PPE Inspection Audit

• Company

  Limitless Energy Solutions

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Present

Is the following PPE available, in good condition and correct for the job?

• Eye & face protection (safety glasses) (goggles) (face shield)

  Safe

  At Risk

  N/A

• Hand protection (gloves)

  Safe

  At Risk

  N/A

• Appropriate work clothing (shirts & trousers) (overalls) (steel toe footwear)

  Safe

  At Risk

  N/A

• Hearing protection (ear plugs) (ear muffs)

  Safe

  At Risk

  N/A

• Respiratory Protection (paper mask) (full face mask)

  Safe

  At Risk

  N/A

• Hot Works Protection (fire resistant clothing, boots, gloves, eye protection and respiratory equipment)

  Safe

  At Risk

  N/A

• Fall protection for Work at Heights (safety harness) (safety procedure)

  Safe

  At Risk

  N/A

• Hazardous Manual tasks (physical) (awkward positions) (vibration) (Repetitive operations)

  Safe

  At Risk

  N/A

Tools & Equipment

• Personal tools in good condition?

  Safe

  At Risk

  N/A

• Are the personal tools adequate for the job?

  Yes

  No

  N/A

• Electrical tools tested, tagged and in good condition?

  Safe

  At Risk

  N/A

• Task observed and able to proceed safely?

  Safe

  At Risk

  N/A

Audit Completion Notes

• Summary of audit results and any necessary corrective action

• Signature of supervisor

  Sign