Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Do PPE requirements define acceptable internationally recognised standards
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Does the PPE that is being provided and worn comply with the specified standards
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Is there procedural control and up to date records maintained regarding the issue of PPE?
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Is defective PPE quarantined to prevent further use and disposed of in accordance with procedural requirements
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Is PPE worn free from defects including gloves (sample 3 persons)
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Is flame resistant clothing worn as the outer most garment (except when other PPE clothing is required such as personal flotation devices)
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Is the flame resistant capability of any PPE in good condition which provides full protection
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Personnel are found to be correctly wearing the appropriate standard PPE
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Are coveralls or jacket pockets free from any hand tools (potential for dropped objects)
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Is the PPE being worn free from any contaminants (soiled or chemical)
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Check that the laundry operatives have procedures for laundered PPE in accordance with the manufactures recommendations
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Flame resistant clothing is being laundered, repaired and taken out of services as per the manufactures recommendations
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Record details of any other issues/concerns regarding PPE as a result of the self verification review
