Laserfiche WebLink
Respiratory Hazards <br />Respiratory/inhalation hazards present x Qualified individual to determine respiratory <br />protection requirements - use of respiratory <br />protection requires a Respiratory Protection <br />Program be instituted and requires medical <br />surveillance. Specify respiratory protection <br />PPE requirements to be used at this site <br />here: <br />Excessive Noise <br />Hearing hazards present x Qualified individual to determine hearing <br />protection PPE requirements. Specify <br />hearing protection PPE requirements to be <br />used at this site here: <br />I certify the above hazard analysis/PPE selection was performed to the best of my knowledge, <br />based on the hazards present on 5/4/17 (date). <br /> Signature <br />*Whether the listed PPE is needed is dependent upon the presence and severity of the hazard - <br />a qualified individual should determine whether this is the correct PPE and whether additional <br />PPE is needed to reduce risk of exposure. <br />'In jurisdictions outside of the United States, PPE must conform to the local regulatory <br />requirements - ANSI may not be a recognized standard in non-U.S. jurisdictions. <br />2 Although the ANSI Z41-99 standard has been withdrawn, the protection provided by footwear <br />meeting this standard is comparable to the newer ASTM F2413-05. For this reason it is not <br />necessary to replace footwear approved under ANSI Z41-99 if it is otherwise still serviceable.