4b PPE Checklist
4b PPE Checklist
4b PPE Checklist
PPE is personal and commentaries here must account for each and every individual
worker who has to wear such equipment, e.g. body size for clothing; sight impairment for
safety-glasses; facial hair for breathing apparatus
Date checklist
Date for review
completed
Name of person
completing
checklist
Adapted for AGWA from HR Advance Professional – a product of Australian Business Solutions Group
PPE Checklist YES NO
12.Has responsibility for supervision and enforcement of the
organisations PPE policy and procedures been allocated to a
senior manager?
13.Are Supervisors provided disciplinary powers and appropriate
support?
Potential Hazards Requiring PPE
14.If there is a danger of cuts, or exposure to corrosives,
chemicals or infectious materials are protective goggles,
gloves, aprons or shields worn?
15.Are hard hats provided where there is a risk of falling objects?
16.Is footwear provided where there is a risk of foot injuries from
hot or corrosive substances, crushing or penetrating objects?
17.Are safety glasses, goggles provided for eye protection where
there is a risk of flying objects, sparks, and filaments?
18.Is respiratory protection provided in areas where there is
exposure to dust, gases, chemicals
19.Is other appropriate PPE provided for hot work, work near
traffic, vibration, moving parts?
List additional hazard and PPE identified:
Signage
20.Are signs posted in the workplace wherever it is necessary to
wear PPE?
21.Is the signage in the mandatory format?
22.Is PPE provided in accordance with the relevant WHS
legislation and Australian Standards and stamped accordingly?
Action Required:
Adapted for AGWA from HR Advance Professional – a product of Australian Business Solutions Group
PPE Checklist YES NO
Signature:
Adapted for AGWA from HR Advance Professional – a product of Australian Business Solutions Group