Template

PPE Issued to Employees Checklist

by OHS Plumber, from the Community

10+

This template helps organizations record and manage personal protective equipment issued to employees. Capture employee details, issuer, location, and dates, then log specific PPE items like hard hats, safety glasses, gloves, hearing protection, sunscreen, and workwear with sizes and quantities. Include training acknowledgment and responsibilities for care, storage, and reporting lost or defective items, aligning with occupational health and safety requirements. Use it to maintain traceable PPE records, standardize distribution, and keep crews compliant and safe on construction sites.

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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

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 Issued to Employees Record Template
This PPE issued to employees template helps organizations document the personal protective equipment provided to each worker and confirm they understand their responsibilities for correct use, care, storage, and reporting defects. Record employee name, date of issue, and all PPE items such as hard hats, safety glasses, respirators, high-visibility clothing, welding protection, gloves, harnesses, and more. Capture acknowledgments of training and compliance to support safety policies and relevant regulations.
by Mark Smith, from the Community
Downloads: 30+
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Template
HFS PPE Issued Staff PPE List
Use this PPE issued form to record the personal protective equipment provided to field technicians. Capture employee and supervisor details, list items such as hard hat, safety glasses, boots, gloves, and wet-weather gear, assess condition as good, fair, needs replacement, or new, note losses or replacements, and obtain acknowledgment with name, date, and signature to ensure accountability and safety compliance.
by Wayne Keetch, from the Community
Downloads: 20+
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Template
PPE Issue Form Template
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.
by Nicholas Gillmore, from the Community
Downloads: 0
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Template
PPE Issued Form for Livestock Teams
Use this PPE issued form to record and track personal protective equipment provided to livestock and farm staff. Capture document details, site, date, preparer, location, personnel, department, and the type and quantity of items issued such as T shirts, work trousers, boiler suits, safety boots, safety glasses, and dust masks. Include signatures to confirm receipt and maintain compliance records. This template helps standardize distribution and improves accountability across teams.
by Jason Williams, from the Community
Downloads: 10+
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PPE Issued to Employees Checklist

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