Title Page
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Arc Flash PPE Checklist
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Miami Distribution Center
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Conducted on
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Prepared by
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Personnel
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Employee Name
Clothing
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Long sleeve shirt and long pants with a minimum arc flash rating of 8 calories (cal/cm2)
Eye Protection
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Safety Glasses
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Arc rated flash suit hood or arc flash helmet with face chin cup and balaclava
Head
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Hard hat (required when working with energized equipment)
Hearing
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Hearing protection (ear canal inserts)
Hands
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Leather gloves
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Arc rated rubber insulated gloves
Feet
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EH rated, leather, over the ankle, steel or composite safety toed work boot
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Comments
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Employee Signature
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Safety Coordinator Signature