Personal Protective Equipment (PPE)
Hazard Assessment Survey and Analysis
The Following Hazards Have Been Noted
Part of Body
Hazard
Required PPE
Notes
Penetration-sharp objects
Leather/cut resistant gloves
Penetration-animal bites
Leather/cut resistant gloves
Hands
Penetration-rough objects
General purpose work gloves
Chemical(s) __________
Chemical resistant gloves;
Type _________________
____________________
Extreme cold
Insulated gloves
Extreme heat
Heat/flame resistant gloves
Blood or other body fluids
Latex or nitrile gloves
Electrical shock
Insulated rubber gloves;
Vibration-power tools
Type _____________
Other ______________
Cotton, leather or anti-vibration
gloves
Other __________________
Impact-flying objects,
Safety glasses w/side shields
Glasses/goggles w/face shield
chips, sand or dirt
Eyes and Face
Nuisance dust
Impact goggles
UV light-welding, cutting,
Welding goggles
Welding helmet/shield w/safety
torch brazing or soldering
Chemical-splashing liquid
glasses & side shields
Chemical-irritating mists
Chemical goggles/ face shield
Hot sparks-grinding
Chemical splash goggles
Splashing molten metal
Safety glasses w/side shields
Glasses/goggles w/face shield
Glare/High Intensity lights
Safety goggles w/face shield
Laser operations
Shaded safety glasses
Other ______________
Laser spectacles or goggles
Other __________________
Ear muffs, plugs or
Ears
Exposure to noise levels
ear caps
( 85 dBA 8-hour TWA)
Leather welding hood
Exposure to sparks
Other __________________
Other ______________
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