PPE Compliance Observation Form
Date
Time
Location
Observer Name
Department/Area
Personnel Observed
PPE Required
PPE Worn (Check all that apply)
Helmet/Hard Hat
Safety Glasses
Gloves
High-Visibility Vest
Respiratory Protection
Safety Footwear
Other
Was PPE Worn Correctly?
Yes
No
Partial
Comments/Observations
Suggested Actions/Corrections