Title Page

  • Arc Flash PPE Checklist

  • Miami Distribution Center

  • Conducted on

  • Prepared by

  • Personnel

  • Employee Name

Clothing

  • Long sleeve shirt and long pants with a minimum arc flash rating of 8 calories (cal/cm2)

Eye Protection

  • Safety Glasses

  • Arc rated flash suit hood or arc flash helmet with face chin cup and balaclava

Head

  • Hard hat (required when working with energized equipment)

Hearing

  • Hearing protection (ear canal inserts)

Hands

  • Leather gloves

  • Arc rated rubber insulated gloves

Feet

  • EH rated, leather, over the ankle, steel or composite safety toed work boot

  • Comments

  • Employee Signature

  • Safety Coordinator Signature

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