Personal Protective Equipment (PPE) HSE Compliance Checklist

Project & Dept. Name : ….…………………… Work Location : ………………………………

Activity type : .……………………… Day /Date : ………………………………

Inspected by : .……………………… :Signature ………………………………

SN Item Description SAT USAT NA Remarks

1 Are appropriate Helmets provided and worn where there is a potential for injury from falling

?objects

2 Are appropriate protective footwear provided and worn where there is potential for foot injury

?(Falling and rolling objects, Objects piercing the sole ko…etc)

3 Are appropriate body protection (coverall, chemical suit, welding apron… etc) provided and worn

?when there is potential for body injury (exposure to heat, chemicals, sparks…etc)

4 Are appropriate gloves (welding, chemical, heavy duty, light duty, electrical…etc) provided and

worn when there is potential for hand injuries (exposure to cuts, lacerations, abrasions, Punctures,

?Thermal & chemical burns…etc)

5 Are appropriate eye and face protection (goggles, welding face shield, grinding face shield,.etc)

provided and worn when there is potential for face &eye injuries (Flying particles , Molten metal,

?Chemicals splash, light radiation,…..etc)

6 Are appropriate hear protection (Ear muff, Ear plugs) provided and worn when sound levels exceed

?those of the applicable laws & noise standard

7 Are appropriate dust mask provided and worn when working in areas where there is a potential

?inhalation of dust like in sandblasting activities

8 Are appropriate respirator (half face mask, full face mask, self-contained breathing apparatus….etc)

provided and worn when working in areas where there is a potential of inhalation of harmful

?gases/vapors such as hydrocarbons, toxic gases , …..etc

9 Are full safety harness provided and worn when working at height where there is a potential for

?falling from height hazards

10 ?Are appropriate sandblaster suit & hood provided and worn during sandblasting activities

11 Is the used Personal Protective Equipment is adequate and comply with the specifications & quality

?standard stated in company procedure

SN Item Description SAT USAT NA Remarks

12 ?Is all Personal Protective Equipment maintained in a sanitary condition and ready for use

13 :Are the employees who are required to use/wear PPE are trained to know the following

?What &When PPE is necessary

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?How to properly use and wear PPE
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?Limitations of the PPE
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14 Are there appropriate procedures in place for disposing of or decontaminating PPE (contaminated

with or reasonably anticipated to be contaminated with blood or others potentially injections

?materials)

:Other remarks and additional comments or suggestions

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.Note: The inspector(s) is /are responsible to bring unsatisfactory items to the attention of his/her supervisor and /or the concerned department

SAT Satisfactory USAT Unsatisfactory NA Not Applicable

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