Safety Footwear Inspection PPE Form
Safety Footwear Inspection PPE Form
Complete this Safety Footwear Inspection Form to assess the condition and suitability of your safety shoes. Your detailed responses will help ensure our footwear meets safety standards and supports workplace well-being.
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Name: |
[Your Name] |
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Job Title/Position: |
[Your Job Title] |
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Department/Area: |
[Your Department Name/Work Area] |
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What type of safety footwear are you using? (e.g., steel-toe boots, anti-slip shoes) |
Steel-toe boots |
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Describe the frequency and conditions under which you use your safety footwear. |
Daily use in warehouse operations, frequent lifting, and carrying of heavy items. |
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What is the overall condition of your safety footwear? (Rate 1-5) |
4 |
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Are there any visible signs of damage or excessive wear? (Yes/No) If yes, please describe. |
Yes, minor scuffs on toe area, no structural damage |
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Is the toe protection still intact and effective? (Yes/No) |
Yes |
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How would you rate the sole grip? |
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Does the footwear provide sufficient ankle support? (Yes/No) |
Yes |
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How comfortable is your safety footwear? (Rate 1-5) |
Yes |
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Are there any issues with the fit? (Yes/No) If yes, please explain. |
No |
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How often do you clean and maintain your safety footwear? |
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What methods do you use for maintenance and cleaning? |
Regular checks for any loose soles or stitches. |
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Do you think your safety footwear needs replacement? (Yes/No) |
No |
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If you could suggest upgrades, what would they be? |
Considering boots with better breathability for comfort. |
Submitted by:
[Your Name]
[Your Job Title]
[Your Company]
Thank you for completing the Safety Footwear Inspection Form.
Your input is invaluable in ensuring that our safety footwear is effective, comfortable, and up to standard.
