PPE Hazard Assessment

• Conducted on

  Date

• Prepared by

  Select

• Location

  Select

• Personnel/Task/Role

Eyes

• Work related exposure to:

  Select Airborne dust Flying particles Blood splashes Hazardous liquid chemicals Intense light

  • Airborne dust
  • Flying particles
  • Blood splashes
  • Hazardous liquid chemicals
  • Intense light

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Face

• Work related exposure to:

  Select Hazardous liquid chemicals Extreme heat/cold Potential irritants

  • Hazardous liquid chemicals
  • Extreme heat/cold
  • Potential irritants

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Head

• Work-related exposure to:

  Select Beams Pipes Exposed elect wiring or comp Falling objects Machine parts

  • Beams
  • Pipes
  • Exposed elect wiring or comp
  • Falling objects
  • Machine parts

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Hands/arms

• Work-related exposure to:

  Select Blood Irritating chemicals tools or materials that could scrape, Bruise, or cut Extreme heat/cold

  • Blood
  • Irritating chemicals
  • tools or materials that could scrape, Bruise, or cut
  • Extreme heat/cold

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Feet/Legs

• Work – related exposure to:

  Select Explosive atmospheres Explosives Exposed electrical wiring or components Heavy equipment Slippery surfaces Tools

  • Explosive atmospheres
  • Explosives
  • Exposed electrical wiring or components
  • Heavy equipment
  • Slippery surfaces
  • Tools

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Body/Skin

• Work – related exposure to:

  Select Chemical splashes Extreme heat/cold Sharp or rough edges

  • Chemical splashes
  • Extreme heat/cold
  • Sharp or rough edges

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

Lung/Respiration

• Work – related exposure to:

  Select Irritating dust or particulate Irritating or toxic gas/vapor

  • Irritating dust or particulate
  • Irritating or toxic gas/vapor

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

• Note: there are other hazards requiring PPE (such as respiratory, noise, fall, etc. hazards), that are not included in this volume of the PPE guide 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 assessment). However, you should consider all hazards when you conduct your hazard assessment. See a list of other WISHA rules (in "how to use this guide") for information regarding PPE for specific workplaces.

Ears/Hearing

• Work – related exposure to:

  Select Loud noises Loud work environment Noisy machine/tools Punch or break presses

  • Loud noises
  • Loud work environment
  • Noisy machine/tools
  • Punch or break presses

• Can hazard be eliminated without use of PPE

  Yes

  No

  N/A

• Note: there are other hazards requiring PPE (such as respiratory, noise, fall, etc. hazards), that are not included in this volume of the PPE guide 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 assessment). However, you should consider all hazards when you conduct your hazard assessment. See a list of other WISHA rules (in "how to use this guide") for information regarding PPE for specific workplaces.