CCC - P.P.E Individual Worker Audit

• Audit Title

• Conducted on

  Date

• Prepared by

• Worker

Previous Inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Outstanding issues have been actioned?

  Yes

  No

  N/A

Personal Protective Equipment ( General items )

• P.P.E storage bag is clean, undamaged and being used ?

  Yes

  No

  N/A

• Safety vest ? ( Good condition, No worn or faded reflective bands )<br>

  Yes

  No

  N/A

• Hard hat ? ( Not worn or faded, harness is not damaged, Issue date is within 3 years )

  Yes

  No

  N/A

• Hearing Protection ? ( Not damaged, Clean- Has hygiene kit been replaced if needed )

  Yes

  No

  N/A

• Respirator / Dust masks ? ( Clean face mask and filters, No damage to straps / stored correctly, minimum P2 rating )

  Yes

  No

  N/A

• Safety glasses / Sun glasses ? ( Not damaged / Clean )

  Yes

  No

  N/A

• Safety Whistle ? ( Working, Green lanyard with Breakaway clip attached )

  Yes

  No

  N/A

• Gloves ? ( Good condition, No holes )

  Yes

  No

  N/A

• Sun Hat ? ( Is approved council hat either bucket style or wide brim )

  Yes

  No

  N/A

• Wet Weather Gear ? ( Rain coat and trousers, Good condition, Stored appropriately )

  Yes

  No

  N/A

• Steel toed safety boots ? ( Good condition, No worn soles or steel cap showing )<br><br>

  Yes

  No

  N/A

Task Specific P.P.E ( Items required for specific work crew tasks )

• Face shield ? ( Clean / Clear and No broken components )

  Yes

  No

  N/A

• Brush cutter hard hat ? ( Built in components ie, Face shield is clear and clean / Ear muffs are clean and in good condition )

  Yes

  No

  N/A

• Brush cutter harness ? ( Good condition, Correct size - S,M,L )

  Yes

  No

  N/A

• Chaps ? ( Good condition, No holes / rips or damage to seam stitching )

  Yes

  No

  N/A

• Hard hat Nape flap ? ( Good condition)

  Yes

  No

  N/A

Fire Crew Only

• Fire fighting overalls ? ( No holes / Rips or damage to seam stitching )

  Yes

  No

  N/A

• Taipan boots ? ( Good condition, No worn soles )

  Yes

  No

  N/A

• Wildfire gloves ? ( No holes / rips or damage to seam stitching )

  Yes

  No

  N/A

• Chemical gloves ? ( Good condition, No holes )

  Yes

  No

  N/A

• Respirator ? ( Stored appropriately, Activated filters have been changed -20 hours use only )

  Yes

  No

  N/A

Sign Off

• Workers Signature

  Sign

• Auditors Signature

  Sign