Max Katz Bag Ppe Hazard Assessment Form
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3Max Katz Bag Co. Inc.
PPE Hazard Assessment Form
I am reviewing (check the appropriate box:
❏ A worksite location
Specify location:
❏ A single employee’s
description
Name of employee:
Position:
❖ A description for a
department
Position: Entire line
Location: Manufacturing
Your Name: Eric Curlin
Department: Plant Wide
Date: 00/00/0000
Check the appropriate box for each hazard:
Description of Hazard(s)
Required PPE
❏
Chemical Exposure
High Heat / Cold
❏
❏
Dust / Flying debris
❏
Impact
UV / IR Radiation
❏
Other
❏
Eye Hazards:
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Parent category: Business