X=Not applicable
All workers are wearing proper safety glasses.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Workers generating particle debris are wearing appropriate PPE.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Workers understand company policy on eye irritation.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Workers are protected from arc burn.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Workers are wearing proper footwear.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Workers are correctly using proper head protection.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Workers are wearing appropriate clothing.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
Add media
Media
Workers are wearing appropriate hand protection.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
Add media
Media
Workers are wearing proper hearing protection.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Workers involved in specific activity are correctly using appropriate respirators.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Workers understands the right to know policy.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Full body harness and lanyard worn properly.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Lanyard tied off to proper anchor point able to withstand 5000 lbs.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
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Media
Special situation PPE is available in location needed.
X=N/A
0=Non Compliance
1=Insufficient
2=Acceptable
3=Excellent
Add media
Media
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Kallam Darby
Ppe assessment
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
You should independently determine whether the template is suitable for your circumstances.
