Employee Personal Protective Equipment (PPE) Audit

Name of Employee: Date: Job title:

TYPE OF Description: PPE condition and suitability: Replacement SIGNATURE OF

PPE: (E.g. leather gloves, goggles, coat, (E.g. good, damaged, worn, required? EMPLOYEE:
boots etc.) too small, wrong type etc) YES/NO

Gloves

Hard hat

Eye
protection

High visibility
clothing

Ear defenders

Protective
footwear

Other

SIGNATURE OF MANAGER: DATE: ACTION TAKEN:

All personal protective equipment issued should be recorded on the ppe issue form.

Cope Safety Management Ltd : 0844 800 4266 www.jwcope.co.uk email: copesafety@jwcope.co.uk
CSM030/01