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Inspect condition of personal protective equipment: record Pass / Fail / N/A
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PPE Inspection Items
Mark the applicable column for each item: P = Pass | F = Fail | N/A = Not applicable. Record notes for any F.
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Hard Hat | |||||
| 1 | Shell: no cracks, dents, chalking or UV degradation | ||||
| 2 | Suspension system: intact, no tears, adjusts correctly | ||||
| 3 | Chinstrap: present and functional (if required) | ||||
| 4 | Expiry: within manufacturer replacement date | ||||
| Safety Glasses / Goggles | |||||
| 5 | Lenses: no scratches, cracks or discolouration | ||||
| 6 | Frame: intact, no bending or broken arms | ||||
| 7 | Seal (goggles): soft, flexible, no deterioration | ||||
| Hearing Protection | |||||
| 8 | Ear muffs: cups intact, seals soft, headband tension correct | ||||
| 9 | Ear plugs: condition acceptable, clean, not deformed | ||||
| Hi-Vis Clothing | |||||
| 10 | Reflective tape: intact, not peeling, still reflective | ||||
| 11 | Garment condition: no tears, rips or excessive wear | ||||
| 12 | Cleanliness: garment clean enough to maintain visibility | ||||
| Safety Boots | |||||
| 13 | Soles: adequate tread, no separation or damage | ||||
| 14 | Toe cap: no deformation or exposed steel/composite | ||||
| 15 | Laces / fasteners: intact, functional | ||||
| 16 | Waterproofing: intact (if applicable) | ||||
| # | Check | P | F | N/A | Notes / Action |
|---|---|---|---|---|---|
| Gloves | |||||
| 17 | Fingers: no holes, tears or excessive wear | ||||
| 18 | Palm: grip surface intact, no punctures | ||||
| 19 | Cuff: intact, provides adequate coverage | ||||
| 20 | Correct type for task: chemical, cut, heat, general purpose | ||||
| Respiratory Protection | |||||
| 21 | Mask condition: no cracks, tears or deformation | ||||
| 22 | Filters / cartridges: correct type, not expired, securely attached | ||||
| 23 | Expiry: within manufacturer service life | ||||
| 24 | Fit test: current fit test completed and documented | ||||
| Fall Protection Harness | |||||
| 25 | Webbing: no cuts, fraying, abrasion, chemical damage or UV degradation | ||||
| 26 | Stitching: no broken threads, pulled stitching; bar tacks intact | ||||
| 27 | D-rings: no corrosion, distortion or cracks; gate operation smooth | ||||
| 28 | Buckles: operate correctly, no corrosion or distortion | ||||
| 29 | Label / tag: legible, serial number, manufacture date, inspection tag current | ||||
| 30 | Expiry: within service life (typically 10 years or manufacturer spec) | ||||
| Sun Protection | |||||
| 31 | Sunscreen: available and within expiry date | ||||
| 32 | Hat brim / neck shade: present and in good condition | ||||
Defects & Replacement Required (list any item marked F: reference item # from checklist)
| Item # | PPE item & defect description | Action taken / replacement | Date |
|---|---|---|---|
Declaration
I declare that I have inspected the above personal protective equipment. Any defective, damaged or expired items have been recorded and removed from service. Replacement items have been issued or requested where required.