Regulatory, Compliance & Labor
Farm PPE Assessment Form
A form for assessing personal protective equipment needs by job task on a farm, used by owners and supervisors to match gear to hazards. Review it with the people involved and update it whenever your operation changes.
Download free PDF1 page, US Letter, prints clean in black and white
FormRegulatory, Compliance & LaborFree PDF
What you fill in
- Job or task being assessed
- Location or worksite
- Hazards present
- Eye and face protection needed
- Hearing protection needed
- Hand and foot protection needed
- Respirator needed per label
- Assessed by
- Date and worker signature
How to use this form
Print one per event, animal, field or person. A completed form on file is easier to rely on than a memory.
Where to check the details
This sheet is a general template, so confirm specifics with your own manuals, labels and local rules. For current official guidance, start with OSHA and eXtension.
For more in this area, see the printable farm safety sheets. Between chores, farm.FM has farm humor, including Fancy on the Farm Just Fails, and agribusiness farm stories.