Form Lcs-4 - Personal Protective Equipment Hazard Assessment For Laboratory Workers Page 2
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1
2APPENDIX B
FORM LCS-4
Check
All
Task
Potential Hazard
Recommended PPE
That
Apply
Working with infrared emitting
Cataracts,
Appropriate shaded goggles,
equipment (e.g., glass blowing).
flash burns to cornea.
lab coat, closed shoe, pants.
Potential cell damage,
Working with radioactive human
Safety glasses (goggles for splash hazard),
potential spread of
blood, body fluids, or blood
light latex gloves,
radioactive contaminants, or
borne pathogens (BBP).
lab coat, closed shoe, pants.
potential BBP exposure.
Biological Hazards
Working with small volumes of
Potential contraction of
Safety glasses,
human blood, body fluids,
infectious disease, potential
light latex gloves,
tissues, or blood borne
spread of infectious disease.
lab coat, closed shoe, pants.
pathogens.
Increased potential for
Working with large volumes of
Safety goggles with face shield,
contraction of infectious
human blood, body fluids,
latex gloves,
disease or increased
tissues, or blood borne
lab coat, closed shoe, pants.
potential for spread of
pathogens.
Coveralls and boot covers if necessary.
infectious disease.
Animal bites, stings, or
infectious disease.
Safety glasses or goggles,
Working with live or poisonous
Skin or eye damage from
protective gloves,
animals and plants.
contact with animal or plant
lab coat, closed shoe, pants.
poisons.
Potential exposure to
Working with animal specimens
Safety glasses or goggles, protective gloves, lab
infectious disease, animal
(preserved or unpreserved).
coat, closed shoe, pants.
toxins, or preservatives.
Physical Hazards
Safety glasses or goggles for large volumes,
Major skin, tissue, or eye
Working with cryogenic liquids.
heavy insulated gloves,
damage.
lab coat, closed shoe, pants.
Safety glasses,
Working with very cold
Frostbite, hypothermia.
insulated gloves and warm clothing,
equipment or dry ice.
lab coat, closed shoe, pants.
Working with hot liquids,
Safety glasses or goggles for large volumes,
equipment, open flames
Burns resulting in skin or eye
insulated gloves,
(autoclave, bunsen burner,
damage.
lab coat, closed shoe, pants.
water bath, oil bath).
Conjunctivitis, corneal
Appropriate shaded goggles and face shield,
Metal arc or tungsten arc (TIG)
damage, erythema,
gloves,
welding.
skin burns.
lab coat, closed shoe, pants.
Eye damage from foreign
Safety glasses,
Instrument repair.
objects.
no loose clothing or jewelry.
Eye damage from foreign
Safety glasses,
objects,
Metal or woodworking.
gloves,
lacerations from burrs or
no loose clothing or jewelry.
splinters.
Safety goggles, appropriate gloves, lab coat,
Skin or eye damage,
closed shoes or boots if necessary, pants, NIOSH
Working in nuisance dusts.
respiratory damage.
approved dust mask or other respiratory
protection (call EHS).
Heavy rubber gloves,
Glassware washing.
Lacerations.
lab coat, closed shoes, pants.
Working with loud equipment,
Potential ear damage and
Ear plugs or headphones as necessary.
noises, sounds, or alarms, etc.
hearing loss.
New Tasks or Other Hazards
Check
All That
Task
Potential Hazard
Recommended PPE
Apply
Exempted Areas
(Use the following space to describe protected lab areas where PPE is not required)
Check
Physical Barrier (ie wall,
All
Lab Area
Exemption (eyewear, gloves, etc.)
curtain, lab bench)
That
B-6
Jun 05
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