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PPE’S CHECKLIST

Project Name:

Branch: Date:

SL.No. PERSONAL PROTECTIVE YES NO COMMENTS


EQUIPMENT
1 Is suitable protective clothing being
worn
2 Is eye protection being used
3 Is hearing protection being used
4 Is hand protection being used
5 Is protective equipment in good
condition
6 Is protection suitable for work
performed
7 Do the workers wear Helmet in such
a way to protect their head
8 Do the workers using appropriate
Footwear with steel toe
9 Are the helpers also using proper
PPE’s
10 Is there any need for Safety goggles for
the work being done? If so, are they
using appropriate equipment

________________ _____________ _____________


Signature of EHSO / EHSS Signature of PM/PE Signature of EHSM

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