Personal Protective Equipment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Head Protection

• Standard Hard Hat

  Safe

  At Risk

  N/A

• Non-Conductive Hard Hat with Face Sheild

  Safe

  At Risk

  N/A

• Bump Cap

  Safe

  At Risk

  N/A

Eye/Face Protection

• Eyewash Station

  Safe

  At Risk

  N/A

• Safety Glasses with Side Shields

  Safe

  At Risk

  N/A

• Chemical Goggles

  Safe

  At Risk

  N/A

• Face Shield

  Safe

  At Risk

  N/A

Hearing Protection

• Ear Plugs

  Safe

  At Risk

  N/A

• Ear Muffs

  Safe

  At Risk

  N/A

Hand Protection

• Leather Gloves

  Safe

  At Risk

  N/A

• Cut resistant Gloves

  Safe

  At Risk

  N/A

• Electrical Gloves

  Safe

  At Risk

  N/A

• Cotton Gloves

  Safe

  At Risk

  N/A

• Chemical Resistant Gloves

  Safe

  At Risk

  N/A

Foot Protection

• Rubber Boots

  Safe

  At Risk

  N/A

• Steel-Toed Shoes

  Safe

  At Risk

  N/A

• Fiber Reinforced Toed Shoes

  Safe

  At Risk

  N/A

Protective Clothing

• Disposable Coverall

  Safe

  At Risk

  N/A

• Non-conductive clothing

  Safe

  At Risk

  N/A

• Rubber Apron

  Safe

  At Risk

  N/A

• AR or FR clothing

  Safe

  At Risk

  N/A

• Chemically resistant clothing

  Safe

  At Risk

  N/A

• Protective Sleeve Covers

  Safe

  At Risk

  N/A