INSPECTION OF PERSONAL PROTECTIVE EQUIPMENT (PPE)

AREA OR WORK: INSPECTED BY: DATE: ACTIVITY:

SHOULD USE: USE NOT USE WHY NOT IN USE CONTROL MEASURES
No. JOB TITLE NAME OF WORKER
A B C D E F G H I J YES NO PUT LETTER DK CU DW DH 1 2 3 4 5 6
G G G G G G G G G G
R R R R R R R R R R
1 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
2 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
3 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
4 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
5 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
6 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
7 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
8 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
9 W W W W W W W W W W
G G G G G G G G G G
R R R R R R R R R R
10 W W W W W W W W W W
P.P.E. MISSING PER PERSON
No. NAME A B C D E F G H YOU SHOULD USE: NOT USE FOR: CONTROL MEASURES

1 A HARD HAT
DOESN'T
2 B SAFETY GOGGLES J HI-VISIBILITY VEST DK KNOW 1 INSTRUCTION
CAN NOT BE
3 C REPIRATORY PROTECTION CU USE 2 MOTIVATION
DOES NOT
4 D HEARING PROTECTION DW WANT 3 CHANGE P.P.E.
DOES NOT
5 E GLOVES DH HAVE 4 PENDING MEASURES

6 F DUST MASK G GOOD 5 TRAINING

7 G HARNESS-TYPE SAFETY BELT R REGULAR 6 OTHER

8 H SAFETY BOOTS W WRONG

TOTAL I MASKS FOR ORGANIC VAPORS

THE DIRECTOR-RESIDENT-AUXILLARY ENGINEER AND THE SECURITY SUPERVISOR ARE RESPONSIBLE FOR INDICATING AND DEMANDING THE USE OF PERSONAL PROTECTIVE EQUIPMENT, VERIFY WEEKLY THE STATUS OF THE TOOLS, EQUIPMENT AND MATERIALS TO BE USED DURING WORKING
DAY

IMPLEMENTED ACTIONS (CORRECTION OF FINDINGS)

INSPECTED BY:

NOTE: P.P.E PERSONAL PROTECTIVE EQUIPMENT