PPE Compliance Inspection Form
Inspector Name
Location
Date
Time
Department/Area
PPE Compliance Checklist
PPE Item
Required
Compliant
Comments
Head Protection
Yes
No
Yes
No
Eye/Face Protection
Yes
No
Yes
No
Hearing Protection
Yes
No
Yes
No
Hand Protection
Yes
No
Yes
No
Foot Protection
Yes
No
Yes
No
Respiratory Protection
Yes
No
Yes
No
Body Protection
Yes
No
Yes
No
Additional Observations / Comments
Inspector Signature