UNCW JOB HAZARD ANALYSIS
PPE CHECKLIST
NAME:
DEPARTMENT:
PHONE NO.:
SUPERVISOR:
POSITION TITLE:
DATE:
Eye Hazards may include the following: working with
chemicals, chipping, sanding, grinding, welding, metal &
wood working, radioactive materials, biological
substances/organisms, laboratory work/research.
Check the appropriate box
for each hazard:
Chemical Exposure
Dust/Flying Debris
Light/Ionizing Radiation
YES
NO
DESCRIPTION OF HAZARD:
Head Hazards may include the following: working below
other employees who are using tools or materials that
could fall; working on energized equipment; and working
in confined spaces & trenches, construction sites.
Check the appropriate box YES
for each hazard:
Impact
Electrical Shock
Other
NO
DESCRIPTION OF HAZARD:
Noise Hazards may include the following: grinding,
sanding, using pneumatic equipment, generators, motors,
boilers, jackhammers, lawn equipment, working in heating
plant.
Check the appropriate box YES
for each hazard:
Noisy Work Environment
NO
DESCRIPTION OF HAZARD:
Foot Hazards may include the following: exposure to
chemicals, welding, cutting, materials handling,
demolition, renovation, construction, electrical work,
flammable or explosive materials, forklifts, and heavy
moving equipment.
Check the appropriate box
for each hazard:
YES
NO
DESCRIPTION OF HAZARD:
Chemical Exposure
Impact/Compression
Slip/Trips/Falls
Puncture
Slippery/Wet Surfaces
Electrical
Flammable/Explosive
Atmospheres
Hand Hazards may include the following: work with
chemicals, abrasion/cut hazards during demolition &
renovation, woodworking, hot or cold objects/materials,
medical facilities, lab research, radioactive & biological
materials. ADDITIONAL TRAINING REQUIRED
VIA EH&S FOR BLOODBORNE PATHOGENS.
Check the appropriate box
for each hazard:
Chemical Exposure
Cuts/Abrasion
High Heat/Cold Temp.
Electrical Shock
Puncture
BBP/Infectious Waste
YES
NO
DESCRIPTION OF HAZARD:
**NOTE: THIS MEETS THE REQUIRMENTS FOR
29CFR1910.132**
Body/Torso Hazards may include the following:
chemical/hazardous material exposure, abrasive blasting,
welding, cutting, brazing, chipping, sanding, grinding,
using chain saws, asbestos work, boiler work, high
heat/cold, radiological or biological work,
Check the appropriate box YES
for each hazard:
Chemical Exposure
Abrasion
High Heat/Cold Temp.
Impact
NO
DESCRIPTION OF HAZARD:
Respiratory Hazards may include the following: using
certain chemicals outside a fume hood, applying
paints/chemicals in confined spaces, welding certain
metals, disturbing asbestos, lead, or mold.
ADDITIONAL TRAINING REQURIED VIA EH&S.
Check the appropriate box YES
for each hazard:
Chemical Exposure
Confined Space Work
Particulate Exposure
Welding/Cutting
NO
DESCRIPTION OF HAZARD:
Drowning Hazards includes any employee that works
over or near water where the danger of drowning exists.
Check the appropriate box YES
for each hazard:
Immersion
NO
DESCRIPTION OF HAZARD: