwear is in good condition (no cuts, tears, or worn soles). Check: Inspect footwear for any signs of damage or wear that could compromise protection. If failed: Replace damaged footwear. | _________________ | ||
| Footwear provides adequate ankle support if required. [8] Check: Check that footwear provides sufficient ankle support for the working conditions. If failed: Provide footwear with adequate ankle support. | _________________ | ||
| Footwear has appropriate slip resistance for the working surface. [4] Check: Confirm that the sole material provides adequate traction on the surfaces where workers are walking. If failed: Provide footwear with appropriate slip resistance. | _________________ |
Respiratory Protection (if applicable)
Inspection of respirators.
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Respirator is approved for the specific hazard. [5] Check: Verify the respirator cartridge or filter is appropriate for the airborne contaminants present. If failed: Replace with the correct cartridge or filter. | _________________ | ||
| Respirator fits properly (fit testing is current). Check: Confirm workers have been fit-tested and the respirator seals properly to their face. If failed: Conduct fit testing and provide different respirator sizes if needed. | _________________ | ||
| Respirator is clean and well-maintained. [7] Check: Inspect the respirator for cleanliness, damage, and proper function. If failed: Clean, repair, or replace the respirator. | _________________ | ||
| Respirator is stored properly when not in use. [6] Check: Ensure the respirator is stored in a clean, dry place away from contaminants. If failed: Provide proper storage containers or locations. | _________________ |
General Requirements
| Item | Pass | Fail | Comments |
|---|---|---|---|
| Workers must report any PPE defects immediately. Check: Workers understand the procedure for reporting damaged or ineffective PPE. If failed: Reinforce reporting procedures during safety meetings. | _________________ | ||
| PPE must be used in accordance with manufacturer's instructions and training. Check: Observe workers using PPE correctly. If failed: Provide refresher training on proper PPE usage. | _________________ | ||
| A hazard assessment has been conducted to determine the necessary PPE. [2] Check: Review the hazard assessment documentation for completeness and accuracy. If failed: Update the hazard assessment to reflect current conditions and tasks. | _________________ |
Failed Item Procedures
- Any failed item must be corrected immediately or the equipment must be removed from service until corrected.
- If the failed item creates an immediate hazard, work must cease until the hazard is controlled.
Documentation Requirements
Record the date of inspection, inspector's name, and any corrective actions taken.
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 and CSA standards for specific PPE types. [1]
This checklist must be retained for [RETENTION PERIOD].
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Important Safety Note:
Always verify safety information with your organization's specific guidelines and local regulations.