PPE Inspection Report

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Project

• Inspected by

Head Protection

• Hardhat - check shell, suspension, date stamp

  N/A

  Satisfactory

  Repair/Replace

• Safety Glasses

  N/A

  Satisfactory

  Repair/Replace

• Goggles

  N/A

  Satisfactory

  Repair/Replace

• Face Shields

  N/A

  Satisfactory

  Repair/Replace

• Earplugs

  N/A

  Satisfactory

  Repair/Replace

• Earmuffs

  N/A

  Satisfactory

  Repair/Replace

Hand & Arm Protection

• Safety Gloves

  N/A

  Satisfactory

  Repair/Replace

• Coveralls

  N/A

  Satisfactory

  Repair/Replace

• Other

Fall Protection

• Full Body Harness

  N/A

  Satisfactory

  Repair/Replace

• Lanyards

  N/A

  Satisfactory

  Repair/Replace

• Carabiners

  N/A

  Satisfactory

  Repair/Replace

• Other

Leg Protection

• Knee Pads

  N/A

  Satisfactory

  Repair/Replace

• Other

Respiratory Protection

• Respirators

  N/A

  Satisfactory

  Repair/Replace

• SCBA

  N/A

  Satisfactory

  Repair/Replace

• Other

Safety Clothing & Other PPE

• High Visibility Safety Apparel

  N/A

  Satisfactory

  Repair/Replace

• Welding Jacket

  N/A

  Satisfactory

  Repair/Replace

• Other

• Other

• Other

• Other

• Other

• Inspectors Signature

  Sign