Hand Protection - Gloves

Are gloves being used by employees where hand hazards exist?

Yes No N/A

Are gloves worn by employees suitable for hand hazards?

Yes No N/A

Are gloves free of damage or defects, and in clean/sanitary condition?

Yes No N/A

Are gloves stored properly when not in use?

Yes No N/A

Are gloves being properly disposed of when damaged or defective?

Yes No N/A

Protective Clothing

Is high visibility safety vest / shirt / jacket being worn?

Yes No N/A

Is protective clothing worn suitable for existing hazards?

Yes No N/A

Is protective clothing free of damage or defects?

Yes No N/A
 Does protective clothing fit properly?

Yes No N/A

Protective Footwear

Is protective footwear being used by employees where foot hazards exist?

Yes No N/A

Is protective footwear worn by employees suitable for hazard?

Yes No N/A

Is protective footwear properly fitted?

Yes No N/A

Is protective footwear free of damage or defects?

Yes No N/A

Head Protection - Hard Hats

Are hard hats being worn where head hazards exist?

Yes No N/A

Are hard hats properly fitted and worn properly?

Yes No N/A

Are hard hats free of damage or defects? (i.e. cracks, UV damage, chips,

Y N N/
 Are the hard hat suspension systems in good condition?

Yes No N/A

Hearing Protection

Is hearing protection being worn where noise hazards are above 90 dB?

Yes No N/A

Is hearing protection being used protect against present noise hazards?

Yes No N/A

Is hearing protection being worn properly?

Yes No N/A

Is hearing protection free of damage or defects?

Yes No N/A

Face/Eye Protection

Is face/eye protection being worn by employees where face/eye hazards exist?

Yes No N/A

Is face/eye protection suitable for hazards?

Yes No N/A

Is face/eye protection properly fitted and

Y N N/