DOA PPE HAZARD ASSESSMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Division

• Job title

• Assessment completed by

  Sign

• Select date

  Date

Clothing 1910.132

• PPE item

  Select Rain gear Hydration pack Tyvek suit Protective sleeve Winter jacket Cooling jacket Hi-vis vest or sash Apron Chaps Gaiters Long sleeves Arc flash suit Flotation vest Elbow, knee pads Smock

  • Rain gear
  • Hydration pack
  • Tyvek suit
  • Protective sleeve
  • Winter jacket
  • Cooling jacket
  • Hi-vis vest or sash
  • Apron
  • Chaps
  • Gaiters
  • Long sleeves
  • Arc flash suit
  • Flotation vest
  • Elbow, knee pads
  • Smock

• Task

Eye/face 1910.133

• PPE item

  Select safety glasses face shield splash goggles ventilated goggles sunglasses welding goggles welding mask/helmet eyewash

  • safety glasses
  • face shield
  • splash goggles
  • ventilated goggles
  • sunglasses
  • welding goggles
  • welding mask/helmet
  • eyewash

• Task

Respiratory 1910.134

• PPE item

  Select dust mask N95 dust mask N99 dust mask OV half-face purifying full-face purifying full-face PAPR half-face chem (specify) full-face chem ( specify) supplied-air full face scba full face pre-filter

  • dust mask N95
  • dust mask N99
  • dust mask OV
  • half-face purifying
  • full-face purifying
  • full-face PAPR
  • half-face chem (specify)
  • full-face chem ( specify)
  • supplied-air full face
  • scba full face
  • pre-filter

• Type of chem cartridges

• Task

Head protection 1910.135

• PPE item

  Select hard hat bump cap ball cap sun cap chin strap sweat liner

  • hard hat
  • bump cap
  • ball cap
  • sun cap
  • chin strap
  • sweat liner

• Task

Foot protection 1910.136

• PPE item

  Select work shoes, boots non-slip sole rubber boot metatarsal guard toe cap waders static dissipative non-conductive snakebite boots, legging cleated chainsaw boots overshoes voltage-rated Tyvek booties

  • work shoes, boots
  • non-slip sole
  • rubber boot
  • metatarsal guard
  • toe cap
  • waders
  • static dissipative
  • non-conductive
  • snakebite boots, legging
  • cleated
  • chainsaw boots
  • overshoes
  • voltage-rated
  • Tyvek booties

• Task

Electrical 1910.137

• PPE item

  Select rated gloves glove liner rated head gear rated sleeves rated footwear arc-flash clothing arc-flash hood

  • rated gloves
  • glove liner
  • rated head gear
  • rated sleeves
  • rated footwear
  • arc-flash clothing
  • arc-flash hood

• Task

Hand protection 1910.138

• PPE item

  Select latex gloves nitrile gloves butyl gloves neoprene gloves polyvinyl chloride gloves viton gloves barrier cream cloth gloves leather gloves padded leather gloves anti-vibration gloves voltage-rated gloves cut/puncture resistant gloves welding gloves heat-resistant gloves finger cots

  • latex gloves
  • nitrile gloves
  • butyl gloves
  • neoprene gloves
  • polyvinyl chloride gloves
  • viton gloves
  • barrier cream
  • cloth gloves
  • leather gloves
  • padded leather gloves
  • anti-vibration gloves
  • voltage-rated gloves
  • cut/puncture resistant gloves
  • welding gloves
  • heat-resistant gloves
  • finger cots

• Task

Other

• PPE item

• Task

• NOTE: other PPE related to hearing protection, bloodborne pathogens, fall protection, confined space entry, etc. is addressed in separate hazard assessments as recommended by the DOA Safety and Health Program.