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PPE Inspection Checklist Template

This site safety inspection checklist reviews the availability and use of personal protective equipment (PPE) at a work site. It contains 9 elements of PPE that are observed and action items noted, including safety helmets, eye protection, hand protection, ear protection, respiratory protection, coveralls, chemical PPE, and safety shoes. The inspection is signed off by an HSE advisor and disposal supervisor once observations are addressed and closed out.

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Fahad Chugtai
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0% found this document useful (0 votes)
62 views2 pages

PPE Inspection Checklist Template

This site safety inspection checklist reviews the availability and use of personal protective equipment (PPE) at a work site. It contains 9 elements of PPE that are observed and action items noted, including safety helmets, eye protection, hand protection, ear protection, respiratory protection, coveralls, chemical PPE, and safety shoes. The inspection is signed off by an HSE advisor and disposal supervisor once observations are addressed and closed out.

Uploaded by

Fahad Chugtai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
  • Site Safety Inspection

SITE SAFETY INSPECTION

Date :
Area :
Audit Subject : PERSONAL PROTECTIVE EQUIPMENT

Action Close- out


S. No. Inspection Elements Observations / Actions
Party Date Date Signature

1 Is sufficient PPE available?

2 Safety Helmet

3 Eye Protection

4 Hand Protection

5 Ear Protection

6 Respiratory Protection

7 Cover-all

8 PPE for Hazardous Chemicals

9 Safety Shoe

HSE ADVISOR Name: Signature:

Disp Supv. Name: Signature:


Ref. No. [Link]

SITE SAFETY INSPECTION
Date  :  
 Area : 
 Audit Subject : PERSONAL PROTECTIVE EQUIPMENT 
S. No.
Inspection Elements
Observat
Ref. No. CC.HSE.PI

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