Checklist On Ppe

Date: ______ ___
Company Name: GREEN ENVIRONMENTAL MANAGEMENT

SYSTEM (GEMS)
Company Address: Bankal Road, Lapu-lapu City, 6015 Cebu, Philippines
Company Telephone Number: 260 4331
Checklist for PPE Requirement
ITEMS YES NO
Eyes
Do your employees perform tasks, Sawing, cutting, drilling, sanding,

or work near employees who grinding, hammering, chopping,
perform tasks, that might produce abrasive blasting, punch press
airborne dust or flying particles? operations, etc.
Do your employees handle, or Pouring, mixing, painting, cleaning,
work near employees who handle, siphoning, dip tank operations, dental
hazardous liquid chemicals or and health care services, etc.
encounter blood splashes?
Are your employees’ faces exposed to extreme heat?
Are your employees’ eyes exposed to other potential physical or chemical
irritants?
Are your employees exposed to Welding, cutting, laser operations, etc.
intense light or lasers?
Face
Do your employees handle, or Pouring, mixing, painting, cleaning,

work near employees who handle, siphoning, dip tank operations, etc.
hazardous liquid chemicals?
Battery charging, installing Welding, pouring molten metal,
fiberglass insulation, compressed smoothing, baking, cooking, drying, etc.
air or gas operations, etc.
Are your employees’ faces Cutting, sanding, grinding, hammering,
exposed to other potential chopping, pouring, mixing, painting,
irritants? cleaning, siphoning, etc.
Head
Might tools or other objects fall Workstations or traffic routes located

from above and strike your under catwalks or conveyor belts,
employees on the head? construction, trenching, utility work, etc.
Are your employees’ heads, when Construction, confined space
they stand or bend, near exposed operations, building maintenance, etc.
beams, machine parts, pipes,
etc.?
Do your employees work with or Building maintenance; utility work;
near exposed electrical wiring or construction; wiring; working on or near
components? communications, computer, or other
high tech equipment; arc or resistance
welding; etc.
Feet
Might tools, heavy equipment or Construction, plumbing, smithing,

other objects roll, fall onto or strike building maintenance, trenching, utility
your employees’ feet? work, grass cutting, etc.
Do your employees work with or Building maintenance; utility work;
near exposed electrical wiring or construction; wiring; working on or near
components? communications, computer or other
high-tech equipment; arc or resistance
welding; etc.
Do your employees handle, or Welding, foundry work, casting,
work near employees who handle, smithing, etc.
molten metal?
Do your employees work with Demolition, explosives manufacturing,
explosives or in explosive grain milling, spray painting, abrasive
atmospheres? blasting, working with highly flammable
materials, etc.
Body
Are your employees’ hands and Building maintenance; utility work;

arms placed near exposed construction; wiring; working on or near
electrical wiring or components? communications, computer or other
high-tech equipment; arc or resistance
welding; etc.
Are your employees’ bodies Pouring, mixing, painting, cleaning,
exposed to irritating dust or siphoning, dip tank operations,
chemical splashes? machining, sawing, battery charging,
installing fiberglass insulation,
compressed air or gas operations, etc.
Are your employees’ bodies Cutting, grinding, sanding, sawing,
exposed to sharp or rough glazing, material handling, etc.
surfaces?
Hearing
Are your employees exposed to Machining, grinding, sanding, working

loud noise from machines, tools, near conveyors, pneumatic equipment,
music systems, etc.? generators, ventilation fans, motors,
punch and brake presses, etc.
Is a raised voice needed to Does any equipment have
communicate with someone about manufacturer’s noise information
one meter away? (including labels) that indicate noise
levels equal or greater than any of the
following:
(a) 90 dB
(b) Does the noise in any part of the
workplace sound as loud as or louder
than 90 decibels using the scale Decibel
Levels of Common Sounds?
Have there been any workers’ Building maintenance; utility work;
compensation claims for noise- construction; wiring; working on or near
induced hearing loss? communications, computer, or other
high tech equipment; arc or resistance
welding; etc.
Approved by: _________________________ Done by: _________________________

Checklist On Ppe

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Date: ____ _

Company Name: GREEN ENVIRONMENTAL MANAGEMENT

Checklist for PPE Requirement

Do your employees perform tasks, Sawing, cutting, drilling, sanding,

Do your employees handle, or Pouring, mixing, painting, cleaning,

Might tools or other objects fall Workstations or traffic routes located

Might tools, heavy equipment or Construction, plumbing, smithing,

Are your employees’ hands and Building maintenance; utility work;

Are your employees exposed to Machining, grinding, sanding, working

Approved by: _ Done by: _

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