Weekly PPE Condition Inspection Report

	Building Erection Services Co. 3801 Raytown Road KCMO
	Weekly PPE Condition Inspection & Report

Date:	OK code = inspected & in good working order
Job:	DR code = Inspected and found damage &/or excessive wear. Request replacement
Foreman:

Each employee should Inspect all of their personal protection items. If the employee is not qualified to do the inspection the Foreman or other

competent / qualified person should inspect each item with the employee. See the back of this sheet for inspection guidelines.

Enter the employees name in the left column & appropriate code with OK or DR code (see above for definition) in the appropriate box to the right.

Have the employee initial far left box to verify inspection. If item needs repaired or replaced enter name & item with detail description of defect

under replacement request heading & call Dusty Downey at 913-927-5791 to order replacement item & repair of damaged item if applicable.

Name	Hard hat	Body Harness	Lanyards	Safety Glasses	Cutting Glasses	Welding Hood	Ear Protection	Gloves	Boots	Other List	Employee Initials to verify























Name						Replacement Request to Dusty Downey

Inspect shell for dents, cracks, nicks, gouges, or any damage due to impact.
Inspect shell for degradation of the shell material due to ultraviolet light exposure, chemical exposure, temperature extremes exposure. This maybe apparent when the shell becomes stiff, brittle, faded, dull in color, or exhibits a chalky appearance. The hard hat can be tested by compressing the shell inward from the side about 1 inch, using both hands, and releasing the pressure without dropping the shell. The shell should quickly return to its original shape, exhibiting elasticity.
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.

Inspect strap for cuts, excessive wear, and fraying, chaffing, bunny fur, chemical exposure, ripping or unraveling. Inspect the shock absorber feature to insure it has not been loaded.
Inspect Snap hooks for excessive wear, damage or deformities. Inspect that latches, properly close & lock.
Inspect Grommets for excessive wear, damage or deformities.

Inspect lenses for scratches. Inspect lenses & frame for cracks, nicks, gouges or broken parts.
Inspect for proper fit.

Inspect lenses for scratches. Inspect lenses & frame for cracks, nicks, gouges or broken parts.
Inspect for proper type & shade of lenses / cover lenses.
Inspect for proper fit.

Inspect shell & lenses, for scratches, cracks, nicks, gouges or broken parts.
Inspect where applicable for proper type & shade of lenses / cover lenses
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.

Inspect ear plugs for damage & cleanliness.
Inspect ear muffs for cracks, nicks, gouges or broken parts.
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.

Inspect shell for dents, cracks, nicks, gouges, or any damage due to impact.
Inspect shell for degradation of the shell material due to ultraviolet light exposure, chemical exposure, temperature extremes exposure. This maybe apparent when the shell becomes stiff, brittle, faded, dull in color, or exhibits a chalky appearance. The hard hat can be tested by compressing the shell inward from the side about 1 inch, using both hands, and releasing the pressure without dropping the shell. The shell should quickly return to its original shape, exhibiting elasticity.
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.

Inspect strap for cuts, excessive wear, and fraying, chaffing, bunny fur, chemical exposure, ripping or unraveling. Inspect the shock absorber feature to insure it has not been loaded.
Inspect Snap hooks for excessive wear, damage or deformities. Inspect that latches, properly close & lock.
Inspect Grommets for excessive wear, damage or deformities.

Inspect lenses for scratches. Inspect lenses & frame for cracks, nicks, gouges or broken parts.
Inspect for proper fit.

Inspect lenses for scratches. Inspect lenses & frame for cracks, nicks, gouges or broken parts.
Inspect for proper type & shade of lenses / cover lenses.
Inspect for proper fit.

Inspect shell & lenses, for scratches, cracks, nicks, gouges or broken parts.
Inspect where applicable for proper type & shade of lenses / cover lenses
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.

Inspect ear plugs for damage & cleanliness.
Inspect ear muffs for cracks, nicks, gouges or broken parts.
Inspect suspension for, tears, cracks, and frayed, broken parts, excessive wear.
Inspect for proper fit.