ࡱ> MOL )bjbj 7.hh+++++????[\?D<t-+++ggg ++ggggME? g0DgRBRgR+gT>,g$ ] DR : Ӱɴý Workplace Hazard Assessment Instructions: Use this form to help identify the Personal Protective Equipment required within each location. Multiple forms may be used, as needed, to include all work areas or job functions within each department. Department:Job Function/Activities:Work Location: Hazards Present (check all that apply or check other and write none if no apparent hazards exist) Describe Hazards (e.g., work with glass, arcs from welding, flying objects, chemical exposure, etc.)Engineering/ Administrative Controls Applied (i.e., shielding, enclosure, fume hood)Personal Protective Equipment Required (if engineering/ administrative controls do not eliminate the hazard, complete appropriate boxes with the specific PPE required e.g., splash goggles, face shields, nitrile gloves, hard hat, etc.) Eye Hand Head Clothing Foot Hearing Respirator % Impact  % Cuts/Penetration  % Thermal (hot/cold) % Light/Optical % Chemical % Biological % Harmful Dust % Electrical % Noise % Other:________Ass567D   8 9 H J N O _  I q \ ] ^ _ ` d e f k l q r { | hY( h@3h@3h@3h|rh@3CJaJh|rh@35h|rh@35CJaJh|rh|`f5hph|rhp5hgh<:h<:h<:6CJaJh<:h<:56CJaJ h<:56h<:5CJ aJ h<:h<:5CJ aJ 067   8 9 H I [}kd$$Ifl40e 3` t044 layt|r$Ifgd<:l gd gd<:$a$gd<: I J K L M lll$$Ifa$gd|rl }kd$$Ifl40e 3  t044 layt|rM N _  ( 8 I q \ vvvvf$Ifl $Ifgd& l $$Ifa$gd|rl `kd8$$IflF g / 3    4 layt|r \ ] ^ _ F00$$Ifa$gd|rl kd$$Ifl4z\,42`'`q`l t044 lap(yt|r_ ` a e f k l q r { |        Ff^$$Ifa$gd|rl $Ifgd& l        " & ( * , . 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