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This PPE checklist contains 17 general inspection points to determine whether personal protective equipment is required to protect workers. It is also suitable for equipment checks and for assessing whether safety regulations have been complied with by workers when using PPE. Use Lumiform technology to turn all your paper forms, including government checklists, into advanced mobile templates.
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Are all workplaces checked at regular intervals to ensure that PPE is required? (Face, head, eye, hand or foot protection)
Do employers provide appropriately fitted equipment to workers, if there is a need for PPE?
Have employees in restricted areas been informed of OSHA PPE standards? (Using what items, when and how to wear and properly adjust them, and under what circumstances they should be worn)
Are protective goggles or face shields provided and worn where there is a danger of flying particles or corrosive materials?
Do approved safety glasses have to be worn at all times on construction sites in which there is a risk of eye injuries, abrasions, contusions or burns?
Do employees who wear corrective glasses or contact lenses have to wear only approved safety glasses or goggles or use other medically approved precautions on construction sites with harmful exposure?
Are protective gloves, shields, aprons or other equipment available and are they necessary where employees could hurt themselves or where there is a potential exposure to chemicals, corrosive fluids, blood or other possibly infectious materials?
Are safety helmets periodically checked for damage to the shell and the wearing system?
Is proper foot protection essential where there is a risk of foot injury from hot, toxic, corrosive substances, falling objects, puncture or crushing injuries?
Are approved respiratory devices intended for regular or emergency use where necessary?
Are all PPE in a hygienic state and ready for use?
Are eye rinses and quick drench showers available at workplaces where employees are exposed to hazardous, corrosive materials?
Is necessary special equipment for electrical workers provided?
Are food and beverages only consumed in areas with no dangerous exposure to blood, toxic materials, or other infectious materials?
Are hearing protection devices available in areas where sound levels exceed the OSHA noise standard?
Are safe work processes and PPE provided and used when spilled toxic or hazardous materials and liquids are removed?
Are there appropriate safe working procedures for removing or decontaminating PPE after hazardous exposure?
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Full Name and Signature of Inspector
Please note that this checklist template is a hypothetical example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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