|OK||Needs Help||N/A||Checklist Issue|
|Has a formal assessment of the workplace been conducted to determine if hazards exist that require the use of personal protective equipment (PPE) — for instance, head, eye, face, hand, or foot protection? 1910.133*|
|Are protective goggles or face shields provided and required to be worn where there is any danger of flying particles or corrosive materials? 1910.133(a)(1)|
|Are employees who need corrective lenses (glasses or contacts) in working environments having harmful exposures? If so, are they required to wear only approved safety glasses, protective goggles, or use other medically approved precautionary procedures? 1910.133(a)(3)|
|Are protective gloves, aprons, shields, or other means provided and required where employees could be cut, or where there is reasonably anticipated exposure to corrosive liquids, chemicals, blood, or other potentially infectious materials? 1910.132(a)|
|Are hard hats provided and worn where danger of falling objects exists? 1910.135(a)(1)|
|Is appropriate foot protection required where there is a risk of foot injuries from hot, corrosive, poisonous substances, falling objects, crushing or penetrating actions? 1910.136(a)|
|Have employees been trained as to the proper selection, fitting, use and maintenance of all PPE they are required to wear? 1910.132(f)(1)|
|Are NIOSH-approved respirators provided for regular or emergency use where needed? 1910.134(a)(2)|
|Is there a written program addressing the use of respirators? If so, has it been evaluated within the last 12 months? 1910.134(b)(1)|
|Have employees been trained in the proper selection, fitting, use and maintenance of respirators? 1910.134(b)(3)|
Checklist Completed By _________________________________________________
Checklist Completion Date _______________________________________________
* Section of OSHA Standard 29 CFR
Note: Document all follow-up actions necessary and taken to ensure the maximum level of worker health and safety.
Reprinted with permission from Insource Safety. To visit Insource Safety, click here.