Compliance Inspection Sheet - PPE

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation Criteria

• Head protection worn correctly and where required

  Safe

  At Risk

  N/A

• Correct form of eye protection worn for the area

  Safe

  At Risk

  N/A

• Double eye protection worn where required

  Safe

  At Risk

  N/A

• Hearing protection worn in designated areas

  Safe

  At Risk

  N/A

• Correct form of hand protection worn for manual tasks

  Safe

  At Risk

  N/A

• Respiratory protection worn where dust, mist or fumes are present

  Safe

  At Risk

  N/A

• Footwear in good condition/correct type

  Safe

  At Risk

  N/A

• Hi-vis vest or clothing worn at all times outside the office

  Safe

  At Risk

  N/A

• Safety harness appropriately worn at height

  Safe

  At Risk

  N/A

• Correct lanyard selected for application and attached for 100% hook up

  Safe

  At Risk

  N/A

• Additional protective clothing used where required

  Yes

  No

  N/A