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Certification of Hazard Assessment <br />Mandatory PPE Requirements-GelWareh00'se AssoCaafe - <br />Ell <br />If Reviewed with <br />Department: <br />Department Impacted: Potential Risk: Body Part Required Equipment Associate's Intitials <br />Position: <br />Warehouse Associate <br />All -General Operations <br />Functions <br />Shift: <br />All2nd; 3rd <br />aai es- orage- rocessmg- <br />�-Ist; <br />Address: Toys R Us # - D () located at: <br />SIC Code: 4225 <br />Facilities & TMF <br />Mandatory PPE Requirements-GelWareh00'se AssoCaafe - <br />Ell <br />If Reviewed with <br />Associate - <br />Department Impacted: Potential Risk: Body Part Required Equipment Associate's Intitials <br />Function Area <br />Must ave Hot Permit. Welding Hood; <br />aai es- orage- rocessmg- <br />Welding <br />Anywhere in the DC <br />Facilities & TMF <br />j <br />Changing a MHE battery <br />Battery Changing Area <br />Receiving -Shipping <br />Exposure to battery acid <br />Hands <br />Rubber Gloves <br />�( <br />Working in elevated egwpmen -an Order <br />Anywhere in the DC <br />Facilities -Storage -Processing <br />Fall from elevated area <br />Eyes/Arms/Legs/Body/Torso/Head <br />Fall Protection -Harness and Lanyard <br />Flying debris in eyes <br />Picker or Cage <br />or mg in an elevated area -behind the <br />Safety Goggles/Glasses <br />Using Power Tools <br />Anywhere in the DC or TMF <br />Facillities or TMF <br />�7 <br />MODS <br />MODS <br />Facilities -Storage -Processing <br />Fall from elevated area <br />EyeslArms/Legs/BodylTorso/Head <br />Fall Protection -Harness and Lanyard <br />of chemical splash <br />Exposure to battery au is <br />Eyes/Arms/Legs/Bodyfforso/Head <br />IRubber Apron <br />u—_boar Gloves; aceShield/Safe', Goggles; <br />aai es- orage- rocessmg- <br />Watering a MHE battery <br />Balte Changing Area <br />Facilities -Storage- <br />of chemical splash <br />Working with Chemical <br />Anywhere in the DC or TMF <br />Receiving -Shipping <br />Chemical Splash <br />Eyes <br />Safety Goggles/Glasses <br />F -11--o— ayu- rocessmg- <br />Receiving-Shipping-RGD <br />/ <br />C <br />Compacting RGD <br />Trash Compactor <br />Strippers <br />Flying debris in eyes <br />Eyes <br />Safely Goggles/Glasses <br />-� <br />Working on ane eve e p a orm over six <br />feet without guardrail, fencing, etc. <br />Anywhere in the DC <br />7au i es- orage- rocessing- <br />Receiving -Shipping <br />Fall from elevated area <br />due7o <br />Bodyfforso/Arms/Legs/Head <br />Fall Protection -Harness and Lanyard <br />Facilities -Storage -Processing- <br />Injury of self and others <br />improper handling of power <br />C / <br />Operating MHE Equipment <br />Anywhere in the DC <br />Receiving -Shipping <br />industrial equipment. <br />Bodyfforso/Arms/Legs/Head <br />Must be MHE trained/licensed <br />I <br />Facilities -Storage -Processing- <br />Awareness and Prevention o <br />cuts, scrapes, trip and fall, and <br />Must have completed a new hire orientation <br />! <br />C (G <br />All DC functions <br />Anywhere in the DC <br />Receiving -Shipping <br />lifting incidents. <br />Bodyfforso/Arms/Legs/Head <br />to include the safety training and review. <br />Additional Mandatory PPE Requirements -Faculties' Mechanical Associates' <br />Qaereby certify that I have reviewed the certification of hazard assessment with a member of management or designee. By signing this, I am acknowledging that I understand <br />e requirements for using personal protective equipment when performing specific work tasks. I understand the requirments and how to use the required equipment proparly <br />d safely. \ l <br />Q _1l V\ U VIA v Manager or Designee Name Printed. <br />Ase ctate Name Printed: �} ) <br />0.�,'�' Manager or Designee Name Signature: I �% <br />Associate Signature: <br />Date of Review: <br />Date of Review: <br />Must ave Hot Permit. Welding Hood; <br />Welding <br />Anywhere in the DC <br />Facilities & TMF <br />Flying debris in eyes -Burns- <br />EyeslArms/Legs/Body/rarso/Head <br />Gloves; <br />Face shield/safety goggles; oves; <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 />Safety Goggles/Glasses <br />Using Power Tools <br />Anywhere in the DC or TMF <br />Facillities or TMF <br />Flying debris in eyes <br />xposure to battery duu, is <br />Eyes <br />Safety Goggles/Glasses <br />RubberGloves; Face Shield/Safety Goggles; <br />Washing a MHE battery <br />Battery Changing Area <br />Facilities -Stora e- <br />of chemical splash <br />Exposure to battery au is <br />Eyes/Arms/Legs/Bodyfforso/Head <br />IRubber Apron <br />u—_boar Gloves; aceShield/Safe', Goggles; <br />Watering a MHE battery <br />Balte Changing Area <br />Facilities -Storage- <br />of chemical splash <br />Eyes/Arms/Legs/Body/Torso/Head <br />Rubber Apron <br />Qaereby certify that I have reviewed the certification of hazard assessment with a member of management or designee. By signing this, I am acknowledging that I understand <br />e requirements for using personal protective equipment when performing specific work tasks. I understand the requirments and how to use the required equipment proparly <br />d safely. \ l <br />Q _1l V\ U VIA v Manager or Designee Name Printed. <br />Ase ctate Name Printed: �} ) <br />0.�,'�' Manager or Designee Name Signature: I �% <br />Associate Signature: <br />Date of Review: <br />Date of Review: <br />