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PPE Assessment Form Template

Ensure Safety With Our Comprehensive PPE Assessment Form

Are you struggling to keep your workplace safe while ensuring compliance? This PPE Assessment Form Template is designed for employers and safety officers who want to streamline the process of evaluating personal protective equipment needs. With clear guidance, you can identify safety hazards, manage compliance effectively, and improve employee safety protocols, all while saving time and effort. Discover how easy it is to create customized assessments tailored to your workplace by using our live template today.

Assessment date
Site or location
Department or area
Task or process being assessed (brief description)
Assessor full name
Assessor email address
Additional hazard details or notes
Hazards present for this task (select all that apply)
Please Specify:
PPE required for this task (select all that apply)
Please Specify:
Other PPE details (if applicable)
Respirator type required (if applicable)
Not applicable
Disposable filtering facepiece (e.g., N95/FFP2)
Half-face elastomeric (cartridge)
Full-face elastomeric (cartridge)
Powered air-purifying respirator (PAPR)
Airline or supplied-air respirator
Is required PPE available on site in correct sizes and sufficient quantities?
Yes
No
Overall condition of available PPE
Poor
Below average
Average
Good
Exceptional
The selected PPE is comfortable for the required duration and compatible when worn together
Strongly disagree
Disagree
Neither
Agree
Strongly agree
How easy is it to don and doff the required PPE?
Very difficult
Difficult
Neutral
Easy
Very easy
Have affected workers been trained on selection, use, limitations, care, and disposal of the required PPE?
Yes
No
Does the PPE meet relevant safety standards (e.g., ANSI, EN, NIOSH, CSA)?
Yes, fully compliant
Partially compliant
No
Not sure
Are respirator fit tests current for all required users (if applicable)?
Yes, all users
Some users
No
Not applicable
Are cleaning and storage procedures in place for the required PPE?
Yes
No
Were any hazards or deficiencies identified during this assessment?
Yes
No
Recommended corrective actions
Responsible person for corrective actions
Target completion date for corrective actions
Name (typed signature)
Signature date
I confirm that this assessment is accurate to the best of my knowledge.
True
False
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Paper art illustration depicting a PPE assessment form for a FormCreatorAI article

When to use this form

Use this form before you start high-risk tasks, during site walkdowns, or when processes change. You, your supervisors, and crew leads can document hazards and match PPE to each task. It is essential before welding, cutting, or grinding; pair it with the Hot work permit form to capture ignition controls. When scoping a new job, cross-check exposures with the Hazard identification checklist form and confirm controls with a quick Risk assessment survey form. After incidents or near misses, use it to verify fit, condition, and training before restarting work. The outcome: consistent, defensible PPE decisions that reduce injuries, prove compliance, and keep teams aligned across shifts.

Must Ask PPE Assessment Questions

  1. What tasks will you perform and which hazards could expose you (chemical, dust, noise, fall, arc flash, biohazard)?

    Clarifies exposure routes and severity so you choose the right PPE class, not a generic item. It pairs well with the Hazard identification checklist form to avoid overlooking less obvious risks.

  2. For each hazard, what PPE is required and what standard or rating applies (e.g., ANSI Z87.1, cut level A3, N95 vs P100)?

    Specifying the rating prevents under-protection and simplifies procurement. It also creates an audit trail that safety can verify during inspections.

  3. Is the selected PPE available in the right sizes, properly fitted, and free of damage or expired components?

    Fit and condition drive real-world protection; ill-fitting or worn gear fails when it matters. Documenting checks reduces rework and delays at the job site.

  4. What training or fit testing have you completed for this PPE, and when was it last refreshed?

    Training confirms you can use and maintain the gear correctly, especially for respirators and fall protection. These records support a stronger safety culture and close gaps revealed by the Safety culture survey form.

  5. Are there job or environment factors that change PPE needs (hot work, confined space, weather), and who will verify before work starts?

    Calling out special conditions prompts controls and stops unsafe starts. Capture decisions and responsibilities during a brief using the Tailboard meeting form.

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