PPE INSPECTION

• PPE Inspection

• Jobsite:

  Select

• Date of Inspection:

  Date

• Superintendent (s):

  Select

• Inspected By:

• Employee Name

ITEMS TO INSPECT

• Footwear (slip-resistant and puncture-resistant soles) (Steel Toe Required for Gilbane & Skanska)

  Pass

  Needs Attention

• Puncture Proof Insert for Boots

  Compliant

  Declined

  N/A

• Reason for Declining?

• 1926.95(d)(2) The employer is not required to pay for non-specialty safety-toe protective footwear (including steel-toe shoes or steel-toe boots) and non-specialty prescription safety eyewear, provided that the employer permits such items to be worn off the job-site.

• Clothing (vest, pants, shirt)

  Pass

  Needs Attention

• 1926.95(d)(4) The employer is not required to pay for: Everyday clothing, such as long-sleeve shirts, long pants. Ordinary clothing, skin creams, or other items, used solely for protection from weather, such as winter coats, jackets, gloves, parkas, rubber boots, hats, raincoats, ordinary sunglasses, and sunscreen.

• Hammer (no grinder cuts in the head)

  Pass

  Needs Attention

  N/A

• Double Yo-Yo (gate, condition of webbing, legible tags)

  Pass

  Needs Attention

  N/A

• Harness (legible tags, webbing, back D-ring)

  Pass

  Needs Attention

  N/A

• Positioning Chains (gate latches, tags legible)

  Pass

  Needs Attention

  N/A

• Eye & Face Protectors (Select Based on Anticipated Hazards)

  Compliant

  Non-Compliant

• Respiratory Protection

  Compliant

  Non-Compliant

  N/A

• Hearing Protection

  Compliant

  Non-Compliant

  N/A

• Hard Hat & Suspension Liner

  Pass

  Needs Attention

• Does this Employee Demonstrate the Understanding and Skill Level in the use of PPE?

  Yes

  No

• Was Retraining Required During this Inspection?

  Yes

  No

• 1926.95(d)(5) The employer must pay for replacement PPE, except when the employee has lost or intentionally damaged the PPE.