Hot sparks-grinding Chemical splash goggles Safety glasses w/side shields Splashing molten metal Glasses/goggles w/face shield Intensity Safety goggles w/face shield lights Shaded safety glasses Laser operations Laser spectacles or goggles ______________ Other __________________ Ears Ear muffs, plugs or Exposure to levels ( 85 dBA 8-hour TWA) ear caps Exposure to sparks Leather welding hood Other ______________ Other __________________ Part of Body Hazard Required PPE Notes Nuisance dust/mist Disposable dust/mist mask Welding Welding respirator Respiratory Asbestos Respirator w/HEPA filter System Pesticides Respirator w/pesticide cartridges Paint spray Respirator w/paint spray cartridges Organic vapors Respirator w/organic cartridges Acid gases Respirator w/acid gas cartridges SCBA or Type C airline Oxygen respirator or Immediately Dangerous Other________________ to Life & Health atmosphere (IDLH) Other______________ Feet Impact-heavy objects Steel toe safety shoes Compression-rolling or Leather boots or safety shoes pinching objects/vehicles w/metatarsal guards Slippery or wet surface Slip resistant soles Penetration-sharp objects Puncture resistant Penetration-chemical Chemical resistant boots/covers Splashing-chemical Rubber boots/closed top shoes Exposure to extreme cold Insulated boots or shoes Other______________ Other________________ Head Struck by falling object Hard hat/cap Struck against fixed object A Electrical-contact with Class B exposed wires/conductors Class C Other______________
Hot sparks-grinding Splashing molten metal Intensity lights Laser operations ______________ Chemical splash goggles Safety glasses w/side shields Glasses/goggles w/face shield Safety goggles w/face shield Shaded safety glasses Laser spectacles or goggles Other __________________ Ears Exposure to levels ( 85 dBA 8-hour TWA) Exposure to sparks Other ______________ Ear muffs, plugs or ear caps Leather welding hood Other __________________ Part of Body Hazard Required PPE Notes Respiratory System Nuisance dust/mist Welding Asbestos Pesticides Paint spray Organic vapors Acid gases Oxygen or Immediately Dangerous to Life & Health atmosphere (IDLH) Other______________ Disposable dust/mist mask Welding respirator Respirator w/HEPA filter Respirator w/pesticide cartridges Respirator w/paint spray cartridges Respirator w/organic cartridges Respirator w/acid gas cartridges SCBA or Type C airline respirator Other________________ Feet Impact-heavy objects Compression-rolling or pinching objects/vehicles Slippery or wet surface Penetration-sharp objects Penetration-chemical Splashing-chemical Exposure to extreme cold Other______________ Steel toe safety shoes Leather boots or safety shoes w/metatarsal guards Slip resistant soles Puncture resistant Chemical resistant boots/covers Rubber boots/closed top shoes Insulated boots or shoes Other________________ Head Struck by falling object Struck against fixed object Electrical-contact with exposed wires/conductors Other______________ Hard hat/cap A Class B Class C