Title Page
-
Site conducted
-
Conducted on
-
Prepared by
Untitled Page
1.0 Training Program (Safety / Training Department)
-
Has the site communicated the proper use of PPE to all affected employees? 1910.132(d)(1)(ii)
-
Does the training identify that defective equipment may not be used? 1910.132(e)
-
Does the site have a training program that addresses the following items: <br>When PPE is necessary;<br>What PPE is necessary;<br>How to properly don, doff, adjust, and wear PPE;<br>The limitations of the PPE; and,<br>The proper care, maintenance, useful life and disposal of the PPE.
-
Are employees required to demonstrate knowledge of proper care and donning and doffing before allowing employees to perform work wearing the PPE? 1910.132(f)(2)
-
Does the site conduct retraining when; an employee does not understand how to use ppe or a change in the workplace renders previous training obsolete? 1910.132(f)(3)
2.0 PPE Program / Maintenance Program (General / Maintenance)
-
Does the site have a PPE program?
-
Has the site completed an assessment of hazards to determine whether the PPE would be necessitated? 1910.132(d)(1)
-
Does the site have a fitting process for PPE to ensure employees have access to different types of PPE that would provide the best fit? 1910.132(d)(1)(iii)
-
Does the program identify that defective equipment may not be used? 1910.132(e)
-
Is specialty PPE provided to employees at no extra cost? 1910.132(h)(1)
-
Does the site have a policy in place to imit the use of contact lenses worn on plant site when contact lenses present a hazard to the employee? 1910.133(a)(3)
-
Are safety glasses required to comply with the ANSI Z87.1 standard? 1910.133(b)(1)
-
Is there a hard hat change out program? (If applicable)
3.0 PPE Knowledge (Visual Inspection)
-
Do employees know where to obtain the proper PPE for their jobs?
-
Do supervisors know where to obtain the proper PPE for their jobs?
-
Does the site ensure employees have adequate PPE for the job or taks they are performing?
-
Can employees properly demonstrate an understanding of how to properly use PPE? 1910.132(f)(2)
-
Do employees know how to properly inspect PPE and what to inspect?
-
Are employees fully aware of the proper PPE requirements for the task they are performing?
-
Are supervisors fully aware of the proper PPE requirements for the task they are performing?
4.0 Employee PPE Usage (Observation and Visual Inspection)
-
Is the proper use of PPE enforced by management? 1910.133(a)(1)
-
Are employees using the required gloves for their task?
-
Are employees using the required Glasses for their task?
-
Are gloves in good condition?
-
Are hard hats current being worn correctly and not out of date according to manufacturer guidelines? (This should be on the hard hat)
5.0 Documentation and Retention (Engineering / Maintenance / Safety)
-
Are hazard assessments documented via written certification that identifies the task/workplace evaluated, the person performing the evaluation and the date it was performed? 1910.132(d)(2)
-
Are new hire training documents retained for the period of employment? (per the century north america document retention program)
-
Are annual and retraining documents retained for period of employment? (per the century north america document retention program)