Title Page
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Conducted on
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Prepared by
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Location
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PPE is usually worn where required.
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Written program specifies: <br>• Roles and responsibilities; <br>• Hazard assessment process;<br>• PPE selection and fitting process;<br>• Employee training requirements.<br><br>A revision log shall be included as part of the written program.
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The PPE assessment has been performed and results have been documented specifying PPE requirements for most jobs
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Site maintains a PPE Matrix which summarizes PPE requirements by job task
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PPE is in place and supplies on hand are adequate.
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Written program is reviewed annually and updated as necessary. The revision log has been maintained to reflect the annual review and any other changes made to the written program throughout the year.
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Boundaries for required use of PPE are clearly definable. All areas are labeled if requirements vary in the facility.
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Visitors are provided with PPE.
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Employees understand when/where to wear PPE; why PPE is needed along with its limitations; how to properly put on, take off, adjust and wear PPE; how to maintain and when to replace PPE.
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Employees use PPE. Use of PPE enforced.
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PPE requirements incorporated into JSAs and operating instructions.
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Area supervision has performance measures based on degree of compliance with PPE usage, using self-inspections and audit data.
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The site actively works towards reducing the amount of PPE used through effective implementation of engineering controls.