Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO

DONNING AND DOFFING PERSONNEL PROTECTIVE EQUIPMENT (PPE) CHECKLIST

DATE/ TIME DONNING PPE & EQUIPMENT YES NO
Performs donning in a clean area
Ensure that all needed supplies are available
• Shoe covers
• N95/ surgical mask
• Goggles
• Gown
• Gloves
• Alcohol-based handrub
Remove all jewelry and watch and contents
of the pockets
Ties hair up and back from face applicable for
female
Performs Hand Hygiene
Applies Boots Cover
Performs Hand Hygiene
Applies Gloves
Extend to cover wrist of isolation gown
Applies Gown
• Fully cover torso from neck to knees,
arms to end of wrists, and wrap
around the back
• Fasten in back of neck and waist
Applies Surgical Mask or N95 respirator
• Secure ties or elastic bands at middle
of head and neck
• Fit flexible band to nose bridge
• Fit snug to face and below chin
• Fit-check respirator
Applies Goggles or Face Shield
• Place over face and eyes and adjust to
fit
Make sure that all parts of skin covered. c/o
of partner
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO

DATE/ TIME DOFFING PPE & EQUIPMENT YES NO

PPE should be taken off in a designated PPE
removal area such as infectious waste
container
Inspect PPE for visible contamination or tears
Disinfect outer gloves
Remove apron by pulling from the neck if
applicable
Disinfect outer gloves
Remove Boot Covers by touching inner
surface of the boot cover
Disinfect outer gloves
Remove outer gloves avoid contaminates the
inner gloves
Disinfect inner gloves
Remove goggles
GOGGLE OR FACE SHIELD
• Outside of goggle or face shield are
contaminated.
• If your hands get contaminated
during goggle or face shield removal,
immediately wash you hands or use
an alcohol-based hand sanitizer
• Remove goggles or face shields from
back by lifting head band or earpieces
• If the item is reusable, place in
designated receptacle for
reprocessing. Otherwise, discard in a
waste container
Disinfect inner gloves
Remove the hood of PPE
Disinfect inner gloves
Remove Gown
GOWN
•Gown front and sleeves are
contaminated • If your hands get
contaminated during gown removal,
immediately wash your hands or use an
alcohol-based hand sanitizer
 Republic of the Philippines
Department of Education
REGION IV-A CALABARZON
CITY SCHOOLS DIVISION OF CABUYAO

• Unfasten gown ties, taking care that

sleeves don’t contact your body when
reaching for ties
• Pull gown away from neck and
shoulders, touching inside of gown only
• Turn gown inside out
• Fold or roll into a bundle and discard in
a waste container
Disinfect inner gloves
Remove Inner gloves
Perform hand hygiene with alcohol-based
hand rub
Put on a new pair inner gloves
Removes Mask
N95 or Surgical mask
• Front of mask/respirator is
contaminated — DO NOT TOUCH!
• If your hands get contaminated
during mask/respirator removal,
immediately wash your hands or use
an alcohol-based hand sanitizer
• Grasp bottom ties or elastics of the
mask/respirator, then the ones at the
top, and remove without touching the
front
• • Discard in a waste container
Disinfect inner gloves
Disinfect washable boots by starting top and
finishing with the sole, wipe down the
external surface of the first boot. Use 1:10
bleach disinfectant if applicable
Disinfect inner gloves and Remove Gloves
WASH HANDS OR USE AN ALCOHOL-BASED HAND
SANITIZER IMMEDIATELY AFTER REMOVING ALL
PPE