Personal Protective Equipment Inspection

• Site conducted

  Select

• Plant/Assembly Line Location

  Select A-1 A-2 A-3 A-4 A-5 A-6 A-7 B-1 B-2 B-3 B-4 B-5 B-6 B-7 C-1 C-2 C-3 C-4 C-5 C-6 C-7 C-8 C-9 C-10 D-1 D-2 D-3 D-4 D-5 D-6 D-7 E-1 E-2 E-3 E-4 E-5 E-6 F-1 F-2 F-3 F-4 F-5 F-6 F-7 F-8 G-1 G-2 G-3 G-4 H-1A H-2 H-3 H-4 I-1 I-2 I-3 I-4 J-1 J-2 J-3 J-4 J-5 J-6 J-7 J-8 J-9 J-10 J-11 J-12 J-13 J-14 J-15 J-16 J-17 J-18 J-19 K-1 K-2 K-3 K-4 K-5 K-6 K-7 K-8 K-9 K-10 K-11 K-12 K-13 L-1 L-2 L-3 L-4 L-5 L-6 L-7 L-8 L-9 L-10 L-11 East Plant/Assembly West Plant/Molding/Coatings Maintenance Shop

  • A-1
  • A-2
  • A-3
  • A-4
  • A-5
  • A-6
  • A-7
  • B-1
  • B-2
  • B-3
  • B-4
  • B-5
  • B-6
  • B-7
  • C-1
  • C-2
  • C-3
  • C-4
  • C-5
  • C-6
  • C-7
  • C-8
  • C-9
  • C-10
  • D-1
  • D-2
  • D-3
  • D-4
  • D-5
  • D-6
  • D-7
  • E-1
  • E-2
  • E-3
  • E-4
  • E-5
  • E-6
  • F-1
  • F-2
  • F-3
  • F-4
  • F-5
  • F-6
  • F-7
  • F-8
  • G-1
  • G-2
  • G-3
  • G-4
  • H-1A
  • H-2
  • H-3
  • H-4
  • I-1
  • I-2
  • I-3
  • I-4
  • J-1
  • J-2
  • J-3
  • J-4
  • J-5
  • J-6
  • J-7
  • J-8
  • J-9
  • J-10
  • J-11
  • J-12
  • J-13
  • J-14
  • J-15
  • J-16
  • J-17
  • J-18
  • J-19
  • K-1
  • K-2
  • K-3
  • K-4
  • K-5
  • K-6
  • K-7
  • K-8
  • K-9
  • K-10
  • K-11
  • K-12
  • K-13
  • L-1
  • L-2
  • L-3
  • L-4
  • L-5
  • L-6
  • L-7
  • L-8
  • L-9
  • L-10
  • L-11
  • East Plant/Assembly
  • West Plant/Molding/Coatings
  • Maintenance Shop

• Conducted on

  Date

• Auditor(s)

• Personnel

Eye and Face

• Are there flying particles, dust, hazardous chemicals, extreme heat or light?

  Safe

  At Risk

  N/A

• Is proper PPE used (e.g. safety goggles, face shields, weld masks)?

  Safe

  At Risk

  N/A

• Does PPE fit properly and is it in good condition?

  Safe

  At Risk

  N/A

Ears/Hearing

• Is there continuous exposure to elevated noises or sudden loud noises?

  Safe

  At Risk

  N/A

• Is proper PPE used (e.g. ear plugs, ear muffs)?

  Safe

  At Risk

  N/A

Respiratory

• Are there irritating dust particles or toxic fumes in the work area?

  Safe

  At Risk

  N/A

• Is there a respirator training program in place that includes fit testing?

  Safe

  At Risk

  N/A

• Is the proper PPE/equipment used (e.g. dust masks, respirators, ventilation hoods)?

  Safe

  At Risk

  N/A

• Does the PPE fit properly and is it in good condition?

  Safe

  At Risk

  N/A

Head

• Is work performed around beams, pipes, falling objects or electrical wires.

  Safe

  At Risk

  N/A

• Is the proper PPE used (e.g. hard hats, hairnets)?

  Safe

  At Risk

  N/A

• Does the PPE fit properly and is it in good condition?

  Safe

  At Risk

  N/A

Fall protection

• Is work performed at elevated heights where a person could be injured by a fall?

  Safe

  At Risk

  N/A

• Is the proper PPE used (e.g. fall restraint/arrest harnesses, lanyards)?

  Safe

  At Risk

  N/A

• Have proper anchorage points been identified?

  Safe

  At Risk

  N/A

• Does the PPE fit properly and is it in good condition?

  Safe

  At Risk

  N/A

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• Are proper gloves available and being used?

  Yes

  No

  N/A

• Does the work include pinch-points, irritating chemicals or extreme hot/cold? If so, are the proper gloves being used?

  Safe

  At Risk

  N/A

• Is the proper PPE being used (e.g. sleeves, gloves, chaps)?

  Safe

  At Risk

  N/A

• Other Comments

• Sign

  Sign

• Yes

  No

  N/A

• Yes

  No

  N/A
• Add location
  Address
• Add location
  Address

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