276 CMO-0919AO PPE Assessment Checklist (Interactive-A) - tcm148-21199

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Personal Protective Equipment

(PPE) Hazard Assessment Checklist

Co. – FIB 2 FAB

Assessor’s Name: ____________________________________________________________________________________Date of Assessment: _____/_____/_____

PPE HAZARD ASSESSMENT CHECKLIST


HAZARD TO EYES/FACE YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED
Flying particles/dust From dust cause irritation to the eyes, skin and safety goggles , N95 mask
Yes respiratory tract, while grinding /cutting of p

Chemicals While working on acid line person person may be Face shield/Goggles , respiratory Mask , safety helmet,
Yes exposed to the chemical ( positive isolation procedure is safety shoes, chemical resistance hand gloves , Protective
followed by emplyees & adequate is precautions taken ) clothing if requred
or handling of resin
Blood
NO N.A N.A
HAZARD TO EARS (NOISE) YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED
Impact noise >140 dB
N.A N.A N.A N.A

Continuous noise >85 dB


N.A N.A
N.A N.A
HAZARD TO LUNGS YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED
Fumes Face shield/Goggles , respiratory Mask
Yes While PP/HDPE/MS welding fumes is
generated in job , welding fume and
gases can result in eye, nose and throat
irritation, dizziness and nausea

Mists
NO

Dusts
Yes While grinding , cutting of HDPE/PP sheet & metal
cutting dust particles is generated , dust can cause
irritation to the eyes, skin and respiratory tract
Vapors Yes
While handling of resin & working on acid line

HAZARD TO HEAD YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED


Falling objects
Yes

Electrical shock
Yes

Low pipe/beams/etc.
Yes

PPE Hazard Assessment Checklist

PPE HAZARD ASSESSMENT CHECKLIST


HAZARD TO HANDS YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED
Cuts/scrapes/bruises
Yes

Hot/cold temperatures
Yes

Chemicals
Yes
Blood
Yes
Electrical shock

HAZARD TO FEET YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED


Falling/dropped objects

Electrical shock

Molten metal/burns

Puncture

Chemicals

Electrostatic discharge

HAZARD TO BODY YES NO DESCRIBE HAZARDS NOTED PPE REQUIRED


Chemicals

Hot/cold temperatures

Dusts

Sunlight/UV exposure

Assessment Done By – Ashraf shaikh ( EHS) Verified By – Mr. Umesh Gharat ( Prop.)

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