A fast and exact algorithm is developed for the spin +-2 spherical harmonics transforms on equi-angular pixelizations on the sphere. It is based on the Driscoll and Healy fast scalar spherical harmonics transform. The theoretical exactness of the transform relies on a sampling theorem. The associated asymptotic complexity is of order O(L^2 log^{2}_{2}L), where 2L stands for the square-root of the number of sampling points on the sphere, also setting a band limit L for the spin +-2 functions considered. The algorithm is presented as an alternative to existing fast algorithms with an asymptotic complexity of order O(L^3) on other pixelizations. We also illustrate these generic developments through their application in cosmology, for the analysis of the cosmic microwave background (CMB) polarization data.