Personal Protective Equipment (PPE) Checklist

• Audit Title

• Squadron

• Conducted on

  Date

• Inspector

• Location
  Address

• Supervisor

14.6 Personal Protective Equipment (PPE) Checklist

• Do supervisors ensure PPE is provided, used and maintained in a sanitary, serviceable condition? AFI 91-203 para. 14.3.2

  Yes

  No

  N/A

• Do supervisors ensure that required PPE job safety training is documented as required by AFI 91-202? AFI 91-203 para. 14.3.2

  Yes

  No

  N/A

• Do supervisors advise workers it is mandatory to comply with PPE requirements on- and off-duty? AFI 91-203 para. 14.3.3.2

  Yes

  No

  N/A

• Do workers notify their supervisors if they have a known medical condition or are taking medications that could affect their ability to safely perform a hazardous task or operation? AFI 91-203 para. 14.3.3.5

  Yes

  No

  N/A

• Are workers provided appropriate eye or face protection when exposed to hazards from flying particles, molten metal, liquid chemicals, corrosives, caustics, chemical gases, vapors or potentially injurious radiation? AFI 91-203 para. 14.4.2

  Yes

  No

  N/A

• Do management, supervisors and visitors wear appropriate PPE while within a hazardous area? AFI 91-203 para. 14.4.2

  Yes

  No

  N/A

• Are protective helmets provided for and used by workers exposed to injury from falling or flying objects, bumping head against a fixed object or electrical shock or burns? AFI 91-203 para. 14.4.3

  Yes

  No

  N/A

• Do protective helmets have the manufacturer‘s name, ANSI designation and the class identified inside the shell? AFI 91-203 para. 14.4.3.1.3

  Yes

  No

  N/A

• Do workers who work around chains, belts, rotating devices, suction devices, blowers, etc., cover their hair to prevent it being caught in machinery? AFI 91-203 para. 14.4.3.4.1

  Yes

  No

  N/A

• Is specifically designed hearing protection provided to workers who need it IAW 48-Series? AFI 91-203 para. 14.4.4

  Yes

  No

  N/A

• Is BE contacted for advice on the proper respirator protection to use prior to exposing personnel to a potentially hazardous atmosphere? AFI 91-203 para. 14.4.5

  Yes

  No

  N/A

• Is appropriate hand or arm protection provided when a worker‘s hands or arms are exposed to hazards? AFI 91-203 para. 14.4.7

  Yes

  No

  N/A

• Are chemical protective gloves worn by personnel handling acids, alkalies, organic solvents and other harmful chemicals? AFI 91-203 para. 14.4.7.2

  Yes

  No

  N/A

• Are workers able to remove gloves without causing skin contamination? AFI 91-203 para. 14.4.7.2.4

  Yes

  No

  N/A

• Is contaminated PPE that cannot be decontaminated disposed of in a manner that protects employees from exposure to hazards? AFI 91-203 para. 14.4.7.2.5

  Yes

  No

  N/A

• Is protective footwear provided and worn when there is a reasonable possibility of foot injuries? AFI 91-203 para. 14.4.10

  Yes

  No

  N/A

• Are other protective methods, such as engineering or administrative controls, used to limit worker contact with hazardous chemicals before considering PPE use? AFI 91-203 para. 14.4.11

  Yes

  No

  N/A

• Do supervisors select chemical protective clothing based on the performance characteristics relative to tasks performed, conditions present, duration of use and potential hazards identified? AFI 91-203 para. 14.4.11.1

  Yes

  No

  N/A

• Do supervisors review SDS requirements, then verify proper selection of chemical protective clothing with BE before original issue? AFI 91-203 para. 14.4.11.1

  Yes

  No

  N/A

• Do personnel exposed to vehicle or aircraft traffic during hours of darkness or periods of reduced visibility, or as part of construction or maintenance activities, use reflective vests/accessories? AFI 91-203 para. 14.5.10.2

  Yes

  No

  N/A

• Do supervisors ensure proper cold weather clothing is provided and used for working in cold temperatures? AFI 91-203 para. 14.5.12

  Yes

  No

  N/A

• Report Routing

• Supervisor Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Superintendent Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Safety Office Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Wing Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A