Lead-Safe Work Practices Checklist
Complete this checklist to verify compliance with essential lead-safe work practices on your project site.
Project Name or Address
*
Date of Work
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Responsible Person's Name
*
First Name
Last Name
All workers trained in lead-safe work practices?
*
Yes
No
Work area contained and warning signs posted?
*
Yes
No
Personal protective equipment (PPE) used by all workers?
*
Yes
No
Dust minimized using wet methods and HEPA vacuum?
*
Yes
No
Waste contained and disposed of properly?
*
Yes
No
Final cleaning performed using HEPA vacuum and wet wiping?
*
Yes
No
Comments or Notes
Submit Checklist
Should be Empty: