Title Page

  • Site conducted

  • Client / Site

  • Conducted on

  • Inspected by:

  • Location
  • Personnel

Please add Photo's of the following being Inspected for all staff being Inspected.

  • Please add persons name being Inspected

  • Person
  • COMPANY CLOTHING

  • SAFETY GLASSES

  • GLOVES

  • HARD HAT

  • SAFETY BOOTS

  • CONDITIONS OF ISSUE
    1. PPE will be issued at expense of the Company.
    2. PPE remains the property of the Company and must be handed back on termination of service.
    3. Loss or willful damage to PPE may result in disciplinary action being taken against the employee after an investigation.
    4. I will immediately report if PPE issued to me is lost or damaged.
    5. I will wear/use PPE issued to me where and whenever required to do so.
    6. PPE may not be removed from the Company premises.
    7. I understand that it is a legal requirement to wear PPE and that refusal to do so can lead to disciplinary procedures being instituted.
    8. I have received comprehensive training on the use and limitations of PPE.

  • Additional Info:

  • Inspected By:

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.