Title Page
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Site conducted
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Plant/Area:
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Employee/Contractor Name:
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Conducted on
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Prepared by
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Line Manager
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Location
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Task description:
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Are employees adhering to the minimum PPE requirements when entering the plant?
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Are the employees wearing PPE as indicated on the permit to work or risk assessments and/or safe work procedures?
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Is the prescribe PPE worn accordingly when handling hazardous chemicals?
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Is the safety data sheet for each hazardous chemical being handled readily available to all who may be exposed?
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Is the PPE inspected and in a good condition? (Replace damage PPE immediately)
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Is the PPE suitable for the potential hazardous situation that may occur? Choose PPE to match the hazard.
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Are contaminated PPE disposed in marked bins?
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Does the PPE not introduce other hazards? (Discuss with the employee being observed)
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Is the user trained on the use and care of specialised PPE? E.g. harness, Breathing apparatus etc.
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Comments: Where deviations have been noted, indicate the corrective action taken. Also report the matter to the supervisor
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Auditors signature:
