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PPE hazard assessment form

PPE hazard assessment form

A vital tool for identifying and evaluating potential hazards in the workplace that require personal protective equipment (PPE). This form assists safety officers in conducting thorough assessments, ensuring that appropriate PPE is selected and used to mitigate risks, enhancing overall workplace safety and compliance with regulations.

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The Lumiform application helps frontline teams uphold internal standards effortlessly.
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PPE hazard assessment form

A vital tool for identifying and evaluating potential hazards in the workplace that require personal protective equipment (PPE). This form assists safety officers in conducting thorough assessments, ensuring that appropriate PPE is selected and used to mitigate risks, enhancing overall workplace safety and compliance with regulations.

Use this template with Lumiform

The Lumiform application helps frontline teams uphold internal standards effortlessly.
  • Customize this template or build your own
  • Fill out templates via mobile app
  • Assign and track corrective actions
  • Get reports and analyse your data
Prices start from ░░░ per month
Book a demo
Learn more
or Download template as PDF

Designed for safety managers and EHS professionals, this PPE hazard assessment form transforms compliance obligations into practical safety solutions. The template walks you through evaluating workplace hazards by body region—head, eyes, face, hands, feet, and torso—then documents the specific protective equipment needed for each identified risk.

When conducting required workplace evaluations, you’ll capture all necessary certification elements: workplace evaluated, person performing the assessment, assessment date, and hazard-specific PPE requirements. This structured approach helps prevent workplace injuries while creating the documented certification that OSHA inspectors specifically look for during compliance reviews.

Related categories

  • Health and safety management templates
  • General templates
  • Workplace safety templates
Preview of the template
Hazard Types
Eye/Face Hazards
Head Hazards
Foot/Leg Hazards
Hand/Arm Hazards
Risk Levels
Likelihood of Hazard
Severity of Injury
Recommended Protective Gear
Eye/Face Protection
Head Protection
Foot/Leg Protection
Hand/Arm Protection

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Personal protective equipment (PPE): A comprehensive guideWorkplace hazards: Effective management techniquesEquipment inspection: A comprehensive guide for businessesEquipment maintenance: A detailed guide to longevity and optimal performance
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Template collections

See comprehensive collections of best practice templates related to this topic.

Best 12 free PPE inspection checklists6 free hazard report form templatesTop 3 workplace hazard inspection checklist templates6 free health and safety risk assessment templates
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Use cases

Check out how the Lumiform software can be utilized for related use cases.

PPE softwareRisk assessment softwareEquipment maintenance software Dynamic risk assessment app
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Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

5 steps of a fire risk assessmentHow to perform safety inspectionsHow to write a workplace safety policyThe importance of personal protective equipment (PPE) in workplace safetyCurrent trends in firefighting PPE

Frequently asked questions

How detailed should my PPE hazard assessment be for each job task?

Your assessment should identify specific hazards for each body area potentially affected during job tasks. Rather than general statements like “chemical exposure,” detail the exact chemicals, their concentration, and appropriate glove material. This specificity ensures workers receive proper protection and helps demonstrate due diligence during regulatory inspections.

What’s the difference between a PPE hazard assessment and a general risk assessment?

A PPE hazard assessment specifically evaluates workplace hazards requiring personal protective equipment, documenting the type of PPE needed for each identified risk. A general risk assessment covers broader workplace dangers and control measures beyond PPE, including engineering controls, administrative procedures, and elimination strategies according to the hierarchy of controls.

What should I do if employees resist wearing the PPE identified in my assessment?

First, understand their specific objections—comfort issues, interference with tasks, or lack of understanding about hazards. Address these concerns through better-fitting equipment, clearer hazard communication, or equipment demonstrations. Remember that OSHA requires employees to use properly selected PPE, so consistent enforcement of your policy is essential for compliance.

What common mistakes should I avoid when completing a PPE hazard assessment form?

Avoid generic hazard descriptions, overlooking intermittent tasks, selecting PPE without consulting standards or specifications, and failing to update assessments when conditions change. Many assessments also neglect proper certification elements or miss less obvious hazards like noise exposure that require specialized monitoring equipment to detect.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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