Personal Protective Equipment Checklist

RMCO-F-125
Rev: 0

Date : _________________ Area : _____________________

Y N N/A COMMENTS
A. Personal Protective Equipment procedures
1. Risk Assessment controls completed and documented
2. PPE selection based upon Site Hazard Assessment
3. Review of PPE manufacturer comparison
4. Defective or damaged PPE not kept at store
5. Adequate Training complete and documented
B. Eye and Face Protection
1. Eye and Face Protection appropriate to the hazard used
2. Side Protectors used where flying objects hazards are found
3. Eye protection can be worn without disturbing proper position of medical glass
4. Free of damages or defects (Acceptable for use)
C. Head Protection
1. Hard hats used where there is the potential for head injury from falling objects
2. Hard hats used where there is a potential for head injury from exposed
electrical conductors
3. Bump cap use restricted
4. Free of damages or defects (Acceptable for use)
D. Foot Protection
1. Appropriate for protection from falling or rolling objects
2. Appropriate for protection from objects piercing the sole
3. Appropriate for protection from exposed electrical conductors
4. Free of damages or defects (Acceptable for use)
E. Hand Protection
1. Hand protection appropriate to the hazard
2. Free of damages or defects (Acceptable for use)
F. Fall Protection
1. The worker is wearing the harness properly.
2. The worker is attaching the harness properly.
3. Inspection of Webbing
4. Inspection of D-rings
5. Inspection of Buckles
6. Free of damages or defects (Acceptable for use)
G. Other Related Issues
7. Appropriate PPE stock available for hot work (e.g. cutting, welding, chemicals)
8. Clothing, shoes, gloves worn appropriate for special tasks being performed
9. Reflective vests used when working near roadways
10. Severe Weather proper PPE available and worn when needed (Masks, Ropes)
11. Uniforms and clothes are washed and clean
12. HSE monthly clearance codes / tags / coloring are available

Inspected By : _____________________ Checked By : ___________________