Title Page

  • Prepared by

  • Location

Questionnaire

  • All necessary PPE issued?

  • All PPE issuance recorded?

  • All PPE SIRIM/DOSH certified?

  • HiVis vest in good condition?

  • Helmet : harness + chin strap?

  • Safety shoe : Rubber/Leather STEEL TOE

  • Specific work : hearing protection?

  • Specific work : eyes protection?

  • Specific work : hand protection (gloves)?

  • Specific works : harness for WAH?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.