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AUDIT FORM FOR GENERAL PPE & KNIFE

  • Any Non-compliance to be recorded in the notes section of the corresponding question along with corrective measures

Hand PPE

  • Has the employee been provided with and have access to the appropriate PPE for all required task?

  • Is the employee wearing the proper company provided gloves for the task being performed while in the production area of the facility (cut resistant, heat, cold, latex, etc.)?

  • Is the employee wearing the PPE properly?

  • Are these gloves in acceptable / usable condition (free from holes, tears or cuts)?

  • Should these be replaced?

  • Eyewear PPE

Eyewear PPE

  • Has the employee been provided with and have access to the appropriate PPE for all required task?

  • Is the employee wearing the proper company provided safety eyewear for the task being performed while in the production area of the facility (general safety glasses, prescription safety glasses, face shield, welding helmet, goggles, etc.)?

  • Is the eyewear in acceptable / usable condition (free from scratches, pitting, proper fit, etc)?

  • If employee is wearing prescription glasses are the glasses in compliance company safety rules (Protective eyewear that has a prescription or safety glasses that fit over normal prescription glasses)?

  • Should safety eyewear be replaced?

Hearing PPE

  • Has the employee been provided with and have access to the appropriate PPE for all required task?

  • Is the employee wearing the proper company provided hearing protection for the task being performed while in the production area of the facility (earplugs, earmuffs, etc.)?

  • Is the employee wearing the PPE properly?

  • Is the hearing protection in acceptable / usable condition (free dirt, cracks, loose, don’t seal well)?

  • Should Hearing PPE be replaced?

Footwear PPE

  • Is the employee wearing the proper PPE while in the production area of the facility (steel toe, toe caps for visitors)?

  • Is the footwear in acceptable / usable condition (free rips, holes, soles of shoes, etc)?

  • Is the employee wearing the PPE properly?

  • Should safety footwear be replaced?

Knife

  • Has the employee been provided with and have access to the appropriate knife for all required task?

  • Is the employee using the company provided knife?

  • Is the employee using the knife properly?

  • Is the knife in acceptable / usable condition?

  • Should the knife be replaced?

  • Employee’s understanding and attitude

Employees understanding and attitude

  • Does the employee understand the rules and regulations regarding PPE and knives in the workplace?

  • Other comments to be noted:

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