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Head Protection
Hand Protection
If you answered yes to any of the above, specify the hand protective equipment selected per the guidelines in
the Injury and Illness Prevention Program and Section 4 of the Safety Coordinator's Manual.
CHEMICAL HAZARDS-- Acid and chemicals Indirectly vented goggles. For severe
handling, degreasing and plating exposure, use face shield. See notes 3, 11.
Yes No
Foot Protection
Puncture hazards from sharp objects (e.g. nails, wire, staples) Yes No
Compression hazards such as from skid trucks, bulk rolls,
55-gallon drums, pipes or other objects which could potentially
roll over onto the feet. Yes No
Impact hazards resulting from carrying or handling materials
such as packages, objects, parts or heavy tools, which could be
dropped or other activities where objects might fall onto the
feet. Yes No
Electrical or electrostatic hazards Yes No
Chemical hazards such as from corrosive substances or hot tar Yes No
Temperature extremes such as from molten metal dripping onto
the feet or from walking through molten asphalt Yes No
Select safety footwear which is specifically designed to protect against the hazards specified above. The County's safety
footwear vendors can assist in the selection process. More detailed information on the selection process is provided in the
Injury and Illness Prevention Program and Section 4 of the Safety Coordinator's Manual.