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The Principal Investigator has the overall responsibility to ensure the PPE Hazard Assessment certifications are completed annually.  Assess the workplace to determine if hazards are present, or are likely to be present, which necessitate the use of personal protective equipment (PPE).

If such hazards are present, or likely to be present:

Based on the hierarchy of controls, PPE is a last resort. Personal protective equipment alone should not be relied upon to provide protection against hazards but should be used in conjunction with engineering controls, administrative controls, and procedural controls.

This document addresses eye, face, head, hand, extremities, protective clothing, respiratory devices, noise, fall protection, protective shielding, and barriers. Personal Protective Equipment (PPE) shall be provided, used, and maintained in a sanitary and reliable condition wherever it is necessary by reason of hazards of processes or environments, chemical hazards, radiological hazards, or mechanical irritants encountered in a manner capable of causing injury or impairment in the function of any part of the body through absorption, inhalation, or physical contact. 

PPE Certification document is required to satisfy the federal requirements of the Occupational Safety and Health Administration (OSHA) Standard, 29 CFR 1910.132 Subpart I‐ Personal Protective Equipment.

Personal Protective Equipment Assessment

Name
MM slash DD slash YYYY
Eye / Face Hazards(Required)
Tasks that could cause an eye injury, including: working with chemicals, biological materials, radioactive materials, laboratory work, sanding, grinding, welding, metal, and woodworking.
Eye/Face Hazards
Identify required eye PPE
Hand Hazards(Required)
Hand injury could be caused when conducting the following tasks: working with chemicals, abrasion/cut hazards, electrical work, hot/cold materials, exposure to sharps, lab research, animal areas, radioactive, and biological materials
Hazards
Identify required hand PPE
Body/Torso Hazards(Required)
Injury to the body (torso, arms, or legs) can occur when conducting the following tasks: exposure to chemicals, acids, or other hazardous chemicals, abrasive blasting, welding, cutting, brazing, chipping, sanding, grinding, high heat/cold temperatures, radiological or biological work, use of chainsaws or similar equipment, pushing, pulling and lifting, and work around electrical arcs.
Hazards
Identify required torso PPE
Respiratory Hazards(Required)
Per the Respiratory Protection Policy, EH&S must conduct a risk assessment prior to the use of a respirator. If you believe you believe an airborne hazard in which a respirator is required, please contact EH&S at 336.758.3427 Teammates may be exposed to respiratory hazards that require the use of respirators: during emergency response, when using certain chemicals outside of a chemical fume hood/biosafety cabinet; when working with hazardous chemicals; when entering fume hood plenums, when working with animals; when applying paints or chemicals in confined spaces; when welding, cutting, or brazing on certain metals; and when disturbing asbestos, lead, silica, mold, or other particulate hazards.
Hazards
Identify required respiratory PPE