PPE request form

A simple way for employees to request personal protective equipment and for managers to track what was issued.

Use it on screen
PPE request formRequestApproval and issueStockEmployee name, role and site.🥽
How to use itEmployees request what they need, the supervisor approves and issues it, and the employee signs for it. Keep the record with your safety files.

Who it is for and when to use it

Workers should never go without required protective equipment because nobody knew they needed a replacement. A request form makes it easy to ask and leaves a record.

Requirements for which PPE is needed and who pays depend on regulations and your risk assessments.

10 items. Complete it digitally or on paper, whichever your team prefers.

Request

Approval and issue

Stock

How to put it to work

  1. Keep a stock of common sizes on site.
  2. Never delay replacing damaged PPE.
  3. Record issues per employee.
  4. Check that training goes with specialized items.
  5. Review usage monthly.

How a team used the PPE request form

A cleaner’s gloves tear while using a strong chemical. She fills in the form, the supervisor issues a new pair and safety glasses from site stock, and the record shows the stock of medium gloves is low, so more are ordered.

Why a PPE request form matters

OSHA’s PPE standard at 29 CFR 1910.132 requires a hazard assessment and, with limited exceptions such as safety-toe shoes worn off-site, employer-paid PPE. A request form shows what was issued and when.

What a completed PPE request form looks like

Employee, role, site Marco, welder, shop floor
Item Welding lens, shade 10, and leather gloves
Size and quantity Gloves L, 1 pair; 1 lens
Reason Lens cracked by spatter
Approved and issued Supervisor Dee, Nov 4
Employee signature Signed
Stock after issue Shade 10 lenses: 2 left, reorder

Delta Fabrication, a welding shop in Shreveport, records the reason as normal wear, so there is no charge. Lens stock is low, so a reorder is triggered.

What trips people up

Adapt it to your team

Healthcare settingsAdd gowns, masks and face shields, and track stock levels per unit.
Manufacturing plantsAdd hearing protection and cut-resistant gloves, and record the task each item is for.
From the fieldKeep a small set of the most common sizes at each site. Workers will not wait for a delivery to replace a torn glove.

Frequently asked questions

Who pays for PPE?

Rules vary. In many cases the employer must provide required PPE.

Does PPE need training?

Some items, such as respirators, do.

How often to replace?

When damaged or as the manufacturer says.

Should employees sign?

Yes, it records issue.

Can employees use their own PPE?

Yes, but under OSHA’s PPE rule the employer is still responsible for making sure it is adequate, maintained and clean. Check it meets the same standard as what you issue. Note on the form that the item is employee-owned.

What if an employee keeps losing PPE?

OSHA does not require employers to pay for replacement PPE that an employee lost or damaged on purpose. Record the reason on each request so you can see a pattern. Normal wear and tear should still be replaced at no cost.

Related resources

More for the same job

Useful next steps

Know who worked when

Use the PPE request form for the record you need today. To see who clocked in, and when, book a demo of EZTime.

Disclaimer: This template is general information to adapt to your own workplace. It is not legal, safety or compliance advice and does not replace inspections, training or requirements set by law, regulators, manufacturers or your insurer. Check the rules that apply to you with a qualified professional.