PPE Hazard Assessment Form

PPE Hazard Assessment Form

Conducted By

Assmt. Date

Position/Title

Review Date

Task Name

Metal Welding

Location

Description

Hazard Identification

Type

Potential Hazards Identified

Possible Injury/Illness

Chemical

Fumes from welding materials

Respiratory issues

Physical

Ergonomic

PPE Assessment

PPE Type

Required

Specific PPE Identified

Reason

Eye Protection

Welding mask with eye shield

Sparks and light

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