Information

  • Person Conducting Audit:

  • Conducted on

  • Department:

Performance Guideline

  • For the PPE performance guideline, check the box

  • no label

Item:

  • 1. A comprehensive list of PPE for al plant jobs should be obtained by auditor

  • Explanation

  • Photograph if necessary:

  • 2. Selected jobs should be checked according to the PPE list for compliance

  • Explanation

  • Photograph if necessary:

  • 3. PPE is free from holes and defects

  • Explanation

  • Photograph if necessary:

  • 4. PPE is being worn properly

  • Explanation

  • Photograph if necessary:

  • 5. PPE is appropriate for the potential hazards of the task or job

  • Explanation

  • Photograph if necessary:

  • 6. Employees are trained in the proper use, care limitations of assigned PPE

  • Explanation

  • Photograph if necessary:

  • 7. All employees are wearing eye protection, hard hat, ear plus, steel-toe boots

  • Explanation

  • Photograph if necessary:

  • 8. All visitors are wearing standard PPE

  • Explanation

  • Photograph if necessary:

  • 9. Forklift drivers are wearing seatbelts when provided

  • Explanation

  • Photograph if necessary:

  • 10. Supervisors are wearing PPE for the job being performed

  • Explanation

  • Photograph if necessary:

  • 11. Electricians working in MCC panels are wearing hot gloves and protectors

  • Explanation

  • Photograph is necessary:

  • 12. Pull 3 employee training files to verify PPE training documentation

  • Explanation

  • Photograph if necessary:

  • 13. Daily PPE checks have been completed at the time of audit<br>

  • Explanation

  • Photograph if necessary:

  • 14. All employees using a knife must have a minimum of cut resistant gloves on both hands, an arm guard, and a mesh apron

  • Explanation

  • Photograph if necessary:

Additional Comments:

  • Please provide any additional comments, remarks or photographs etc.

  • Photographs:

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Sign off:

  • Auditor's Signature:

  • Select date

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