K005-ohse Ppe Chk List.docx

Project Management, India

Personal Protective Equipment Checklist Name of Project:

Inspection Date:

Location: Name of the Contractor:

Sl. No

Particulars

1

Do the Workers Wear Helmet in such a way to protect their head?

2

Are they wearing hand gloves, Rubber gloves ( IS 4770 for electrical purpose ),Leather hand gloves of required quality for the job

3

Do the workers using appropriate Footwear with steel toe?

4

Is there any need for Safety belt (IS 3521-1965) use? If so, are they Hooked properly?

5

Is there any need for Ear protection? If so, are they using the device External or internal type?

6

Is there any need for Safety glasses / Safety screens /Safety goggles for The work being done? If so, are they using appropriate equipment?

7

Do the Workers have respirator/ protection from inhalation hazards?

8

Are the helpers also using proper PPE or not?

9

Have the Workers been briefed about the Hazards associated with the job and the emergency action to be followed whenever there is Requirement?

Yes / No

Contractor’s Site In-charge/Safety In-charge: OHSE Manager/ Site Safety Officer:

CBRE South Asia Pvt. Ltd Format No. K005-OHS-PP-Ch-007/Rev02/Dec2015

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