Personal protective equipment



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personal protective equipment

Hazard Assessment/Equipment Selection 2

Damaged and Defective PPE 3

Training 3

Types of Protection 3

Training and Assessment Forms 4-6



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999



2012


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ny School District Personal Protective Equipment Assessment

The purpose of the OSHA Personal Protective Equipment Standard (29 CFR 1920.132) is to protect employees from workplace hazards by reviewing job procedures and providing appropriate protective equipment when necessary.

the school district Director of Facilities, in cooperation with other appropriate staff members, will institute a Personal Protective Equipment (PPE) Program by performing a hazard assessment and then selecting the PPE necessary to ensure employee safety.

Hazard Assessment and Equipment Selection


The school district will assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment. If such hazards are present, or are likely to be present, the school district will:

  • Select and have each affected employee use the types of PPE that will protect the affected employee from the hazards identified in the hazard assessment. The school district will:

  • The school district will verify that the required workplace hazard assessment has been performed by the following:

  • A written certification that identifies the workplace evaluated.

  • Identification of the person certifying that the evaluation has been performed.

  • The date(s) of the hazard assessment.

  • Identification of the document which certifies the hazard assessment.

Damaged and Defective PPE


Defective or damaged personal protective equipment will not be used.

Training


The school district will provide training to each employee who is required by the Standard to use PPE. Each such employee will be trained to know at least the following:

  • When PPE is necessary.

  • What PPE is necessary.

  • How to properly don, doff, adjust, and wear PPE.

  • The limitations of PPE.

  • The proper care, maintenance, useful life and disposal of PPE.

  • Retraining will be conducted as deemed necessary.

The school district will verify that each affected employee has received and understood the required training through a written certification that contains:

  • The name of each employee trained.

  • The date(s) of training.

  • The subject of certification.

Types of Protection


Personal protective equipment will be provided for:

  • Eye and face protection.

  • Respiratory protection.

  • Head protection

  • Foot protection.

  • Hand protection.

The documents on the following pages will be used to verify hazard assessment, PPE selection and training.

Personal Protective Equipment Selection
Based on the hazard assessment for , the following PPE is required:

JOB / TASK EYE HAZARD PPE



JOB / TASK HEAD HAZARD PPE

JOB / TASK FOOT HAZARD PPE

JOB / TASK HAND HAZARD PPE

JOB / TASK OTHER PPE

Personal Protective Equipment Training Certification

This is to certify that the employee named below performs the jobs and tasks assessed on this form. This person has received and understood the required training for the use of the personal protective equipment listed on this page. This person has demonstrated the ability to use this personal protective equipment properly.

Training included, but was not limited to:


  1. When PPE is necessary.

  2. What PPE is necessary.

  3. How to properly don, doff, adjust and wear PPE.

  4. The limitations of PPE.

  5. The proper care maintenance, useful life and disposal of PPE.


Employee Name:

(Print) (Signature)


Name of Trainer: Date(s) of Training:



Certified By:

PERSONAL PROTECTIVE EQUIPMENT

HAZARD ASSESSMENT
Area: Job Classification:


Assessor: Date of Assessment:



HEAD HAZARDS Tasks that can cause head hazards include: Working below other workers who are using tools and materials which could fall, working on energized electrical equipment, working with chemicals, and working under machinery or processes which might cause materials or objects to fall.



Circle the appropriate response for each hazard: Description of Hazards:

Burns . . . . . . . . . . . . . Yes No

Chemical Splash . . . . . . Yes No

Electrical Shock . . . . . . Yes No



Impact . . . . . . . . . . . . Yes No





EYE HAZARDS Tasks that can cause eye hazards include: Working with acids and chemicals, chipping, grinding furnace operations, sanding, welding, and woodworking.

Circle the appropriate response for each hazard:


Description of Hazards:

Chemicals. . . . . . . . . . Yes No

Dust. . . . . . . . . . . . . . Yes No

Heat. . . . . . . . . . . . . . Yes No

Impact . . . . . . . . . . . . Yes No

Light/Radiation. . . . . . . Yes No








HAND HAZARDS Tasks that can cause hand hazards include: Cutting material, working with chemicals, and working with hot objects.




Circle the appropriate response for each hazard:


Description of Hazards:

Burns. . . . . . . . . . . . . . Yes No

Chemical Exposure. . . . . Yes No

Cuts/Abrasion. . . . . . . . Yes No



Puncture. . . . . . . . . . . . Yes No







FOOT HAZARDS Tasks that can cause foot hazards include: Carrying or handling materials that could be dropped, performing manual material handling, and working with chemicals.
Circle the appropriate response for each hazard:

Description of Hazards:

Chemical Exposure. . . . . . Yes No

Compression. . . . . . . . . . Yes No

Impact. . . . . . . . . . . . . . Yes No

Puncture. . . . . . . . . . . . . Yes No


I, , do hereby certify that a hazard assessment has been performed for the above workplace.

(Signature)



Personal Protective Equipment (PPE) Requirements
29 CFR 1910.132 Agency/Office Location Date(s)





Job Function/Operations



Safety

Shoes



Safety

Glasses


Chemical

Splash

Goggles



Face

Shield



Apron

Smock


Gloves


Dust

Particle

Mask


Respirator



Hard

Hat



Hearing

Protection


Other (e.g., Safety

Belts, Lanyards, etc.)

or Special Needs




































































































































































































































































































































X = Required R = Generally Recommended A = As Recommended By Applicable MSDS

I certify that on the above date(s), I performed a hazard assessment for the above-named Agency and Office Location.

(Signature)





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