PPE Processing Compliance Audit Checklist

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

• To ensure compliance with PPE please provide photo of personnel audited.

  Drawing

• Please provide photographic evidence of personnel audited .

  Media

• Is Hearing Protection Worn

  Yes

  No

• Is workers foot wear in good condition (soles are not worn, shoes have<br>no holes, stitching is in good condition) ?

  Yes

  No

• Are approved safety glasses being worn?

  Yes

  No

• Are protective gloves worn on body?

  Yes

  No

• Are aprons being worn ?

  Yes

  No

• Are face shields being worn?

  Yes

  No

• Are Chemical Gloves being worn?

  Yes

  No

• Are chemical aprons being worn?

  Yes

  No

• Are filtered masks being worn?

  Yes

  No

• Is all PPE maintained in a sanitary condition and ready for use?

  Yes

  No

• Have the employees been trained in how to use PPE ? (Using what<br>items, in what circumstances, as well as when and how to wear it and<br>properly adjust it)

  Yes

  No

Recommendations

• Yes

  No

Completion

• FLM'S Signature.

  Sign

• When audit has been completed please select yes to submit.

  Yes