ECR Buildtech Pvt Ltd.
Personal Protective Equipment Checklist
Name of Project: Inspection Date:
Location:
Name of the Contractor:
SL. No Particulars Yes/No/NA
1 Do the workers wear helmet in such a way to protect their head.
Are they wearing hand gloves, rubber gloves, (IS 4770 for electrical purpose),
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leather hand gloves of required quality for the job.
3 Do the worker using appropriate footwear with steel toe.
Is there any need for safety belt (IS 3521-1965) use? If so, they hooked
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properly?
Is there is any need for ear protection? If so, are they using the device internal
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or external type?
Is there any need for safety glasses/ safety screens/ safety goggles for the
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work being done? If so, are they using appropriate equipment?
7 Do the workers have respirator/ protection from inhalation hazard?
8 Are the helpers also using proper PPE’s or not?
Have the workers been briefed about the hazards associated with the job and the
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emergency action to be followed whenever there is requirement?
Other (Be Specify):-
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Name Signature Date & Time
Checked by ECR Safety Officer
Accepted:………………………………. Rejected:………………………………….
Checked and reviewed by PMC/
Client
C04/ECR/EHS/PPE/Rev.-00 Page 1 of 1