Run Rubber Insulating Glove and Sleeve In-Service Inspection Log — Free

Inspection Details

Inspector name

Name of the person performing the inspection.

Inspection date and time critical (required)

Date and time the in-service inspection was completed.

Work location or job site

Location where the PPE will be used.

Task or energized work description

Brief description of the electrical task requiring insulating PPE.

Rubber Insulating Gloves

Gloves are the correct class and size for the task critical (required)

Verify the glove class, size, and voltage rating are appropriate for the work.

Yes No N/A

Air test performed before use critical (required)

Each glove was inflated and checked for leaks before use.

Yes No N/A

No air leaks, punctures, or tears detected critical (required)

Glove held air without visible leakage, hissing, or deformation indicating damage.

Yes No N/A

Exterior surface free of cuts, cracks, embedded objects, swelling, or hardening critical (required)

Inspect the full glove surface, including fingers, palm, cuff, and seams, for visible damage or deterioration.

Yes No N/A

Gloves free of contamination critical (required)

No oil, grease, solvent, chemical residue, or other contamination that could degrade insulation or create a slip hazard.

Yes No N/A

Electrical retest date is current critical (required)

Verify the glove is within the required electrical retest interval and has not expired.

Yes No N/A

Gloves properly stored and dry before issue

Gloves were stored to prevent ozone, sunlight, moisture, and mechanical damage; no dampness present before use.

Yes No N/A

Rubber Insulating Sleeves

Sleeves are the correct class and size for the task critical (required)

Verify sleeve class, length, and voltage rating are appropriate for the work.

Yes No N/A

Sleeves visually inspected before use critical (required)

Inspect the full sleeve surface for cuts, cracks, punctures, swelling, hardening, embedded foreign material, or other defects.

Yes No N/A

No contamination or moisture present critical (required)

Sleeves are clean, dry, and free of oil, grease, chemicals, or moisture that could affect performance.

Yes No N/A

Electrical retest date is current critical (required)

Verify the sleeve is within the required electrical retest interval and has not expired.

Yes No N/A

Sleeves free of damage at straps, buckles, and attachment points critical (required)

Check all hardware and attachment areas for wear, cracks, deformation, or missing components.

Yes No N/A

Removal from Service and Documentation

Any failed glove or sleeve removed from service critical (required)

Any item with a defect, contamination, leak, or expired retest date was tagged and removed from service immediately.

Yes No N/A

Defects documented with item identification

Record the glove or sleeve identifier, defect observed, and disposition.

Replacement PPE issued or available

Replacement gloves or sleeves were issued or confirmed available before work continued.

Yes No N/A

Inspector signature critical (required)

Signature confirming the inspection was completed and findings are accurate.

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Run: Rubber Insulating Glove and Sleeve In-Service Inspection Log

Inspection Details

Rubber Insulating Gloves

Rubber Insulating Sleeves

Removal from Service and Documentation

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