"Personal Protective Equipment Inventory Spreadsheet Template"

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Personal Protective Equipment
The following equipment is required in this work area: _________________________________
Task
Eye
Ear Plugs
Gloves
Feet
Apron
Respirator
ANSI
Hard
Fall
Other
Protection
or
Hi-Vis
Hat
Protection
Ear Muffs
clothing
X Safety
X
X
X
X—Kevlar
For example: Chainsaw operations
glasses with
Chaps
faceshield
For example: Electroplating operations
X goggles
X nitrile
X
X
This certifies that the workplace has been evaluated for hazards in order to determine if personal protective equipment is required.
Signature of person conducting the assessment: _____________________________ Date: ____________
This summary is an optional format intended to help communicate PPE requirements to employees. Each employer may develop their own format. You may add PPE icons that apply to your worksite.
A certification statement is required. Based on workplace hazards, other programs, such as a Respirator Program, Hazard Communication, or Hearing Conservation Program, may also be required.
Personal Protective Equipment
The following equipment is required in this work area: _________________________________
Task
Eye
Ear Plugs
Gloves
Feet
Apron
Respirator
ANSI
Hard
Fall
Other
Protection
or
Hi-Vis
Hat
Protection
Ear Muffs
clothing
X Safety
X
X
X
X—Kevlar
For example: Chainsaw operations
glasses with
Chaps
faceshield
For example: Electroplating operations
X goggles
X nitrile
X
X
This certifies that the workplace has been evaluated for hazards in order to determine if personal protective equipment is required.
Signature of person conducting the assessment: _____________________________ Date: ____________
This summary is an optional format intended to help communicate PPE requirements to employees. Each employer may develop their own format. You may add PPE icons that apply to your worksite.
A certification statement is required. Based on workplace hazards, other programs, such as a Respirator Program, Hazard Communication, or Hearing Conservation Program, may also be required.