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]