PPE Inspection Checklist

• Audit Title

• Department

  Select Pipeline-Process Pipeline-Open Pit Maintenance Shop- Light Duty Safety Electrical Dewatering Underground- CHUG Maintenance Shop- Heavy Duty Underground-GRUG Open Pit-CHOP

  • Pipeline-Process
  • Pipeline-Open Pit
  • Maintenance Shop- Light Duty
  • Safety
  • Electrical
  • Dewatering
  • Underground- CHUG
  • Maintenance Shop- Heavy Duty
  • Underground-GRUG
  • Open Pit-CHOP

• Conducted on

  Date

• Prepared by

• Location

  Select Pipeline-Process Pipeline-Open Pit Maintenance Shop- Light Duty Safety Electrical Dewatering Underground- CHUG Maintenance Shop- Heavy Duty Underground-GRUG Open Pit-CHOP

  • Pipeline-Process
  • Pipeline-Open Pit
  • Maintenance Shop- Light Duty
  • Safety
  • Electrical
  • Dewatering
  • Underground- CHUG
  • Maintenance Shop- Heavy Duty
  • Underground-GRUG
  • Open Pit-CHOP

Hand Protection - Gloves

• Are gloves being used by employees where hand hazards exist?

  Yes

  No

  N/A

• Are gloves worn by employees suitable for hand hazards?

  Yes

  No

  N/A

• Are gloves free of damage or defects, and in clean/sanitary condition?

  Yes

  No

  N/A

• Are gloves stored properly when not in use?

  Yes

  No

  N/A

• Are gloves being properly disposed of when damaged or defective?

  Yes

  No

  N/A

Protective Footwear

• Is protective footwear being used by employees where foot hazards exist?

  Yes

  No

  N/A

• Is protective footwear free of damage or defects?

  Yes

  No

  N/A

Hearing Protection

• Is hearing protection being worn where noise hazards are above 85 dB?

  Yes

  No

  N/A

• Is dual hearing protection being worn where noise is over 100dB?

  Yes

  No

  N/A

• Is hearing protection being worn properly?

  Yes

  No

  N/A

• Is hearing protection free of damage or defects?

  Yes

  No

  N/A

Face/Eye Protection

• Is face/eye protection being worn by employees where face/eye hazards exist?

  Yes

  No

  N/A

• Is face/eye protection free of damage or defects?

  Yes

  No

  N/A

Sleeves

• Are long sleeves being worn properly?

  Yes

  No

  N/A

Respirator Ispection (Please check the respirator and complete the relevant sections below. If the section is not relevant then please put 'N/A' as the response.

• <br>Is the respirator clean?

  Yes

  No

  N/A

• <br>Is the storage bag clean?

  Yes

  No

  N/A

• Is the respirator stored correctly with the filters off?

  Yes

  No

  N/A

• Are the straps clean and free of breaks, tears, loss of elasticity, or damaged attachments?

  Yes

  No

  N/A

• Are the buckles working and allow adjustment of straps?

  Yes

  No

  N/A

• Are the valves clean and free of holes, cracks, and dirt?

  Yes

  No

  N/A

• Is the filter in good working order and free of holes and damage?

  Yes

  No

  N/A

• Battery Pack and charger (working and charging)?

  Yes

  No

  N/A

• Motor operating and flow checked?

  Yes

  No

  N/A

• Is the belt to hold power pack satisfactory?

  Yes

  No

  N/A

• Is the Face shield clean and free of cracks, breaks, abrasions or distortions?

  Yes

  No

  N/A

• Are the Air Supply Hoses free of breaks or kinks?

  Yes

  No

  N/A

Hard Hat

• Is the shell free of Cracks / Dents / Nicks / Gouges?

  Yes

  No

  N/A

• Is the shell free of other damage or wear?

  Yes

  No

  N/A

• Adjustment Functions Properly?

  Yes

  No

  N/A

• Headband not Torn?

  Yes

  No

  N/A

• Frayed / Torn Crown Straps?

  Yes

  No

  N/A