Arc Flash Hood Face Shield Suite PPE Inspection
Site
Name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Risk Category
Manufacturer
Color
Date of Manufacture
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Today's use within 5 years of Date of Manufacture?
Acceptable
Marginal
Unacceptable
Face shield condition (scratches, cracks, visual clarity)?
Acceptable
Marginal
Unacceptable
Hood condition (no holes, no wet grease)?
Acceptable
Marginal
Unacceptable
Jacket condition (no holes, no wet grease, functional closing)?
Acceptable
Marginal
Unacceptable
Coverall condition (no holes, no wet grease, functional closing)?
Acceptable
Marginal
Unacceptable
Carry bag condition?
Acceptable
Marginal
Unacceptable
Submit
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