PPE Checklist Template

Audit verification
Inspector's Name
Signature
Body and Hearing protection
Are employees safe when their body parts are exposed to dust, sharp surfaces, extreme heat and dangerous items?
Are employees safe when their ears are exposed to loud noise from machines and other tools?
Eye and Face protection
Is employees eyes exposed to dust and flying particles?
Is employees eyes exposed while handling hazardous liquid chemicals?
Is employees eyes exposed to the chemical irritants, lasers, and intense lights?
Is employees face safe while handling hazardous liquid chemicals?
Is employees face exposed to extreme heat and potential irritants?
Hands and Feet protection
Are employees safe when their feet is exposed to objects which may fall/roll?
Are employees safe when their feet is exposed to electrical wiring, molten metal and explosive atmosphere?
Are employees safe when their hands are exposed to tools, cuts, and chemical irritants?
Are employees safe when their hands are exposed to extreme heat and electrical objects?
Head protection
Are employee's safe if tools/other objects may fall?
Is employee's head safe while working near machinary parts, pipes, and beams?
Are employees safe while working near electrical wiring and other electrical objects?

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