PPE Compliance Safety Checklist

This checklist is designed to ensure that all employees are using and maintaining personal protective equipment (PPE) correctly, and that the employer is meeting all regulatory requirements for PPE provision and training.

Instructions: Complete this checklist regularly (e.g., daily, weekly) to verify PPE compliance. Indicate whether each item is satisfactory (Yes) or needs improvement (No). If 'No', specify the corrective action required.

Section 1: General Requirements

• Hazard Assessment: Has a workplace hazard assessment been performed to identify the need for PPE? 2, 17
  • Yes / No
  • Corrective Action:
• Written Certification: Is there a written certification that the hazard assessment has been performed, including the date, workplace evaluated, and the person certifying? 2, 13
  • Yes / No
  • Corrective Action:
• PPE Provided at No Cost: Is all required PPE provided to employees at no cost? 1, 9
  • Yes / No
  • Corrective Action:
• Employee-Owned Equipment: If employees provide their own PPE, has the employer assured its adequacy, maintenance, and sanitation? 2, 13, 17
  • Yes / No
  • Corrective Action:

Section 2: PPE Availability and Condition

• PPE Availability: Is the required PPE readily available to workers at the worksite before work begins? [1]
  • Yes / No
  • Corrective Action:
• Proper Storage: Is PPE stored in a clean, secure location that is easily accessible? [1]
  • Yes / No
  • Corrective Action:
• Equipment Condition: Is all PPE inspected before each use to ensure it is in good condition? [2]
  • Yes / No
  • Corrective Action:
• Defective Equipment: Is there a system in place to immediately repair or replace defective or damaged PPE? 1, 2, 13, 17
  • Yes / No
  • Corrective Action:
• Sanitation: Is PPE maintained in a sanitary condition? 1, 2, 13, 17
  • Yes / No
  • Corrective Action:

Section 3: Training and Information

• Training Adequacy: Have all employees received adequate training in the proper use, care, and limitations of the PPE? [2]
  • Yes / No
  • Corrective Action:
• Training Elements: Does the training include when PPE is necessary, what PPE is necessary, how to don/doff/adjust/wear PPE, the limitations of the PPE, and proper care/maintenance/disposal? 9, 13, 17
  • Yes / No
  • Corrective Action:
• Understanding Demonstrated: Can employees demonstrate an understanding of the training and the ability to use PPE properly? [3]
  • Yes / No
  • Corrective Action:
• Information on PPE: Are workers informed of the reasons why PPE is required and the limitations of its protection? [1]
  • Yes / No
  • Corrective Action:

Section 4: Specific PPE Requirements (Examples)

• Eye Protection: Is appropriate eye protection used when exposed to hazards that may irritate or injure the eyes? 3, 4, 20
  • Yes / No
  • Corrective Action:
• Head Protection: Is appropriate head protection worn when exposed to head injury hazards, and does it comply with relevant standards? 10, 12
  • Yes / No
  • Corrective Action:
• Foot Protection: Is appropriate foot protection worn that is suitable for the hazards present? 5, 12
  • Yes / No
  • Corrective Action:
• Hand Protection: Are appropriate gloves selected and used based on the task and potential hazards?
  • Yes / No
  • Corrective Action:
• Flame Resistant Clothing: If workers may be exposed to flash fire or electrical flashover, are they wearing flame resistant outerwear? [4]
  • Yes / No
  • Corrective Action:

Section 5: Employee Responsibilities

• PPE Usage: Do workers use and wear the provided PPE properly? 1, 3, 4
  • Yes / No
  • Corrective Action:
• PPE Inspection: Do workers inspect PPE before using it? [5]
  • Yes / No
  • Corrective Action:
• Reporting Defects: Do workers report defective PPE to the employer? [1]
  • Yes / No
  • Corrective Action:

Section 6: Program Evaluation and Record Keeping

• Regular Inspections: Is there a regular system for inspection and maintenance of PPE? 13, 17
  • Yes / No
  • Corrective Action:
• Record Keeping: Are records of training, hazard assessments, and PPE maintenance kept and readily available? 7, 15
  • Yes / No
  • Corrective Action:
• Program Review: Is the PPE program reviewed and updated regularly, especially when conditions change? [6]
  • Yes / No
  • Corrective Action:

Completed by: [Name]

Date: [Date]

Supervisor Signature: [Signature Placeholder]

Notes/Comments:

[Space for additional notes or comments]

Follow-up Actions:

[Space to document follow-up actions required]