MIN O TOM FOR 028 PPE inspection Tomago

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

AN and ANE truck drivers

• Rigger Gloves

  Yes

  No

  N/A

• Hi-Vis long sleeve shirt

  Yes

  No

  N/A

• Long pants

  Yes

  No

  N/A

• Safety boots, steel cap, lace up

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• SPF30+ Sunscreen

  Yes

  No

  N/A

• Eye wash bottle

  Yes

  No

  N/A

• First aid kit

  Yes

  No

  N/A

Ansol drivers as above +

• Full face shield

  Yes

  No

  N/A

• Chemical goggles

  Yes

  No

  N/A

• Hi-Vis Splash resistant rain suit

  Yes

  No

  N/A

• Gloves chemical resistant gauntlet

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Yard staff

• Rigger Gloves

  Yes

  No

  N/A

• Hi-Vis long sleeve shirt

  Yes

  No

  N/A

• Long pants

  Yes

  No

  N/A

• Safety boots, steel cap, lace up

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Dust masks P2

  Yes

  No

  N/A

• Hearing protection , ear plugs or muffs

  Yes

  No

  N/A

• Hat

  Yes

  No

  N/A

Signatures

• Signature of person audited

  Sign

• Signature of auditor

  Sign