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Employee Information

Name

Task/Procedure

Hazard Identification

PPE Requirements

PPE Requirements

Assessment Performed By

Clear Signature

The PPE Assessment Form Template by WPForms helps safety officers, occupational health, and department heads assess the personal protective equipment needs within an organization for any new task/procedure.

How Does the PPE Assessment Form Template Work?

The PPE Assessment Form Template makes it possible to standardize the process of evaluating Personal Protective Equipment (PPE) requirements, based on specific tasks and their associated hazards. Fields include:

  • Employee Data:  This encompasses their full name, email address, position or job title, department, and the assessment date. It ensures that every PPE assessment is unique and tied to a specific employee for precise tracking.
  • Task and Setting: Here, the evaluator records the nature of the task or procedure the employee will undertake, along with its location. This is pivotal as PPE needs can vary based on the type of job and the environment in which it’s performed.
  • Hazard Identification:  A dropdown list simplifies the selection of the hazard type, while fields for specific hazards and associated risk levels offer a deeper dive into the nature of the risks, along with current control measures.
  • PPE Checklist: A checklist allows for pinpointing the required protective equipment ranging from head, eyes, and face to hand, hearing, respiratory, and body protection. This ensures that no protective aspect is overlooked.
  • Assessment Performed By: This section captures their full name, position, and signature to solidify the authenticity of the evaluation. Note: the signature field requires a WPForms Pro license paired with the Signature Addon.

Sign up with WPForms today and access the PPE Assessment Form Template to ensure safety and compliance in your workplace. By utilizing this template, you can affirm your commitment to employee safety, leading to a risk-averse work environment.