Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Material from this audit is an interpretation of Fire Safety and Prevention Guidelines per OSHA regulations. The checklist was modeled from industry guidelines laid out on:
    https://www.osha.gov/dte/library/ppe_assessment/ppe_assessment.html

  • **INSTRUCTIONS**
    Review the following audit to identify and evaluate need for Personal Protective Equipment in a given workplace.
    Answer "SAFE" if employee is not likely to be exposed to work condition listed below.
    Answer "AT RISK" if employee may be exposed to work condition

EYES

  • Eye and Protection Criteria
    * Protect against specific hazard(s) encountered by employees
    * Comfortable to wear
    * Must not restrict vision or movement
    * Durable and easy to clean and disinfect
    * Must not interfere with the function of other required PPE
    * Meets requirements of ANSI Z87.1-1989 for devices purchased after July 5, 1992 and ANSI Z87.1-1968for devices purchased before that date

  • Employees Perform tasks, or work near employees that perform tasks, that might produce airborne dust or flying particles

  • Employees handle, or work near employees who handle hazardous liquid chemicals or encounter blood splashes

  • Employees' eyes exposed to other potential physical or chemical irritants

  • Employee exposed to intense light or lasers

FACE

  • Eye and Protection Criteria
    * Protect against specific hazard(s) encountered by employees
    * Comfortable to wear
    * Must not restrict vision or movement
    * Durable and easy to clean and disinfect
    * Must not interfere with the function of other required PPE
    * Meets requirements of ANSI Z87.1-1989 for devices purchased after July 5, 1992 and ANSI Z87.1-1968for devices purchased before that date

  • Employee handles or works near employees who handle hazardous liquid chemicals

  • Employees' faces are exposed to extreme heat

  • Employees' faces are exposed to other potential irritants

HEAD

  • Tools or other objects may potentially fall from above and strike your employee on the head

  • Employees' heads, when they stand or bend, are near exposed beams, machine parts, pipes, etc.?

  • Employees work with or are in close proximity to electrical wiring or components of electrical wiring

FEET

  • Tools, heavy equipment or other objects may potentially roll, fall onto or strike employees' feet

  • Employees work with or are near exposed electrical wiring or electrical wiring components

  • Employees handle or work with those who handle molten metal

  • Employees work with explosives or are in an explosive atmosphere

HANDS

  • Employees' hands may come into contact with tools or materials that might scrape, bruise or cut

  • Employees handle chemicals that might irritate skin or come into contact with blood

  • Employees place their hands and arms near extreme heat

  • Employees' hands and arms are placed ear exposed electrical wiring or components

BODY

  • Employees' bodies exposed to irritating dust or chemical splashes

  • Employees' bodies exposed to sharp or rough surfaces

  • Employees' bodies exposed to extreme heat

  • Employees' bodies exposed to acids or other hazardous substances

HEARING

  • Employees are exposed to loud noise from machines, tools, music systems, etc.

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