Ppe Hazard Assessment Checklist

TOOL TYPE CHECKLIST LAST REVIEWED 05/20/16 GEOGRAPHY ALL SOURCE: WA PPE GUIDE

PPE HAZARD ASSESSMENT CHECKLIST BENEFITS If you can’t eliminate or minimize a safety hazard using engineering controls or safe work practices, you must ensure that workers have and use appropriate personal protective equipment (PPE) to protect themselves from that hazard. But before you can know if workers need PPE, you must assess your workplace for hazards, which will help you select the appropriate PPE for any hazards present or likely to be present.

HOW TO USE THE TOOL

Adapt this checklist for your OHS program, workplace and the requirements in your jurisdiction’s OHS laws on PPE. Use it to assess your workplace and identify the hazards by the body parts affected. Use a separate sheet for each job/task or work area you assess. Decide how to control the identified hazards, considering engineering, workplace and/or administrative controls first. If the hazard can’t be eliminated without using PPE, indicate which type(s) of PPE will be required to protect workers from the hazard.

OTHER RESOURCES:

Washington State PPE Guide

Model PPE Policy

Noise Control: How to Develop a Compliant Hearing Conservation Program

TH I S TOOL AN D H U N DR E D S M OR E AVA I L A BL E I N T H E OHS TOO L BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. Complying with the Requirements for Safety Headwear

Safety Footwear Requirements under the OHS Laws

Complying with the Eye Protection Requirements

Complying with the Hierarchy of Fall Protection Equipment

PPE: How to Choose Appropriate Respiratory Protection

TH I S TOOL AN D H U N DR E D S M OR E AVA I L A BL E I N T H E OHS TOO L BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. PPE HAZARD ASSESSMENT CHECKLIST

Person conducting assessment:______

Date of assessment:______

Work area:______

Job/work task:______

EYES Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: abrasive blasting airborne dust Safety glasses sanding flying particles Safety goggles sawing blood splashes Dust-tight goggles grinding hazardous liquid chemicals Shading/Filter (# ) hammering intense light Welding shield chopping other: Side shields cutting other: welding drilling punch press operations other: FACE Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: cleaning hazardous liquid chemicals Face shield cooking extreme heat/cold Shading/Filter (# ) siphoning potential irritants: Welding shield painting other: other: dip tank operations foundry work welding mixing pouring molten metal other:

T HI S TOOL A ND H U N DR E D S M OR E AVA I L A B L E IN T H E OHS TO OL BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. HEAD Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: building maintenance beams Protective Helmet Type A (low voltage) Type B (high voltage) Type C confined space operations pipes Bump cap (not ANSI- approved) construction exposed electrical wiring or Hair net or soft cap components electrical wiring falling objects other: walking/working under machine parts catwalks walking/working under other: conveyor belts walking/working under crane loads utility work other: HANDS/ARMS Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: baking blood Gloves Chemical resistance Liquid/leak resistance Temperature resistance Abrasion/cut resistance Slip resistance cooking irritating chemicals Protective sleeves material handling tools or materials that could other: scrape, bruise or cut sanding extreme heat/cold grinding other: sawing hammering welding

T HI S TOOL A ND H U N DR E D S M OR E AVA I L A B L E IN T H E OHS TO OL BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. working with glass using computers using knives dental and healthcare services other: FEET/LEGS Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: building maintenance explosive atmospheres Safety shoes or boots Toe protection Metatarsal protection Electrical protection Heat/cold protection Puncture resistance Chemical resistance Anti-slip soles construction explosives Leggings or chaps demolition exposed electrical wiring or Foot-leg guards components food processing heavy equipment foundry work slippery surfaces logging tools plumbing other: trenching use of highly flammable materials welding other: BODY/SKIN Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: baking or frying chemical splashes Vest, jacket battery charging extreme heat/cold Coveralls, body suit dip tank operations sharp or rough edges Raingear fiberglass installation other: Apron

TH I S TOOL AN D H U N DR E D S M OR E AVA I L A BL E I N T H E OHS TOO L BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. irritating chemicals Welding leathers sawing Abrasion/cut resistance other: other: BODY/WHOLE Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: building maintenance working from heights of 3 Fall arrest/restraint: metres or more Type: construction working near water PFD: Type: logging other: other: utility work other: LUNGS/RESPIRATORY Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: cleaning irritating dust or particulate Particulate respirator mixing irritating or toxic gas/vapor Chemical cartridge respirator painting other: Gas mask fiberglass installation Powered air-purifying respirator (PAPR) compressed air or gas Supplied-air (airline) operations respirator pouring Combination supplied-air (airline) respirator with auxiliary self-contained air supply sawing Self-contained breathing apparatus (SCBA) other: other: EARS/HEARING Work activities, such as: Work-related exposure to: Can hazard be eliminated without the use of PPE? Yes No If no, use: generator loud noises Ear muffs grinding loud work environment Ear plugs machining noisy machines/tools other: routers punch or brake presses sawing other:

TH I S TOOL AN D H U N DR E D S M OR E AVA I L A BL E I N T H E OHS TOO L BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures. ventilation fans motors sanding pneumatic equipment punch or brake presses use of conveyors other:

TH I S TOOL AN D H U N DR E D S M OR E AVA I L A BL E I N T H E OHS TOO L BOX AT www.ohsinsider.com. Templates and tools from OHS Insider are provided for members of our service. Members may use this document as is or as a starting point to customize their own documents. OHS Insider assumes no responsibility for the effectiveness or legality of any of its online templates or tools. Always consult your legal counsel and management before implementing any new policies or procedures.