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Conducting a PPE Hazard Assessment

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Conducting a PPE

Hazard Assessmen

t

OBJECTIVES

Review general concepts of personal protective equipment What is a hazard assessment

When is one required How to conduct one

Cover the process for training employees

WHAT IS . . . .

Commonly referred to as “PPE”

Includes a wide variety of devices

PPE acts as a “barrier” against hazards

Last line of defense against a hazard, not primary

PERSONAL PROTECTIVE EQUIPMENT

HIERARCHY OF CONTROLS

Elimination Chemical Substitution Engineering controls

– Safeguarding technology Equipment redesign Using local exhaust fans or chemical fume hoods

Administrative controls– Training and procedure

Job rotation Contracting out work

PPE– Last line of defense, not primary– In some cases PPE should be used in conjunction with above controls in

case of failure

WHAT IS . . . .

In simple terms an assessment determines: If “PPE” is needed What type is needed Where and when it is needed Who needs it

HAZARD ASSESSMENT

Is an evaluation of a work place, or work situation, as to the potential for hazards that an employee may encounter while performing the job.

WHY HAZARD ASSESSMENTS

To keep workers safe

To establish the minimum “PPE” requirements for job, task and/or work areas with potential injury exposure

To comply with OSHA standards 1910.132 (general) 1910.133 (eye/face) 1910.134 (respiratory) 1910.135 (head) 1910.136 (foot) 1910.137 (electrical) 1910.138 (hands)

REQUIREMENTS

Perform hazard assessments

Select and provide appropriate PPE

Inform, fit and train employees on PPE

Review to ensure forms up-to-date and accurate

Employer

Attend required PPE training sessions

Wear PPE as required

Clean, maintain, and properly care for PPE

Notify supervisor if repair or replacement of equipment is necessary

Employee

Hazard AssessmentWHERE DOWE START?

By reviewing accident and illness reports (include close calls & near misses) Is there a work area that seems to have more accidents and injuries than

others? Is there a type of injury that seems to occur more frequently than others?

If injury and illness reports don’t show a starting point, consider: Label or MSDS New tasks or positions Tasks that have changed Non-routine jobs Routine jobs

When you’ve got your starting point, conduct a walk-through survey

Involve employees in survey process Observe and record

Layout of workplace (all functions that are performed) Location of co-workers and other processes / tasks Classify hazards in these basic categories:

• Impact (falling/flying objects)• Penetration (sharp objects piercing feet, hands, or other parts of body)• Compression (roll-over or pinching objects)• Chemical exposure (inhalation, ingesting, skin contact, eye contact or injection)• Extreme heat/cold• Respiratory (dusts, mists or other unhealthy breathing air)• Falls• Electrical• Excessive noise• Water (potential for drowning or fungal infections caused by wetness)

WALK-THROUGH SURVEY

1

Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Job/Task: __________________________ Location: _____________________________

Hazard Type Hazard Source Body Parts At Risk Comments

ORGANIZE DATA

Compile the information gathered from: Walk-through survey Label and MSDS review Review of injury, illness & close call

Determine method (form) to record results of assessment in writing Identify the scope of assessment:

For a specific worksite For a specific job description (Pest Technician, Termite Technician etc) For an individual task completed by employees (bed bug etc)

Arrange information according to body parts at risk:

1

Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Job/Task: Grounds keeping__________________________ Location: Golf Course/Driving Range______________

Hazard Type Hazard Source Body Parts At Risk Comments

Chemical exposure Pesticides & Liquid fertilizer Eyes & face During mixing and application

Hands

Body

Impact Dust or debris Eyes Operation of lawn equipment

Hands

Body

Impact Golf balls Head

Body

Impact Tools, parts, etc Feet During maintenance of equipment

ANALYZE DATA

Estimate injury potential in each hazard group by determining: Type of injuries that could occur without PPE Rate the SEVERITY of injury that would reasonably be expected to result from

exposure to the hazard Rate the PROBABILITY of an accident actually happening. The possibility of exposure to several hazards at once

1

Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Job/Task: Grounds keeping__________________________ Location: Golf Course/Driving Range______________

Hazard Type Hazard Source Body Parts At Risk Comments Severity Probability Risk Code

Chemical exposure

Pesticides & Liquid fertilizer Eyes & face During mixing and application 3 C 2

Hands 3 C 2

Body 3 C 2

Impact Dust or debris Eyes Operation of lawn equipment 3 C 2

Hands 3 D 2

Body 3 B 2

Impact Golf balls Head While operating mowers and lawn equipment 3 D 2

Body 3 D 2

Impact Tools, parts, etc Feet During maintenance of equipment 2 C 2

(1) Note: Engineering, work practice, and/or administrative hazard controls such as guarding must be used, if feasible, before requiring employees to use personal protective equipment.

SELECT CONTROL METHOD

Select an appropriate solution to each hazard Remember the hierarchy of controls:

Elimination Chemical Substitution Engineering controls

– Equipment redesign– Process change

Administrative controls– Job rotation– Contracting work out

PPE

1

Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Job/Task: Grounds keeping__________________________ Location: Golf Course/Driving Range______________

Hazard Type

Hazard Source Body Parts

At Risk Comments Severity Probability Risk

Code Control Method1

Chemical exposure

Pesticides & Liquid fertilizer

Eyes & face During mixing and application 3 C 2 Safety glasses w/side shields or goggles – add

face shield for max protection Hands 3 C 2 Approved chemical resistant gloves according

to MSDS Body 3 C 2 Long sleeved shirt and long pants. Consider

Tyvek sleeves or suit. Impact Dust or debris Eyes Operation of lawn equipment 3 C 2 Safety glasses w/side shields or goggles

Hands 3 D 2 Leather work gloves

Body 3 B 2 Long sleeved shirt and long pants.

Impact Golf balls Head While operating mowers and lawn equipment 3 D 2 Be aware of golfers. Enclosed equipment cab

Class C ANSI approved hard hat Body 3 D 2 Be aware of golfers

Impact Tools, parts, etc Feet During maintenance of equipment 2 C 2 Safety footwear rated for impact and

compression hazards

(1) Note: Engineering, work practice, and/or administrative hazard controls such as guarding must be used, if feasible, before requiring employees to use personal protective equipment.

SELECTION GUIDELINES

Must meet ANSI Z87.1-2003

Eye protection is classified as “Basic” or “High” impact

Frame and lens markings– Mark or logo identifying Mfg– Z87 (basic)– Z87+ (high impact)– Z87-2 (marking for prescription frame)

Face shields are considered secondary protection

Visually inspect safety glasses for:– Scratches– Pitted or cracked lenses– Bent or broken frame parts

Clean and maintain according to MFG’s requirements

Set-up a replacement schedule

Safety Glasses

SELECTION GUIDELINES

Must meet ANSI Z89.1-2009

Two types – Type I (provides top impact protection)– Type II (provides lateral protection plus top protection)

Three classes– Class E (electrical – tested to withstand 20,000 volts)– Class G (general – tested at 2,200 volts)– Class C (conductive – no electrical protection)

Markings– can be worn frontwards or backwards– “LT” meets new lower temp testing (-30° C / -22° F)– “HV” meets high visibility color requirements– Month and date markings

Hard Hats

SELECTION GUIDELINES

Visually inspect shell for:– Cracks, nicks– Holes and dents– Loss of surface gloss– Other signs of wear

Visually inspect suspension for:– Cracks or tears– Frayed or cut straps– Loss of flexibility– Other signs of wear

Clean shell and suspension at regular intervals according to Mfg instructions Store away from extreme temperatures or direct sunlight Set-up a replacement schedule

Hard Hats

SELECTION GUIDELINES

Must meet the following consensus standards– ASTM F2412-2005 (Test methods); ASTM F2413-2005 (Performance Requirements)– ANSI Z41-1999

The “Code”– ANSI Z41 PT 99 (identifies the standard and part)– F I/75 C/75 (applicable gender; resistance to impact or compression and rating)– Mt/75 EH (Used to reference additional sections of the standard)

Fitting techniques– Buy for the larger foot– Don’t cramp toes– Maintain 3/8” to 1/2“ from tip of longest toe to end of shoe

Inspect footwear for:– Cracked, torn or worn uppers– Wear, holes, tears, cracks or loss of tread on bottom– Separation between sole and upper

Clean and maintain according to MFG’s requirements Set-up a replacement schedule

Safety Shoes

ASSESSMEN

T FORMS

1

Hazard Analysis for Personal Protective Equipment (PPE) Assessment

Job/Task: ______________________________ Location: ______________________________

Hazard Type Hazard Source Body Parts At Risk Comments Severity Probability Risk

Code Control Method1

(1) Note: Engineering, work practice, and/or administrative hazard controls such as guarding must be used, if feasible, before requiring employees to use personal protective equipment.

Certification of Assessment

I certify that the above inspection was performed to the best of my knowledge and ability, based on the hazards present on this date

Assessment Conducted By: _____________________________________________________________________ Date: ______________

PPE HAZARD ASSESSMENT/TRAINING CERTIFICATION FORM

November 2005, version 1.2

Work Area(s): ____________________________________________ Job/Task(s): _____________________________________________ (Use a separate sheet for each task) Assessment Conducted By: _____________________________________________________________________ Date: ______________

Exposed Body Part

Hazard Type(s) Personal Protective Equipment (PPE) Required

Eye/Face

Falling/Flying Objects Harmful Dusts Extreme Heat/Cold (burns, frostbite) Chemical (irritation, burns, exposures) Optical (light) Radiation Biological (exposures to mucus membranes)

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No If no, specify PPE: Primary Protection Safety Glasses Goggles Filter Lenses - shade: _______ (2-14) Laser Goggles - OD: ________ (5-8)

Secondary Protection (w/ Primary Protection) Face Shield Welding Helmet

Hand/Arm

Chemical (irritation, burns, exposures) Scrapes/Cuts/Punctures Extreme Heat/Cold (burns, frostbite) Electrical Shock/Burn Biological (exposures to damaged skin) Other_______________________________________

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No If no, specify PPE: Chemical/Liquid Resistant Gloves Temperature Resistant Gloves Abrasion/Cut/Puncture Resistant Gloves Slip Resistant Gloves Non-Conductive Gloves

Specify:

Respiratory Tract

Chemical Harmful Dusts Biological Other_______________________________________

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No Dust Mask ½ Mask Full Face

Specify:

Hearing

Excessive Noise (consider if you must raise voice to communicate @ 3 feet)

Chemical (affecting auditory nerve)

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No Ear Plugs type _____NRR _____ Ear Muffs type _____NRR

Head

Falling Objects Electrical Shock/Burn Bumping Against Fixed Objects

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No If no, specify PPE: Hard Hat - type _____ (G – low voltage, E – high voltage, or C) Bump Hat (not for falling/flying objects – not ANSI approved)

Foot/Leg

Falling/Rolling Objects Punctures Chemical Extreme Heat/Cold (burns, frostbite) Electrical Shock/Burn (contact w/electrical hazards)

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No If no, specify PPE: Safety Shoes Leggings Shoe Covers Other

Toe/Metatarsal Guards Combo. Foot/Shin Guards Conductive Shoes Non-Conductive Safety Shoes

Specify:

Body

Chemical Harmful Dusts Extreme Heat/Cold (burns, frostbite, heat/cold stress) Electrical Shock/Burn Biological (exposures to damaged skin) Falls (consider when working 4 ft above lower surface) Working on or above water (potential drowning hazard)

Can hazard(s) be adequately controlled with engineering and administrative controls? Yes No If no, specify PPE: Apron Coverall Vest Jacket Other

Lab Coat Gown Flotation device (life jacket) Full-Body Suit Personal Fall Arrest System

Specify:

Personal Protective Equipment (PPE) Training

(check)

When the PPE specified on the opposite page is necessary.

What PPE is necessary for the task specified on the opposite page.

How to properly don, doff, adjust, and wear the PPE specified on the opposite page.

The limitations of the PPE

The proper care, maintenance, useful life and disposal of the PPE. I have provided the following employees training on the above information and they demonstrate an understanding of the training. Supervisor’s Name:

_____________________________

Supervisor’s Signature:

_________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Employee’s Name:

_____________________________

Employee’s Signature:

__________________________

Date:

________

Hazard Assessment Form Department:

Date: Completed by:

A worksite or task Specify location or task:

An employees job description

Name of employee:

Working title of position: Position Number:

The job description for a class of employees

Working title of positions:

Position Number(s):

EYE/FACE HAZARDS (Appendix A). Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Chemical Exposure Yes Work in fume hoods Safety glasses High Heat/Cold Yes Enclosure/guarding Safety goggles Dust or Flying Debris Yes Shielding (bystanders) Face shield Impact Yes Safe Work Practices Welding helmet UV Light Yes Dust collection system Cutting goggles Radiation Yes Other: Other:

HEAD HAZARDS (Appendix B). Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Impact Yes Canopy Class G hard hat Electrical Shock Yes De-energization Class E hard hat Entanglement Yes Hair secured Class C hard hat Other: Yes Other: Bump cap/welding cap

FOOT/LEG HAZARDS (Appendix C) Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Chemical Exposure Yes Substitution Work boots High Heat/Cold Yes Mechanical device used Steel-toed shoes/boots Impact/Compression Yes Housekeeping Slip-resistant shoes Puncture Yes Isolation/grounding Puncture-resistant shoes Explosive/Flam. atmos. Yes Safe Work Practices Non-conductive Slippery/Wet Surfaces Yes Appropriate clothing Metatarsal protection Electrical Yes Other: Shin guards Other: Yes Other: Other:

HAND/ARM HAZARDS (Appendix D)

Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Chemical Exposure Yes Substitution Chemical-resistant gloves High Heat or Cold Yes De-energization Thermal-protective gloves Cuts or Abrasion Yes Elimination Cut-resistant gloves Puncture Yes Avoidance Leather gloves Electrical Shock Yes Other: Voltage-rated–Class: Radiation Yes Other: Latex/nylon exam gloves Vibration/grip Yes Other: Anti-vibration gloves Bloodborne Pathogens Yes

BODY/TORSO HAZARDS (Appendix F) Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Chemical Exposure Yes Reduce time exposed Lab coat Extreme Heat/Cold Yes Guards/barriers Apron: Radiation Yes Substitution Flame-retardant Impact Yes De-energization Coveralls Cut/Abrasion/Puncture Yes Mechanical devices Vest Electrical Arc Yes Other: Tyvek suit Pushing/pulling/lifting Yes Other: Other:

FALL HAZARDS (Appendix G). Work on a surface with an unprotected side or edge that is 4 feet or more above a lower level Check the box for each hazard: Description of hazard(s): Controls in place: Identify required PPE.

Fall hazard Yes Guardrail Safe ladder practices

Full-body harness

NOISE HAZARDS (Appendix G). Noise exceeding 90 dBA during an 8 hour work period

Check the box for each hazard: Description of hazard(s): Controls in place: Based upon EHSS evaluation, the following PPE is required:

Noise hazard Yes Noise reduction Reduced exposure

Ear plugs Ear muffs Ultrasonics Yes

RESPIRATORY HAZARDS (Appendix G) Harmful dusts, mists, fumes

Check the box for each hazard: Description of hazard(s): Controls in place: Based upon EHSS evaluation, the following PPE is required:

Chemicals/pesticides Yes Fume hood Half-face Particulates Yes Local exhaust ventilation Full-face Confined space work Yes Increase air flow Air-line/SCBA Welding/cutting fumes Yes Filtration PAPR Other Yes Work outside Dust mask

I certify that the above inspection was performed to the best of my knowledge and ability, based on the hazards present on this date. (PPE Coordinator Signature)

A worksite Specify location:

I am reviewing

(check the appropriate

box):

An employees job description

Type of Task:

An Individual task conducted by employees

Working title of position:

Position Number:

The job description for a class of employees

Working title of positions:

Position Number(s):

Your name:

DEPARTMENT: Date:

EYE HAZARDS: Tasks that can cause eye injury include: working with chemicals or acids; chipping, sanding, or grinding; welding; furnace op erations; and, metal and wood -working. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No High Heat/Cold Yes No Dust or Flying Debris Yes No Impact Yes No Light/Radiation Yes No

HEAD HAZARDS: Tasks that can cause head injury include: working below other workers who are using tools or materials that could fall; worki ng on energized electrical equipment or utilities; and, working in trenches or confined spaces. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Impact Yes No Electrical Shock Yes No

FOOT HAZARDS: Tasks that can cause foot injury include: exposure to chemicals or acids; welding or cutting; foundry operations; materials handling; renovation or construction; electrical work; and, spray finishing or other work with flammable or explosive materials. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No High Heat/Cold Yes No Impact / Compression Yes No Puncture Yes No Explosive/Flammable Atmospheres

Yes No

Slippery/Wet Surfaces Yes No Electrical Yes No

HAND HAZARDS: Hand injury can be caused by: work with chemicals or acids; exposure to cut or abrasion hazards (for example, during demolition, renovation, or woodworking); and, work with very hot or cold objects or materials. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No High Heat or Cold Yes No Cuts or Abrasion Yes No Puncture Yes No Electrical Shock Yes No Bloodborne Pathogens Yes No

BODY/TORSO HAZARDS: Injury of the body or torso occur during: exposure to chemicals, acids, or other hazardous materials; abrasive blasting; welding, cutting, brazing; chipping, sanding, or grinding; use of chainsaws or similar equipment; foundry operations; and, work around electrical arcs. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No Extreme Heat/Cold Yes No Abrasion Yes No Impact Yes No Cuts/Abrasion Yes No Electrical Arc Yes No

FALL HAZARDS: Personnel may be exposed to fall hazards when performing work on a surface with an unprotected side or edge that is 6 feet or more above a lower level, or 10 feet or more on scaffolds. Fall protection may also be required when using vehicle manlifts, elevated platforms, tree trimming, performing work on poles, roofs, or fixed ladders. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Fall hazard Yes No .

NOISE HAZARDS: Personnel may be exposed to noise hazards when machining, grinding, sanding, using pneumatic equipment, generators, motors, jackhammers, or similar equipment. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Noise hazard Yes No

RESPIRATORY HAZARDS: Personnel may be exposed to respiratory hazards that require the use of respirators: when using certain chemicals outside of chemical fume hood; when applying paints or chemicals in confined spaces; when welding, cutting, or brazing on certain metals; and, when disturbing asbestos, lead, silica, or other particulate hazards. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical exposure Yes No Confined space work Yes No Particulate exposure Yes No Welding/related hazard Yes No

I certify that the above inspection was performed to the best of my knowledge and ability, based on the hazards present on this date (signature) Insert Name.

ADDITIONAL SAFETY NOTES

1.

2.

3.

4.

5.

6.

7.

8.

COMPLETED

ASSESSMENT

A worksite Specify location:

I am reviewing

(check the appropriate

box):

An employees job description

Type of Task: Grounds Keeping (Golf Course & Driving Range)

An Individual task conducted by employees

Working title of position: N / A

Position Number: N /A

The job description for a class of employees

Working title of positions: N / A

Position Number(s): N / A

Your name: Michael S. Voss

DEPARTMENT: Safety Coordinator Date: 11 October 2004

EYE HAZARDS: Tasks that can cause eye injury include: working with chemicals or acids; chipping, sanding, or grinding; welding; furnace operations; and, metal and wood -working. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No Lawn care products & pesticides during All personnel will be required to wear safety glasses High Heat/Cold Yes No mixing and application. with side shields or goggles. Maximum protection Dust or Flying Debris Yes No Dust & debris deflected due to operation face shield and safety glasses with side shields Impact Yes No of lawn equipment. Light/Radiation Yes No

HEAD HAZARDS: Tasks that can cause head injury include: working below other workers who are using tools or materials that could fall; working on energized electrical equipment or utilities; and, working in trenches or confined spaces. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Impact Yes No Potential to be struck by air borne golf Maximum protection will be enclosed equipment cab. Electrical Shock Yes No balls. and Class C ANSI approved head protection. Class C ANSI approved head protection will be mandatory while operating equipment with open cab.

FOOT HAZARDS: Tasks that can cause foot injury include: exposure to chemicals or acids; welding or cutting; foundry operations; materials handling; renovation or construction; electrical work; and, spray finishing or other work with flammable or explosive materials. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No High Heat/Cold Yes No Impact / Compression Yes No Danger of falling or rolling objects while All personnel will be required to wear safety footwear Puncture Yes No servicing equipment. rated for impact and compression hazards. Explosive/Flammable Atmospheres

Yes No

Slippery/Wet Surfaces Yes No See also item # 3 under additional safety notes. Electrical Yes No

HAND HAZARDS: Hand injury can be caused by: work with chemicals or acids; exposure to cut or abrasion hazards (for example, during demolition, renovation, or woodworking); and, work with very hot or cold objects or materials. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No Exposure to pesticides as well as plant For chemical applications wear approved gloves High Heat or Cold Yes No and insect toxins. according to MSDS. Cuts or Abrasion Yes No Puncture Yes No Debris deflected or thrown as a result of Leather work gloves. Electrical Shock Yes No equipment operation. Bloodborne Pathogens Yes No

BODY/TORSO HAZARDS: Injury of the body or torso occur during: exposure to chemicals, acids, or other hazardous materials; abrasive blasting; welding, cutting, brazing; chipping, sanding, or grinding; use of chainsaws or similar equipment; foundry operations; and, work around electrical arcs. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical Exposure Yes No Exposure to pesticides as well as plant Extreme Heat/Cold Yes No and insect toxins. Wear heavy, long pants (jeans). Consider wearing Abrasion Yes No long-sleeve shirts. Impact Yes No Debris deflected or thrown as a result of Cuts/Abrasion Yes No equipment operation. Electrical Arc Yes No

FALL HAZARDS: Personnel may be exposed to fall hazards when performing work on a surface with an unprotected side or edge that is 6 feet or more above a lower level, or 10 feet or more on scaffolds. Fall protection may also be required when using vehicle manlifts, elevated platforms, tree trimming, performing work on poles, roofs, or fixed ladders. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Fall hazard Yes No No hazards found

NOISE HAZARDS: Personnel may be exposed to noise hazards when machining, grinding, sanding, using pneumatic equipment, generators, motors, jackhammers, or similar equipment. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Noise hazard Yes No High noise due to operation of trimmers, All personnel will be required to wear foam, cap or blowers and other equipment. earmuff type hearing protection with a suggested

NRR of 27 – 33

RESPIRATORY HAZARDS: Personnel may be exposed to respiratory hazards that require the use of respirators: when using certain chemicals outside of chemical fume hood; when applying paints or chemicals in confined spaces; when welding, cutting, or brazing on certain metals; and, when disturbing asbestos, lead, silica, or other particulate hazards. Check the appropriate box for each hazard: Description of hazard(s): Based upon the hazard assessment, the following PPE is required:

Chemical exposure Yes No Confined space work Yes No No hazards found Particulate exposure Yes No Welding/related hazard Yes No

I certify that the above inspection was performed to the best of my knowledge and ability, based on the hazards present on this date (signature) Michael S. Voss.

ADDITIONAL SAFETY NOTES

1. A “job briefing” should be conducted prior to the start of each job. The job briefing should include a description of the work to be done, the environmental and safety hazards of the job.

2. Before starting work, make sure work area is clear of objects (sticks, rocks, wire etc.,) that could be thrown or deflect into the body.

3. Be very cautious of your footing. Keep firm footing & balance. Do NOT overreach.

4. Do not operate any power equipment while barefoot, or when wearing any form of open toed shoes (thongs or sandals).

5. “Hazard Zone” while operating a trimmer is 60 feet. Keep people and animals a minimum of 30 feet away.

6. Inspect the entire tool before each use for damaged parts, fuel leaks and all fasteners are in place and secure.

7.

8.

TRAINING

Mandated by regulations Four W’s

Who What When Where

How to properly put on, take off, adjust, and wear Limitations of the PPE Proper care, maintenance, useful life and disposal Retraining is required for, but not limited to, the following:

Changes in the workplace or changes in the type of PPE to be used render previous training obsolete

Inadequacies in an employee’s knowledge in the use of the PPE

DOCUMENT

SUMMARY

Assess the workplace for hazards Use engineering and work practice controls to eliminate or

reduce hazards before using PPE Select appropriate PPE to protect employees from hazards that

cannot be eliminated Inform employees why the PPE is necessary and when it must be

worn Train employees how to use and care for their PPE and how to

recognize deterioration and failure Require employees to wear selected PPE in the workplace Keep assessments accurate and up-to-date

Employers must implement a PPE program where we:

QUESTIONS