PPE

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Location

• Area Supervisor:

INSP #

• WAURC minimum PPE requirements in place Safety Helmet, Safety Glasses, Long Sleeves, Long Pants, Safety Footwear, Gloves carried and worn where required?

  Yes

  No

  N/A

• All PPE supplied and worn is in accordance with the Job Hazard Analysis (SWMS) and safety data sheet requirements?

  Yes

  No

  N/A

• There is a system in place to control the supply, allocation, maintenance, repair and disposal of PPE?

  Yes

  No

  N/A

• A register of PPE issue is kept on the project for all persons?

  Yes

  No

  N/A

• PPE is used to reduce risks to SFAIRP in combination with higher order controls?

  Yes

  No

  N/A

• All persons engaged in the tasks requireing the use of PPE are trained in the use, mainteance and storage?

  Yes

  No

  N/A

• The use and effectiveness of PPE is monitored regularly & the PPE issued is approprioate for the task?

  Yes

  No

  N/A

• Signs are placed in workplace informing persons of the necessary PPE required for the area they are entering?

  Yes

  No

  N/A

• Special PPE is stored in designated locations & should be individually numbered or tagged and registered? (e.g safety harnesses)

  Yes

  No

  N/A

• Arrangements are in place to provide visitors with minimum PPE and other specific PPE where identified?

  Yes

  No

  N/A

• Persons are using and correctly wearing PPE as described in signage boards and in Job Hazard Analysis (SWMS)?

  Yes

  No

  N/A

• Corrective/Preventive Actions

Corrective Actions

• Action

• Action

• Action

• Action

• Action

  Yes

  No

  N/A

Inspection Team

• Name:

• Name:

• Name:

• Name:

• Name: