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VfNA..x 1 3---,J iv L L� '07-- <br /> jPoslition/JobfTask: PM Tech Employee:Jordan Pena <br /> Works ite/Sectlon/D Iv is ion:Service Date-.2/16/2006 <br /> IDescdbe Specific Exposure Prescribed Protective <br /> Eye & Face Hazards YES NO (Dust,Slivers,Sparks,Fumes) Equipment <br /> Strike/Scratch/Abrade X FLYING DEBRIS SAFETY GLASSES/SHEILD, <br /> Penetrate/Lacerate X MOLTEN METAL SPARKS SAFETY GLASSES/SHEILD <br /> Spray/Spill/Splash/Splatter X SPRAY CHEMICALS SAFETY GLASSES/SHEILD <br /> Liquid/Gaseous Bum X LP FILLING/DISCHARGE SAFETY GLASSES <br /> Flash/Radiation Burn X WELDING/TORCH CUTTING WELDING HELMET/GOGGLE <br /> Head & Neck Hazards <br /> Concussions ry Impact X <br /> Strike/Scratch/Abrade X OBJECTS LEVELED UP RED FLAGS/WARNINGS <br /> Penetrate/Lacerate X <br /> Spilli'Splash/Splatter X <br /> Contact Electric Current X <br /> Foot & Leg Hazards <br /> Spill/Splash/Splatter X OILS/CLEANERS LEATHER BOOTS/APRON <br /> Penetrate/Lacerate X STEAM CLEANING RUBBER BOOTS/APRON <br /> Entangle/Crush _ X DROP/FALLING PARTS STEEL TOE BOOTS <br /> Strike/Scratch/Stub X DROP/FALLING PARTS STEEL TOE BOOTS <br /> Emersion/Absorption X <br /> Contact Electric Current X <br /> Hand& Arm Hazards <br /> Penetrate/Lacerate X WORKING ON EQUIPMENT PROTECTIVE GLOVES <br /> Entangle/Mash/Crush X <br /> Strike/Scratch/Abrade X <br /> Contact Temperature Extreme X HOT MOTOR PARTS PROTECTIVE GLOVES <br /> Emersion/Absorption X CHEMICALS/CLEANERS RUBBER GLOVES <br /> Contact Electric Current X <br /> Res pirationfingestion Hazards <br /> Airborne Contaminants X DUST/FUMES FACE MASK/ DUST MASK <br /> Spra /Splash/Splatter X SPRAY CHEMICALS FACE MASK/ DUST MASK <br /> ,Oxygen Deficient /Depletion X <br /> lEn2ulf/Submerge/Entrap X <br /> Exposure to Body Fluids or Tissue X <br /> Other Hazards <br /> Vehicle/Equipment Traffice X <br /> Vehicle or Equipment Collision/Overtum X <br /> Sunbum/Frostbite/Heatstroke X <br /> Loss of Balance/Traction/Grip X <br /> Noise Duration/Magnitude X GRINDING/AIR TOOLS EAR PLUGS/EAR MUFFS <br /> Wind Ve I ocity/Wi nd borne Debris X <br /> Restricted/Inadequate Visibility X <br /> Elevated Task or Travel Surface X <br /> lWorking Alone/isolation X <br /> lWorking In/On/Over Water X <br /> *1 have received instruction in the hazards necessitating the above prescribed personal protective equipment,have questioned what Idid not <br /> understand,and agree to comply with the rules governing it a m personal p�mlecl <br /> 'mp'oy o -against the hazards Hated above <br /> s <br /> Signature 3L <br />