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INDUSTRIAL ENERGY SOLUTIONS Personal Protective Equipment

Self-Audit Checklist

Auditee : Date :

Auditor :

Y N NA COMMENTS

A. Personal Protective Equipment (PPE) Program

1. Hazard Assessment complete and documented

2. PPE selection based upon Hazard Assessment

3. Review of employee-owned PPE complete

4. Defective or damaged PPE not used

5. Training complete and documented

B. Eye and Face Protection

1. Eye and Face Protection appropriate to the hazard used

2. Side Protectors used where flying objects hazards are found

3. Eye protection incorporates prescription or can be worn without disturbing proper position of prescription

lenses

4. Filter lenses with appropriate shade number available where work involves injurious light radiation

5. Maintained per manufacturers recommendations

C. Head Protection

1. Hard hats used where there is the potential for head injury from falling objects

2. Hard hats used where there is a potential for head injury from exposed electrical conductors

3. Maintained per manufacturers recommendations

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D. Foot Protection

1. Appropriate for protection from falling or rolling objects

2. Appropriate for protection from objects piercing the sole

3. Appropriate for protection from exposed electrical conductors

4. Maintained per manufacturers recommendations

E. Hand Protection

1. Hand protection appropriate to the hazard

2. Maintained per manufacturers recommendations

F. Respiratory Protection

1. Dust mask used while insulation job?

2. Dust Mask is clean & neat

3. Respiratory special PPEs used for toxic area

4.

G. Work at Height Protection

1.Safety harness used while work at job

2.Safety Harness physically good & TPI ok

3.

H. Others

1.

2.

3.

4.