Haz Assess for Ppe

7/28/2019 Haz Assess for Ppe

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Option 1

Hazard Assessment For PPEUse with WAC 296-800-160 Personal Protective Equipment (PPE)

This tool can help you do a hazard assessment to see if your employees need to usepersonal protective equipment (PPE) by identifying activities that may create hazardsfor your employees. The activities are grouped according to what part of the body mightneed PPE. You can make copies, modify and customize it to fit the specific needs ofyour particular work place, or develop your own form that is appropriate to your workenvironment.

This tool can also serve as written certification that you have done a hazard assessmentas required by WAC 296-800-16010 Document your hazard assessment for PPE.Make sure that the blank fields at the beginning of the checklist (indicated by *) are filledout (see below, Instructions #4).

Instructions:

1. Do a walk through survey of each work area and job/task. Read through the list of

work activities in the first column, putting a check next to the activities performed inthat work area or job.

2. Read through the list of hazards in the second column, putting a check next to thehazards to which employees may be exposed while performing the work activities orwhile present in the work area. (for e.g., work activity: chopping wood; work-relatedexposure: flying particles).

3. Decide how you are going to control the hazards. Try considering engineering, workplace, and/or administrative controls to eliminate or reduce the hazards beforeresorting to using PPE. If the hazard cannot be eliminated without using PPE,indicate which type(s) of PPE will be required to protect your employee from the


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indicate which type(s) of PPE will be required to protect your employee from the

Option 1

PPE Hazard Assessment Certification Form

*Name of work place: __________________________________ *Assessment conducted by:_________________________

*Work place address: __________________________________ *Date of assessment:_______________________________

Work area(s): _________________________________________ Job/Task(s):_______________________________________

*Required for certifying the hazard assessment. Use a separate sheet for each job/task or work area

EYES

Work activities, such as:abrasive blasting sandingchopping sawingcutting grindingdrilling hammeringweldingpunch press operationsother:

Work-related exposure to:airborne dustflying particlesblood splasheshazardous liquid chemicalsintense lightother:

Can hazard be eliminated without the use of PPE?Yes No

If no, use:Safety glasses Side shieldsSafety goggles Dust-tightShading/Filter (# ) gogglesWelding shieldOther:

FACE

Work activities, such as:cleaning foundry workcooking weldingsiphoning mixingpainting pouring moltendip tank operations metalother

Work-related exposure to:hazardous liquid chemicalsextreme heat/coldpotential irritants:other:


If no, use:Face shieldShading/Filter (# )Welding shieldOther:

HEAD

Work activities, such as:building maintenanceconfined space operationsconstructionelectrical wiringwalking/working under catwalkswalking/working under conveyor belts

walking/working under crane loadsutility work

Work-related exposure to:beamspipesexposed electrical wiring orcomponentsfalling objectsmachine parts

other:


If no, use:Protective Helmet

Type A (low voltage)Type B (high voltage)Type C

Bump cap (not ANSI-approved)Hair net or soft cap


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Option 1

other: Other:

HANDS/ARMS

Work activities, such as:baking material handlingcooking sandinggrinding sawing

welding hammeringworking with glassusing computersusing knivesdental and health care servicesother:

Work-related exposure to:bloodirritating chemicalstools or materials that could scrape,

bruise, or cutextreme heat/coldother:


If no, use:

GlovesChemical resistanceLiquid/leak resistanceTemperature resistanceAbrasion/cut resistanceSlip resistance

Protective sleevesOther:

FEET/LEGS

Work activities, such as:building maintenanceconstructiondemolitionfood processingfoundry workloggingplumbingtrenchinguse of highly flammable materialswelding

other:

Work-related exposure to:explosive atmospheresexplosivesexposed electrical wiring orcomponentsheavy equipmentslippery surfacestoolsother:


If no, use:Safety shoes or boots

Toe protection Metatarsal protectionElectrical protection Heat/cold protectionPuncture resistance Chemical resistanceAnti-slip soles

Leggings or chapsFoot-Leg guards

Other:

BODY/SKIN

Work activities such as:baking or fryingbattery chargingdip tank operationsfiberglass installationirritating chemicalssawing

other:

Work-related exposure to:chemical splashesextreme heat/coldsharp or rough edgesother:


If no, use:Vest, JacketCoveralls, Body suitRaingearApronWelding leathersAbrasion/cut resistance


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Option 1

Other:

BODY/WHOLE 1

Work activities such as:building maintenanceconstructionlogging

utility workother:

Work-related exposure to:working from heights of 10 feet ormoreworking near water

other:


If no, use:

Fall Arrest/Restraint: Type:PFD: Type:Other:

*(See Footnote 1)

LUNGS/RESPIRATORY 1

Work activities such as:cleaning pouring

mixing sawingpaintingfiberglass installationcompressed air or gas operationsother:

Work-related exposure to:irritating dust or particulate

irritating or toxic gas/vaporother:


*(See Footnote 1)

EARS/HEARING 1

Work activities such as:generator grindingventilation fans machiningmotors routerssanding sawingpneumatic equipmentpunch or brake pressesuse of conveyorsother:

Work-related exposure to:loud noisesloud work environmentnoisy machines/toolspunch or brake pressesother:


*(See Footnote 1)

(1) NOTE: There are other hazards requiring PPE (such as respiratory, noise, fall, etc. hazards), that are not included in this volume of the PPEGuide but will be covered in future volumes (see WAC 296-62 for respiratory and hearing protection and WAC 296-155 for fall protection for further


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Option 1assessment). However, you should consider all hazards when you conduct your hazard assessment. See a list of other WISHA rules (in How touse this guide p. 4) for information regarding PPE for specific work places.

Documents

Haz Assess for Ppe