Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Are approved safety glasses required to be worn at all times in areas where there is a risk of eye injuries from flying chips, splinters, sparks and other solid materials?

  • Are protective goggles or face shields worn over safety glasses when there is any danger of chemical splashes?

  • Are hard hats provided and worn where the danger of overhead falling objects exists?

  • Are hard hats free of damage to the shell and suspension of the system?

  • Is appropriate foot protection required where there is the risk of foot injuries form falling objects, crushing, or hot, corrosive, or toxic substances?

  • Are abrasion-resistance gloves worn for handling materials with sharp edges, splinters or other surfaces that can cause sever cuts, lacerations, abrasions or punctures?

  • Are chemical-resistant gloves worn to prevent skin contact with harmful chemicals (.g., solvent-based glues, paints and thinners, fuels, acids?

  • Is hearing protection (e.g. ear plugs or muffs) properly worn when workplace noise levels exceed the Department's occupational exposure limits?

  • Are proper respirators available and worn by employees exposed to airborne chemical substance hazards (e.g., high concentrations of dusts, welding fumes, solvent vapors)?

  • Is there a schedule to replace the cartridges in chemical respirators (e.g., monthly)?

  • Is all protective equipment maintained and stored in a clean, functioning condition and ready for use?

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