Personal Protective Equipment Hazard Assessment Form
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2Personal Protective Equipment Hazard Assessment Form
Department/
Location:
Date:
Operation:
Assessment Conducted by:
Eye and Face Hazards
Chemical splashes
Welding operations
Grinding, buffing, polishing
Dusts
Lasers/Optical Radiation
Hot metal
Sanding
Biohazards
Flying particles
Spray painting/mists
Soldering Operations
Eye and Face Protection
Safety glasses or goggles
Yes
No
Splash goggles
Yes
No
Face Shield
Yes
No
Comments:
Foot Hazards
Heavy material handling
Slippery conditions
Construction / demolition
Sharp edges or points
Wet conditions
Exposed electrical wires
Hot metal
Chemical contact
Biohazards
Foot Protection - Safety Shoes With:
Toe protection
Yes
No
Metatarsal protection
Yes
No
Puncture resistant
Yes
No
Electrical insulation
Yes
No
Chemical resistance
Yes
No
Heat resistant spats
Yes
No
Comments:
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Parent category: Business