pouring irritating or toxic gas/vapor Yes No mixing Pesticides (EHS must be contacted before employees are sawing Name other hazard: _____________ permitted to utilize a respirator) painting Dust mask fiberglass installation 1/2 mask compressed air or gas operations Full mask welding Powered Air Purifying Respirator (PAPR) Name task or work area:________________ Self Contained Breathing Apparatus (SCBA) Name other PPE: _________________________________ No PPE Required EARS/HEARING Task or Work Area, such as: HAZARD(s): Can hazard be eliminated without the use of generator loud noises PPE? grinding loud work environment Yes No ventilation fans noisy machines/tools machining punch or brake presses Ear Plugs motors landscaping equipment (ex. Lawn Ear Muffs routers mower, blower, weed whacker) Name other PPE: sanding firearms _________________________________ sawing Name other hazard: _____________ No PPE Required pneumatic equipment punch or brake presses use of conveyors Name task or work area:________________
pouring mixing sawing painting fiberglass installation compressed air or gas operations welding Name task or work area:________________ irritating or toxic gas/vapor Pesticides Name other hazard: _____________ Yes No (EHS must be contacted before employees are permitted to utilize a respirator) Dust mask 1/2 mask Full mask Powered Air Purifying Respirator (PAPR) Self Contained Breathing Apparatus (SCBA) Name other PPE: _________________________________ No PPE Required EARS/HEARING Task or Work Area, such as: generator grinding ventilation fans machining motors routers sanding sawing pneumatic equipment punch or brake presses use of conveyors Name task or work area:________________ HAZARD(s): loud noises loud work environment noisy machines/tools punch or brake presses landscaping equipment (ex. Lawn mower, blower, weed whacker) firearms Name other hazard: _____________ Can hazard be eliminated without the use of PPE? Yes No Ear Plugs Ear Muffs Name other PPE: _________________________________ No PPE Required
personal_protective_equipment_program_revision_7_2015.docx