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Certification of H�►d Assessment <br />IMandatory PPE Re uire.mentiWer�tHlal�ou&e'AsspGaate.., <br />Associate - <br />Department: <br />Function Area _.. <br />Position: <br />All -General Operations <br />Shift: <br />Warehouse Associate <br />Functions <br />All -1st; 2nd; 3rd <br />Facilities & TMF <br />G <br />Address: Toys R Us 1 located at: <br />SIC Code: 4225 <br />Receiving -Shipping <br />IMandatory PPE Re uire.mentiWer�tHlal�ou&e'AsspGaate.., <br />Associate - <br />Department Impacted:_ Potential Risk: Body Part Required Equipment Associate's Intitials <br />Function Area _.. <br />ct I es- orage rocessing- <br />Facilities-storage-processing- <br />Welding <br />Anywhere in the DC <br />Facilities & TMF <br />Changing a MHE battery <br />Changing <br />Battery Changing Area <br />Receiving -Shipping <br />Exposure to battery add <br />Hands <br />Rubber Gloves <br />Working in elevated equipment -an r er <br />Anywhere in the DC <br />Facilities -Storage -Processing <br />Fell from elevated area <br />Eyes/Anes/Legs/Body/Torso/Head <br />Fall Protection-Hamess and Lanyard <br />a <br />Picker or Cage <br />Eyes -Hands <br />Protective Clothing <br />o ing m ane eva a area- a in e <br />Facilities -Storage -Processing <br />Fall from elevated area <br />Eyes/Arms/Legs/Body/Torso/Head <br />Fall Protection -Harness and Lanyard <br />Facilities & TMF <br />MODS <br />MODS <br />Safely Goggles/Glasses <br />acus es- Drage- rocessing- <br />Using Power Tools <br />Safety Goggles/Glasses <br />Facitlities or TMF <br />Working with Chemical <br />Anywhere in the OC or TMF <br />Receiving -Shipping <br />Chemical Splash <br />Eyes <br />Exposure to battery aud; Risk <br />ME i ies- orage- rocessmg- <br />Washing a MHE ballery <br />Battery Changing Area <br />Facilities -Storage- <br />of chemical splash <br />Exposure to battery acid; hisk <br />Eyes/Arms/Legs/Body/Torso/Head <br />Receiving-Sh ipp ing-R GD <br />Watering a MHE battery <br />Battery Changing Area <br />Facilities -Stora e- <br />Compacting RGD <br />Trash Compactor <br />Strippers <br />Flying debris in eyes <br />Eyes <br />Safely Goggles/Glasses <br />Working on ane eva e p a onn over six <br />au i es- orage- rocessing- <br />feel without guardrail, fencing, etc. <br />Anywhere in the DC <br />Receiving -Shipping <br />Fall from elevated area <br />Body/TorsolkmslLegs/Head <br />Fall Protection -Harness and Lanyard <br />L <br />Injury of self and o errue o <br />Facilities -Storage -Processing- <br />improper handling of power <br />Operating MHE Equipment <br />Anywhere in the DC <br />Receiving -Shipping <br />industrial equipment. <br />Body/Torso/Arms/Legs/Head <br />Must be MHE trained/licensed <br />ass an raven ion oFacilities-Storage-Processing- <br />Fa'" <br />s, scrapes, trip and fall, and <br />Must have completed a new hire orientation <br />AII DC functions <br />Anywhere in the DC <br />Receiving -Shipping <br />ng incidents. <br />Body/Torso/Arms/LegsMead <br />to include the safety training and review. <br />Additional. Mandatory PPERequirements-Facilities $r. Mechanical Associates' <br />1 hereby certify that I have reviewed the certification of hazard assessmen' with a member of management or designee. By signing this, I am acknowledging that I undersiand <br />the requirements for using personal protective equipment when performing specific work tasks. I understand the requirments and how to use the required equipment property <br />and safely. <br />�, Pdnle <br />Associate Name Printed: Manager or Designee Name d: 1 Pt� <br />Manager or Designee Name Signature; <br />Associate Signature: <br />Date of Review: Date of Review: <br />r <br />Must ave Hot Permit; Welding Hood; <br />Welding <br />Anywhere in the DC <br />Facilities & TMF <br />Flying debris in eyes -Bums- <br />Eyes/Arms/Legs/BodylTorso/Head <br />Gloves; <br />ace snielaisatety, goggles;Gloves; <br />Filling or cleaning the scrubber <br />Anywhere in the DC <br />Facilities <br />Chemical Splash <br />Eyes -Hands <br />Protective Clothing <br />Using Compressed Air <br />Anywhere in the DC <br />Facilities & TMF <br />Flying debris In eyes <br />Eyes <br />Safely Goggles/Glasses <br />Using Power Tools <br />Anywhere in the DC or TMF <br />Facitlities or TMF <br />Flying debris in eyes <br />Eyes <br />Safety Goggles/Glasses <br />Exposure to battery aud; Risk <br />RubberGloves; Face Shield/Safety Goggles; <br />Washing a MHE ballery <br />Battery Changing Area <br />Facilities -Storage- <br />of chemical splash <br />Exposure to battery acid; hisk <br />Eyes/Arms/Legs/Body/Torso/Head <br />Rubber Apron <br />Kubber oves; Face Shield1batety ogg es; <br />Watering a MHE battery <br />Battery Changing Area <br />Facilities -Stora e- <br />of chemical splash <br />Eyes/Arms/Legs/Bodyfforso/Head <br />Rubber Apron <br />1 hereby certify that I have reviewed the certification of hazard assessmen' with a member of management or designee. By signing this, I am acknowledging that I undersiand <br />the requirements for using personal protective equipment when performing specific work tasks. I understand the requirments and how to use the required equipment property <br />and safely. <br />�, Pdnle <br />Associate Name Printed: Manager or Designee Name d: 1 Pt� <br />Manager or Designee Name Signature; <br />Associate Signature: <br />Date of Review: Date of Review: <br />r <br />