Use this general PPE template to prevent employees from physical harm caused by uncontrollable hazards. This template deals with different types of personal protective equipment (PPE) that can be used to minimize the effects of hazards. Use this template during a safety briefing to assess the adequacy and availability of equipment for all employees. Document accidents or near-accidents caused by faulty PPE and discuss solutions to prevent these risks.
Do all employees know about the effects of these/this risk(s)?
1. Head ProtectionPPE involves hard hats and headgears and is necessary for tasks that can generate any force or object falling to the head. Assure that there are no holes or deformities on the shell and connections are bound inside. Do not stock in direct sunlight and always get yourself a new hard hat if it was used for any kind of influence, even if the damage is unnoticeable.
2. Face and Eye ProtectionPPE involves safety goggles and other face protection and should be used for tasks that can generate a loss of vision and an eye, burns, splashes, sprays of toxic liquids etc. Assure that there are no remarks or deformities on the lenses, guarantee the strap is in good condition and is tightly sealed to the cheek and forehead.
4. Foot ProtectionPPE involves knee pads and safety boots and is used for tasks that can cause severe foot and leg injuries from falling or rolling objects, hot materials, electrical dangers and wet surfaces. Use boots with slip-resistant soles that shield against compression and impact.
5. Respiratory ProtectionPPE includes respirators and is used for duties that can cause inhalation of toxic materials to access the body. Guarantee that the equipment is fit-tested and the employee has sustained proper training before using one.
6. Body ProtectionPPE involves safety vests and suits and is used for duties that can cause bodily injuries from extreme temperatures, flames, toxic chemicals, insect bites and radiation. Assure that they are clean and free from cuts, burns and holes. Constantly get a good fit to secure full body protection.
7. Fall ProtectionPPE involves safety harnesses and lanyards and is used for tasks that can generate falling from heights and severe injury or death. Assure that the bands are free from tears, damages and burn marks and buckles are attached securely and tightly. It is essential to distribute them if used after a falling incident.
8. Hands ProtectionPPE involves safety gloves and is used for tasks that can generate hand and skin burns, consumption of harmful substances, cuts, fractures or amputations. Assure that they fit well with no spaces and are free from cuts, burns and chemical residue. Replace them whenever a sign of contamination was noted.
Are there any damaged or worn out PPE which need to be repaired or replaced?
Do all workers know how to use PPE appropriately?
Are PPE in place and adequate to all employees?
Did not wearing appropriate PPE ever lead to an accident or near miss?
Did faulty PPE ever lead to an accident or near miss?
Please note that this checklist template is a hypothetical appuses-hero 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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