Employee PPE Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PPE

• Hardhat

  Yes

  No

  N/A

• Is Hard hat in safe condition and is the hard hat and suspension within manufacturers use time frame

  Yes

  No

  N/A

• Respirator (denote brand, size and model)

  Yes

  No

  N/A

• Is respirator in good working condition

  Yes

  No

  N/A

• Does employee have both P100 and chemical cartridges for respirator

  Yes

  No

  N/A

• Is annual respirator fit test current

  Yes

  No

  N/A

• Ear Plugs

  Yes

  No

  N/A

• Ear Muffs

  Yes

  No

  N/A

• Summer work gloves (denote size)

  Yes

  No

  N/A

• Winter work gloves (denote size)

  Yes

  No

  N/A

• Tinted safety glasses

  Yes

  No

  N/A

• Clear safety glasses

  Yes

  No

  N/A

• Safety vest (denote size)

  Yes

  No

  N/A

• Is safety vest in good condition

  Yes

  No

  N/A

• Rain jacket (denote size)

  Yes

  No

  N/A

• Rain bibs ( denote size)

  Yes

  No

  N/A

• FR Head sock

  Yes

  No

  N/A

• FR gloves (denote size)

  Yes

  No

  N/A

• FR suit winter (denote size)

  Yes

  No

  N/A

• FR Suit summer ( denote size)

  Yes

  No

  N/A

• Employee signature

  Sign

• Safety Representative signature

  Sign