SAFETY & RISK

PPE Compliance Checklist

PPE Compliance Checklist

Checklist Items

1
Hard hat/helmet is worn and properly secured
Pass/Fail Required
2
Safety glasses or face shield are worn and in good condition
Pass/Fail Required
3
High-visibility vest or clothing is worn when required
Pass/Fail Required
4
Safety footwear with appropriate protection is worn
Multiple Choice Required
  • Steel toe boots
  • Slip-resistant shoes
  • Electrical hazard rated
  • Inappropriate footwear
  • No safety footwear
5
Hearing protection is used in designated noise areas
Pass/Fail Required
6
Respiratory protection is properly fitted and functional
Pass/Fail Required
7
Work gloves appropriate for task hazards are worn
Multiple Choice Required
  • Cut-resistant gloves
  • Chemical-resistant gloves
  • Electrical insulating gloves
  • General work gloves
  • No gloves required for task
  • Required gloves not worn
8
Fall protection equipment is inspected and properly worn
Pass/Fail Required
9
PPE shows no visible damage, wear, or contamination
Pass/Fail Required
10
Number of PPE violations observed during inspection
Numeric Required
Max: 0 violations
11
Employee demonstrates proper PPE donning and doffing procedures
Pass/Fail Required
12
Inspector signature confirming PPE compliance review
Signature Required
Items 12
Category Safety & Risk
Last Updated Feb 18, 2026
Format DuloProof App

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