Template

PPE Issue Form Template

by Nicholas Gillmore, from the Community

This PPE Issue Form template helps construction and scaffolding teams record the allocation of personal protective equipment to workers. Capture employee details, date, preparer, division, and a checklist of common PPE including hard hats, harnesses, lanyards, gloves, eye and face protection, hi-vis apparel, and safety boots. Track quantities and sizes, note tethers and tool attachments, and document issued-by and acceptance signatures. Include return and replacement notes for specialist equipment and maintain a clear audit trail for safety and compliance.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
PPE Record Form Template
This PPE record form template helps teams document the issue and return of personal protective equipment. Record worker name, date, item type, size, quantity, and condition, and capture acknowledgments via signatures. Use it to track common PPE such as hard hats, hi-vis clothing, gloves, boots, safety glasses, ear defenders, harnesses, and jackets. Ideal for construction and field operations, it supports accountability, inventory control, and safety compliance by maintaining a clear chain of custody for issued gear.
by John Badham (Bgb), from the Community
Downloads: 10+
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Template
Daily PPE Checklist
This daily PPE checklist helps supervisors record inspection details by site, personnel, and required protective equipment including company clothing, safety glasses, gloves, hard hats, and safety boots. Capture photos for each item, note inspector and location, and confirm workers have received training and understand conditions of issue. Use this template to standardize checks and maintain compliance across teams and shifts.
by Martin Bredenhann, from the Community
Downloads: 10+
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Template
PPE Issue Form
Use this PPE Issue Form to record all personal protective equipment provided to workers, including make and model, and to capture employee and manager signatures. The form supports acknowledgment that training on correct use has been provided and outlines responsibilities for care and replacement. Common items include ear protection, safety eyewear, high visibility clothing, safety boots, respirators, gloves, hard hats, waterproof clothing, and uniforms. Ideal for construction and other high risk worksites to strengthen compliance and accountability.
by sultan A, from the Community
Downloads: 10+
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Template
PPE Issue and Inspection Record v3
Use this PPE Issue and Inspection Record to document what protective equipment is issued to employees and verify quarterly inspections. Track items such as gloves, eye protection, footwear, high visibility vests, hard hats, harnesses and more, with employee and manager signatures. Ideal for security, housekeeping, maintenance and guest services teams to ensure workers are trained, equipment is in working order and replacements are requested when needed.
by Vladislav Petrov, from the Community
Downloads: 10+
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PPE Issue Form Template

About author

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PPE Record Form Template

Daily PPE Checklist

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PPE Record Form Template

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