High-Risk Task PPE Assessment Checklist
Project/Location:
Date:
Assessor Name:
Task Description:
PPE Assessment
PPE Required
Required? (Yes/No)
Condition (Good/Poor)
Comments
Head Protection
Eye/Face Protection
Hearing Protection
Hand Protection
Body Protection
Respiratory Protection
Foot Protection
Fall Protection
Other
Summary of Findings/Actions Required:
Assessor Signature:
Date: