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Respiratory Hazards <br />@ None Dust/aerosols/particulates • Organic Vapors • Acid Gases U 02 deficient IM Metals • Asbestos <br />Chemical Hazards <br />MI None • Organic solvents MI Reactive metals • PCBs <br />M Acids / bases IN Oxidizers r Volatiles/Semi-volatiles MI <br />Environmental Hazards <br />E None Cold Stress I1 Heat Stress • Wet location I1 Bio hazards (snakes, insects, spiders, poisonous plants, etc.) <br />• Explosive vapors IN Confined space MI Engulfment Hazard <br />Electrical Hazards <br />MI None Energized equipment or circuits • Overhead utilities i4 Underground utilities • Wet location <br />Fire Hazards <br />1 None • Cutting, welding, <br />sparks or heat <br />or grinding generated <br />sources <br />• Flammable materials <br />present • Oxygen enriched location <br />Ergonomic Hazards <br />I Lifting I1 Bending II Twisting Pulling/tugging I1 Repetitive motion i1 Carrying <br />Computer Use in the: M Office Field <br />Radiological Hazards <br />None MI Alpha • Beta M Gamma/X-rays M Neutron Radon III Non-Ionizing <br />Other Hazards <br />• <br />PPE and Monitoring Instruments <br />Initial Level of PPE * <br />Level D D " Cannot use Short Form HASP for Level B or A work 1 Modified Level Level C <br />Standard PPE <br />Hard Hat Safety glasses 'l il Safety boots 1 Chem. Resistant Boots I1 High visibility vest • Other: <br />Eye and Face Protection <br />Face shield goggles j • MI Vented Unvented goggles M Indirect vented goggles <br />Hearing Protection <br />Ear plugs Muffs Ear Ear plugs and muffs Other <br />Respiratory Protection <br />Face APR Face APR Cartridge Type: Change Cartridges: None Dust mask Full E Half <br />Protective Clothing <br />Work uniform uncoated Tyvek® M White Poly-coated Tyvek® Saranexe <br />Boot covers vest • 1 Reflective Chaps or Snake Legs Other _