Personal Protective Equipment Inspection Check List

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Hard hat to EN397

• Being worn or available

  Compliant

  Non-compliant

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety glasses to EN 166

• Being worn or available

  Compliant

  Non-compliant

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety boots to BS EN 345 S3

• Being worn or available

  Compliant

  Non-compliant

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Safety gloves to EN 388 (minimum performance level 4131)

• Being worn or available

  Compliant

  Non-compliant

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

High visibility vest to EN 471 class 2

• Being worn or available

  Compliant

  Non-compliant

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Full body harness to EN 361

• Being worn or available

  Compliant

  Non-compliant

  Not required

• Brought into service date

  Date

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Energy absorber lanyard to EN 355

• Being worn or available

  Compliant

  Non-compliant

  Not required

• Brought into service date

  Date

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

Lanyard to EN 354

• Being worn or available

  Compliant

  Non-compliant

  Not required

• Brought into service date

  Date

• Suitable for task

  Compliant

  Non-compliant

• Condition

  Good

  Fair

  Poor

  Replacement required

• Very good 9-10, Good 7-8, Fair 5-6, Poor 3-4, Very poor 0-2

General notes

• Notes

Signatures

• Auditor

  Sign

• Audited

  Sign