Using this Template

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Using this Template

The following template can be used to help your organization develop a written Personal Protective Equipment Program. This template cannot be used as is – you must customize the template to meet the needs of your organization. We have made this template easier for you to customize by adding visual prompts that identify some areas where your input is needed. These are identified by yellow highlighted, red text in the template. You may also change any of the text in the template to meet your organization’s needs – for example, department names, job titles and listed responsibilities and procedures.


Personal Protective Equipment Program


XYZ Company

Personal Protective Equipment Program
To remove the colored highlighting from your text, left click and drag your mouse over the yellow text and click on the highlighter button from the Font menu. To change the font color to black, select the text and click on the font color button.

To aid you in understanding the need to customize your program, several “Check Your Understanding” text boxes are also included throughout the template. After reading the information in the text box and adding the required information into the template, you may simply right click on the cross arrow box and select “cut.”

Check Your Understanding. If your organization has hazards present that could cause physical or biological harm and cannot be engineered out or modified using any other approach, the employer is required to provide personal protective equipment (PPE) to decrease or eliminate your employees’ risk of exposure. Typical areas of exposure include mechanical irritants, impacts, vibration, environmental concerns and chemical or radiological hazards. In order to determine what hazards exist in your workplace, a job site assessment is required. In addition to the job site assessment, employers should review Safety Data Sheets (SDS) for PPE guidelines related to all chemicals being used in the workplace. OSHA requires written documentation showing that the workplace assessment was completed as per 1910.132(d)(2).

Disclaimer. This sample safety program template cannot be used as is. You must customize the template to meet the needs of your organization. EMC does not guarantee that this template is or can be relied on for compliance with any law or regulation, assurance against preventable losses, or freedom from legal liability. We make no representations or warranties of any kind whatsoever, either express or implied, in connection with the use of this template. EMC will not be liable for your use of the template as customized by you. All safety programs and policies, including this template and the information you supply to complete it, should be reviewed by your legal counsel and/or risk management staff.

Personal Protective Equipment Program

Check Your Understanding. Do you need a personal protective equipment (PPE) program?

The objective of a personal protective equipment program is to reduce employees’ risk of injury or death by maintaining a safe work environment. PPE is not a substitute for good work practices, elimination of hazards, substitution of hazardous operations or materials, engineering controls or administrative controls. Rather, PPE should be used, if necessary, in conjunction with these controls to ensure the safety and health of employees. These programs typically address eye, face, head, foot and hand protection. If necessary in your workplace, separate programs should exist for respiratory and hearing protection.

The Occupational Safety and Health Administration (OSHA) standard 29 CFR 1910.132 requires that employers perform a hazard assessment of the workplace to determine the nature of the hazards and ensure that appropriate PPE is available to employees. The standards require that employees be trained in the proper use, care, storage, maintenance and limitations of PPE.

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