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PERSONAL PROTECTIVE EQUIPMENTS CHECKLIST

Project: Date:

SL.NO PARTICULARS YES / REMARKS


NO
1 Do the Workers Wear Helmet in such a way to protect their head?

Are they wearing hand gloves, Rubber gloves ( IS 4770 for electrical purpose
2 ),Leather hand gloves of required quality for the job

3 Do the workers using appropriate Footwear?

Is there any need for Safety harness (IS 3521-1965 ) use ? If so, are they
hooked
4
property?
Is there any need for Ear protection? If so, are they using the device external
or
5
internal type?
Are the workers wearing Safety glasses / Safety screens /Safety goggles for the
6 work being done? If so, are they using appropriate equipment?

7 Do the Workers have respirator/ protection from inhalation hazards?

8 Are the helpers also using proper PPE or not?

Have the Workers been briefed about the Hazards associated with the job
and
9
the emergency action to be followed whenever there is requirement ?

Checked by: Reviewed by:


Site In-charge/ Safety In-charge Project manager

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