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Personal Protective Equipment (PPE) Assessment <br />Site/Portfolio that this assessment applies to: 359206 <br />Date: 2/15/17 Assessment Completed By: Sucheon Sung <br />Specific tasks evaluated in this assessment: Well destructions by pressure grouting <br />Are any of the following hazards present <br />during the project/task? <br />No Yes If engineering and administrative controls <br />do not eliminate the hazard, this PPE is <br />needed.* <br />Overhead Hazards <br />Suspended loads that may fall x Hard hat that complies with ANSI Z89.1', <br />Class A, B <br />Overhead beams or load that could <br />strike head <br />x Hard hat that complies with ANSI Z89.1', <br />Class A, B <br />Energized wires or equipment that could <br />strike head <br />x Hard hat that complies with ANSI 789.11 , <br />Class B <br />Work being performed above where <br />tools, debris, equipment could be <br />dropped onto workers below <br />x Hard hat that complies with ANSI Z89.1', <br />Class A, B <br />Sharp objects or corners at head level x Hard hat that complies with ANSI Z89.1', <br />Class A, B, or C <br />Eye Hazards <br />Chemical splashes or irritating mists x Chemical protective goggles that comply <br />with ANSI Z87.11 Non-vented goggles must <br />be used where gases or vapors are the <br />primary concern. <br />Excessive dust x Safety glasses or impact goggles that <br />comply with ANSI 787.11 <br />Using compressed air, connecting <br />compressed gas cylinders, bleeding air <br />from lines. <br />x Flexible goggles that comply with ANSI <br />787.1' <br />Welding/cutting/brazing operations x Welding goggles and welding helmet or <br />face shield. Tinted lenses required. PPE must <br />comply with that comply with ANSI Z87.1' <br />Enter the type of eye protection required at <br />this site here: <br />Laser/optical radiation x Laser safety glasses that comply with ANSI <br />Z136.1' required. A Laser Safety Officer <br />(LSO) to determine the type. The type of <br />laser safety glasses required at this site to <br />be entered here: <br />Drilling, sawing, cutting, chipping, <br />grinding demolition work, wire brushing <br />and other activities where flying particles <br />present a hazard. <br />x Minimum requirement - safety glasses with <br />side shields. Goggles may be required <br />dependent upon hazard. PPE must comply <br />with ANSI 787.11 . The type of eye protection <br />required at this site to be entered here: