Department: Team:
Asset / Unit No Location:
Date of Inspection
Name of Person Performing Inspection:
FEET PROTECTION
WHY ARE SAFETY SHOES WORN
Worn where there is danger of foot injuries due to falling, or rolling of objects or objects piercing the sole.
N0. What to look for: YES NO Comment:
1. Fit and comfort
2. Puncture or abrasion
3. Sole of shoes worn down affecting ankle
support
4. Dented toe caps
5. Damage inside
6. Dirt
Hole at the toe area
HAND PROTECTION
WHY IS HAND PROTECTION WORN
Select hand gloves that are ideal for your application e.g. for manual handling, for welding or for electrical
work. Hand gloves for electrical work are tested for puncture / pinholes by blowing.
No. SHELL INSPECTION YES NO Comments:
1. Puncture if they are for electrical work-made of
rubber.
2. Signs of cracks
3. Decolouration
4. Swelling
5. Shrinking
6. Cracking
7. Discoloration
Points to note on removal of hand gloves
Never touch yourself or phones with hand gloves for they may be contaminated.
To remove, grasp the exterior of one glove with the other gloved hand, carefully pull the glove off your
hand, turning it inside out.
Ball the glove up and hold in your other gloved hand
Slide your ungloved finger into the opening of the other glove, carefully pull the glove off your hand,
turning it inside out again (all contamination is contained)
Discard appropriately
HEAD PROTECTION
WHY IS HEAD PROTECTION WORN
Hard hats are worn in areas with potential to head injury, especially in areas with falling objects. Hard hats
have two components: shell & suspension. Both must be inspected during assembly and before each use.
No. SHELL INSPECTION YES NO Comments:
1. Cracks
2. Nicks
3. Dents
4. Gouges
5. Any damage caused by impact
6. Penetration
7. Abrasions or rough treatment
8. Stiffness
9. Brittleness
10. Fading
11. Dullness of color
If the shell exhibits any of these conditions it should be removed from service and replaced immediately.
No. SUSPENSION INSPECTION YES NO
1. Cracks
2. Tears
3. Cut straps
4. Signs of wear
5. All keys fitting tightly and securely in
respective key slots
Remove from service any suspension with sign of damage.
EXPIRY DATES:
Expired helmet