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FACE/EYE PROTECTION <br /> — Type of Hazard: <br /> ❑ Flying particles ❑ Caustic liquids ❑ Molten metal ❑ Acids <br /> ❑ Chemical gas/vapors ❑ Liquid chemicals ❑ Light radiation <br /> PPE Utilized? ❑ Yes ❑ No <br /> Type being utilized: <br /> Recommended PPE: <br /> HEAD PROTECTION <br /> Type of Hazard: <br /> ❑ Falling Objects ❑ Moving Objects ❑ High Voltage ❑ Bump Hazard <br /> PPE Utilized? ❑ Yes ❑ No <br /> Type being utilized: <br /> Recommended PPE: <br /> RESPIRATORY PROTECTION <br /> Type of Hazard: <br /> ❑ Dusts ❑ Gases ❑ Fogs ❑ Smoke ❑ Fumes ❑ Sprays ❑ Mists ❑ Vapor <br /> ❑ Other: List: <br /> PPE Utilized? ❑ Yes ❑ No <br /> Type being utilized: <br /> Recommended PPE: <br /> This is to certify that a hazard assessment has been conducted in accordance with 29CFR 1910.132 <br /> (Signature of person conducting inspection) Title <br /> ✓ (Signature of person making review) Title <br /> 7 <br />