Optional Information
Name of school: 
Date of inspection:
Career-Technical program/course/room:
Signature of inspector: 

 
Personal Protective Equipment
(PPE)
Self Inspection Checklist

Guidelines: This checklist covers the use of personal protective equipment, including, but is not limited to, safety glasses, goggles, hard hats, gloves, safety shoes, and heat or electrically resistant clothing. Electrical protective equipment, respiratory protection, hearing protection, PPE for construction site lasers, and equipment like safety belts, lifelines, lanyards, and safety nets, are addressed in separate checklists.

It is important to note that engineering controls should be the primary method of establishing a safe workplace. Personal protective equipment should only be used where engineering controls are not feasible.

  Please Circle
General Requirements
  1. Has a hazard assessment been conducted in the

    2. workplace to identify possible hazards that would
    require the use of PPE?
    [29 CFR 1910.132(d)(1)]

    Note: The OSHA standard has a non-mandatory
    Appendix B which contains example procedures
    for conducting a hazard assessment.
 Y   N   N/A   ?? 
  1. Is there a written certification of hazard assessment

    2. which idenitifies the workplace evaluated, the
    person certifying that the evaluation has been
    performed, and the date(s) of the hazard assessment?
    [29 CFR 1910.132(d)(2)]
 Y   N   N/A   ?? 
  1. Based on the hazards identified, has PPE been

    2. selected for all appropriate individuals?
    [29 CFR 1910.132(d)(1)(i)]
 Y   N   N/A   ?? 
  1. Have individuals involved been informed of the

    2. PPE selection decisions?
    [29 CFR 1910.132(d)(1)(ii)]
 Y   N   N/A   ?? 
  1. If PPE is necessary to prevent injury or impairment

    2. by exposure to chemical hazards, radiological
    hazards, or mechanical irritants through absorption,
    inhalation or physical contact, is it provided?
    [29 CFR 1910.132(a) and 1926.95(a)]
 Y   N   N/A   ?? 
  1. Has the selected PPE been fitted to appropriate

    2. individuals?
    [29 CFR 1910.132(d)(1)(iii)]
 Y   N   N/A   ?? 
  1. Is PPE maintained in a sanitary and reliable condition?

    2. [29 CFR 1910.132(a) and 1926.95(a) and (b)]
 Y   N   N/A   ?? 
  1. Do appropriate individuals use the PPE selected?

    2. [29 CFR 1910.132(d)(1)(i)]
 Y   N   N/A   ?? 
  1. Is defective or damaged PPE removed from service

    2. immediately? (shall not be used)
    [29 CFR 1910.132(e)]
 Y   N   N/A   ?? 
Training
  1. Has each individual who is required to use PPE

    2. been provided with training?
    [29 CFR 1910.132(f)(1)]
 Y   N   N/A   ?? 
  1. Has training on PPE included all of the following

    2. elements: when PPE is necessary; what PPE is
    necessary; how to properly don, doff, adjust, and
    wear PPE; the limitations of the PPE; and the
    proper care, maintenance, useful life and disposal
    of the PPE.
    [29 CFR 1910.132(f)(1)(i)-(iv)]
 Y   N   N/A   ?? 
  1. Have the trained individuals demonstrated an

    2. understanding of the training and the ability to use
    PPE properly before being allowed to perform work
    requiring the use of PPE?
    [29 CFR 1910.132(f)(2)]
 Y   N   N/A   ?? 
  1. Are individuals retrained when there is reason to

    2. believe that they do not have the understanding or
    skill to use PPE properly?
    [29 CFR 1910.132(f)(3)]
 Y   N   N/A   ?? 
  1. Is retraining conducted whenever changes in the

    2. workplace or changes in types of PPE make
    previous training obsolete?
    [29 CFR 1910.132(f)(3)(i)-(iii)]
 Y   N   N/A   ?? 
  1. Is there written certification for each person who

    2. has received PPE training that includes the following:
    a statement indicating the person understood the
    training; the name of the person trained; the date(s)
    of the training; and the subject of the certification?
    [29 CFR 1910.132(f)(4)]
 Y   N   N/A   ?? 
Head, Foot, and Hand Protection
  1. Are protective helmets used wherever there is the

    2. possible danger of head injury from impact, or from
    falling or flying objects, or from electrical shock
    and burns?
    [29 CFR 1910.132(a), 1910.135(a), 1926.95(a),
    and 1926.100(a)]
 Y   N   N/A   ?? 
  1. Do protective helmets that are used in the workplace

    2. that were purchased prior to July 5, 1994 meet the
    American National Standard Safety Requirements
    for Industrial Head Protection, ANSI Z89.1-1969?
    [29 CFR 1910.135(b)(2) and 1926.100(b)]
 Y   N   N/A   ?? 
  1. Do protective helmets that are used in the

    2. workplace that were purchased after July 5, 1994
    meet the American National Standard for
    Personnel Protection--Protective Headwear for
    Industrial Workers--Requirements, ANSI Z89.1-1986?
    [29 CFR 1910.135(b)(1)]
 Y   N   N/A   ?? 
  1. Is protective footwear used wherever there is the

    2. danger of foot injuries due to falling or rolling
    objects, or objects piercing the sole, and where feet
    are exposed to electrical hazards?
    [29 CFR 1910.136(a)]
 Y   N   N/A   ?? 
  1. Does protective footwear that is used in the

    2. workplace that was purchased prior to July 5, 1994
    meet the requirements of the American National
    Standard for Men's Safety-Toe Footwear,
    ANSI Z41.1-1967?
    [29 CFR 1910.136(b)(2)]
 Y   N   N/A   ?? 
  1. Does protective footwear that is used in the

    2. workplace that was purchased after July 5, 1994
    meet the requirements of the American National
    Standard for Personal Protection--Protective
    Footwear, ANSI Z41-1991?
    [29 CFR 1910.136(b)(1)]
 Y   N   N/A   ?? 
  1. Are appropriate protective gloves used wherever

    2. there is the danger to hands of exposure to
    hazards such as those from skin absorption of
    harmful substances, severe cuts or lacerations,
    severe abrasions, punctures, chemical burns,
    thermal burns, and harmful temperature extremes?
    [29 CFR 1910.138(a)]
 Y   N   N/A   ?? 
Eye and Face Protection
  1. Are individuals issued and required to wear

    2. appropriate eye protective devices while
    participating or observing activities which present
    a potential eye safety hazard?
    [29 CFR 1910.133(a) and 1926.102(a)]

    Note: Eye potential hazards include: caustic or
    explosive chemicals or materials, hot liquids or
    solids, molten materials, welding operations of
    any type, repairing or servicing of vehicles, heat
    treatment or tempering of metals, the shaping of
    solid materials and laser device operation and
    experimentation.
 Y   N   N/A   ?? 
  1. Do all protective eye and face devices purhcased after
    July 5, 1994 comply with Z87.1-1989?
    [29 CFR 1910.133(b) and 1926.102(a)(2)]

    Note: Regular prescription eye glasses do not
    meet this requirement. Goggles or other protective
    glasses meeting the American National Standard
    must be warn over-top prescription eye glasses.
 Y   N   N/A   ?? 
Posting Requirements
  1. Are all lab or shop entrances, areas and equipment

    2. requiring the use of PPE devices posted with a
    sign indicating this requirement?
    [29 CFR 1910.145(c)(3)]
 Y   N   N/A   ?? 

Comments/Corrective action:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Back to the previous page           Back to Contents

National Institute for Occupational Safety and Health