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  • PPE Checklist

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    Putri Una
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    This document is a checklist for personal protective equipment (PPE) for workers at the JAWA 9&10 power plant. The checklist includes items like helmets, vests, shoes, gloves, and goggles. It lists the manufacturer, model, and issue date for assigned equipment. It also includes inspection criteria for each type of PPE to check for proper fit, soiling, damage, and replacement/repair needs on a monthly basis to ensure compliance with NFPA safety standards. Site supervisors are required to inspect and approve the PPE condition each month.

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    This document is a checklist for personal protective equipment (PPE) for workers at the JAWA 9&10 power plant. The checklist includes items like helmets, vests, shoes, gloves, and goggles. It lists the manufacturer, model, and issue date for assigned equipment. It also includes inspection criteria for each type of PPE to check for proper fit, soiling, damage, and replacement/repair needs on a monthly basis to ensure compliance with NFPA safety standards. Site supervisors are required to inspect and approve the PPE condition each month.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    Download as xlsx, pdf, or txt
    77 views2 pages

    PPE Checklist

    Uploaded by

    Putri Una
    This document is a checklist for personal protective equipment (PPE) for workers at the JAWA 9&10 power plant. The checklist includes items like helmets, vests, shoes, gloves, and goggles. It lists the manufacturer, model, and issue date for assigned equipment. It also includes inspection criteria for each type of PPE to check for proper fit, soiling, damage, and replacement/repair needs on a monthly basis to ensure compliance with NFPA safety standards. Site supervisors are required to inspect and approve the PPE condition each month.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 2

    JAWA 9&10 (2x1000MW) CFSPP - SURALAYA

    PERSONAL PROTECTIVE EQUIPMENT CHECKLIST

    ASSIGNED EQUIPMENT
    Item Manufacture Year New/Reassigned Model Date of Issue
    Helmet
    Vest
    Shoes
    Gloves
    Goggles

    Periode "ü" Condition In Need Of (Mark with "X")


    Helmet PROPER FIT (Refer to NFPA Standard) Pass Fail Clean Replace Repair
    Monthly Evaluation for fit
    Monthly Soiling
    Monthly Damage to shell : cracks, dent and abrasion
    Monthly Damage to liner : rips, tears or thermal damage
    Monthly Suspension system
    Monthly Damage or missing component to face-shield or goggle
    Monthly Damager or missing reflective trim
    Monthly Face-shield goggle functionally
    Monthly Damage to impact cap

    Periode "ü" Condition In Need Of (Mark with "X")


    Vest PROPER FIT (Refer to NFPA Standard) Pass Fail Clean Replace Repair
    Monthly Evaluation for fit
    Monthly Soiling
    Monthly Contamination from hazardous material
    Monthly Rips, tears and cuts
    Monthly Damage or missing hardware
    Monthly Damager or missing reflective trim
    Monthly Reflectove trim : attached, damage
    Monthly Broken or missing stitches

    Periode "ü" Condition In Need Of (Mark with "X")


    Shoes PROPER FIT (Refer to NFPA Standard) Pass Fail Clean Replace Repair
    Monthly Evaluation for fit
    Monthly Soiling
    Monthly Contamination from hazardous material
    Monthly Rips, tears and cuts
    Monthly Damage or missing hardware
    Monthly Damager or missing reflective trim
    Monthly Reflectove trim : attached, damage
    Monthly Broken or missing stitches
    Periode "ü" Condition In Need Of (Mark with "X")
    Gloves PROPER FIT (Refer to NFPA Standard) Pass Fail Clean Replace Repair
    Monthly Evaluation for fit
    Monthly Soiling
    Monthly Contamination from hazardous material
    Monthly Rips, tears and cuts
    Monthly Loss of Elasticity and flexibility

    Periode "ü" Condition In Need Of (Mark with "X")


    Goggle PROPER FIT (Refer to NFPA Standard) Pass Fail Clean Replace Repair
    Monthly Evaluation for fit
    Monthly Soiling
    Monthly Contamination from hazardous material
    Monthly Rips, tears and cuts
    Monthly Loss of Elasticity and flexibility

    Inspect by, Approve by,

    ( ) ( )

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