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Personal Protective EquipmentHazard Assessment CertificationJob Title: Custodial WorkerDate: 10/16/00Department: Physical PlantSupervisor:Location / Worksite:Analysis: Dave EricksonEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Mixing of bulk chemicals fromtransfer towersSplash of concentrated chemicalsGoggles, faceshields, rubber gloves, apron.YPigeon WasteHistoplasmosis1/2 respirator (HEPA cartridges), rubber gloves.Y
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance Worker, MechanicDate: 10/16/00Department: Physical Plant, Service GarageSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Automobile/Heavy EquipmentMechanic WorkFlying particles, petroleumsolvents and wastesSafety glasses, chemical resistant glovesYLocksmith WorkFlying particlesSafety glasses, face shield when using highspeed toolsYWood Working Work (Shop)Noise, flying particles,lifting/carrying, rough surfacedmaterialsHearing protection, safety glasses, face shield forhigh speed tools, puncture/cut resistant gloves,safety shoes, guards in placeYMetal Working Work (Shop)Noise, flying particles,lifting/carrying, rough surfacedmaterials, metal workingchemicalsHearing protection, safety glasses, face shield forhigh speed tools, puncture/cut resistant gloves,safety shoesYPainting (Shop)Vapors, mists, solvents andchemical, flammablesOrganic vapor respirator w/paint pre-filter,chemical resistant glovesYUpholstery Work (Shop)Solvents, glues, puncturesChemical resistant glovesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance WorkerDate: 10/16/00Department: Power Plant, HousingSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Power Plant WorkHot surfaces, contact withsurfaces (head), noiseHeat resistant gloves, hard hats, hearingprotectionYPower Plant Laboratory WorkCorrosive chemicals, splashingchemicalsSafety glasses, chemical resistant gloves, apron.When pouring large quantities of chemicals, aface shield and gogglesYTunnel WorkContact (head), restricted accessareas, heat stress, hot surfacesHard hat, light clothing, temperature resistantgloves, safety glassesYElevator Maintenance WorkUncovered electrical switches andcircuits, falling, moving machineryElectrically insulated gloves (rated for energizedvoltage), fall protection, cut/puncture resistantglovesYConfined Space WorkHazardous atmosphere, restrictedexit, other depending on nature ofthe spaceDetermine appropriate personal protectiveequipment in accordance with the ConfinedSpace Entry ProgramY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance WorkerDate: 10/16/00Department: Physical Plant, Housing, Power PlantSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Arc Welding or CuttingElectric shock, metal sparks,molten and hot metal, UV, IR andvisible light, falling, dropping,rolling and sharp objectsInsulating mats or blankets, insulated/heat andpuncture/cut resistant gloves, safety shoes, hardhat, safety glasses, welding shield or helmet withappropriate eye shade.YOxy-fuel Welding or CuttingMetal sparks, molten and hotmetal, UV, IR and visible light,falling, dropping, rolling and sharpobjectsHeat and puncture/cut resistant gloves, safetyshoes, hard hat, safety glasses, welding shield orhelmet with appropriate eye shade.YTorch BrazingMetal sparks, molten and hotmetal, UV, IR and visible light,falling, dropping, rolling and sharpobjectsHeat and puncture/cut resistant gloves, safetyshoes, hard hat, filer lens spectacles or goggles,or safety glasses and hand shield, withappropriate eye shade (at least #3).YTorch SolderingMolten and hot metal, UV, IR andvisible light, falling, dropping,rolling and sharp objectsHeat and puncture/cut resistant gloves, flameresistant clothing, safety shoes, hard hat, filterlens spectacles or goggles, or safety glasses andhand shield, with appropriate eye shade (at least#2).YMetal Grinding or ChippingMetal sparks and chips, falling,dropping, rolling and sharpobjectsHeat and puncture/cut resistant gloves, typicalwork clothing, safety shoes, safety glasses, fullface shield.Y
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance WorkerDate: 10/16/00Department: Physical Plant, Power Plant, HousingSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Carpentry Work (Construction Site)Flying particles, falling, fallingobjects, cuts/punctures,lifting/carryingSafety glasses, safety shoes, hard hat,cut/puncture resistant gloves, fall protectionwhen working at elevations. When using highspeed power tools, a face shield.YMasonry Work (Construction Site)Flying particles, falling, fallingobjects, cuts/puncture,lifting/carryingSafety glasses, safety shoes, hard hat,cut/puncture resistant gloves, fall protectionwhen working at elevations. When using highspeed power tools, a face shield.YLaborer Work (Construction Site)Flying particles, falling, fallingobjects, cuts/puncture,lifting/carryingSafety glasses, safety shoes, hard hat,cut/puncture resistant gloves, fall protectionwhen working at elevations. When using highspeed power tools, a face shield.YPainting Work (Construction Site)Flying particles, falling, fallingobjects, cuts/puncture,lifting/carrying, cleaning solventsSafety glasses, safety shoes, hard hat,cut/puncture resistant gloves, fall protectionwhen working at elevations. When using highspeed power tools, a face shield.YRoofing WorkFalling, hot surfaces, heat andcold stress, sealing chemicals,solvents, lifting/carryingSafety glasses, safety shoes, fall protection, heatresistant gloves, chemical resistant gloves.Temperature stress protective clothing,depending on weather conditions.YSheet Metal Work (ConstructionSite)Flying particles, lifting/carrying,rough surfaced materialsSafety glasses, safety shoes, puncture/cutresistant gloves. When using high speed powertools, a face shield.YLow Voltage Electrified EquipmentWorkElectric shock, fallingElectrically insulated gloves (rated for voltage ofenergized equipment), insulated blankets ormats non-synthetic work clothing fall protectionY
mats, non-synthetic work clothing, fall protectionwhen working at elevations.High Voltage Electrified EquipmentWorkElectric shock, arc, explosion andburns, falling, confined spaces,vehicles in traffic areasHard hat, safety glasses, face shield, insulatedgloves (rated for voltage of energizedequipment), insulated blankets or mats, nonsynthetic work clothes, safety shoes, fallprotection when working at elevations, reflectiveclothing when working near traffic.Y
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance WorkerDate: 10/16/00Department: Physical Plant, HousingSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Air Conditioning/Refrigeration WorkWater treatment chemicalsChemical resistant gloves, safety glasses. Whenusing large quantities of chemicals, a face shield& gogglesYPlumbing WorkHot surfaces, rough surfacedmaterials, sewageHeat resistant gloves, safety glasses,cut/puncture resistant gloves, rubber glovesYGeneral Maintenance WorkRough surfaced materials,lifting/carryingCut/puncture resistant gloves, safety glasses,safety shoesYCustodial WorkCleaning chemicals, splashesChemical resistant gloves, safety glasses. Whenpouring large quantities of chemicals, a faceshield & goggles.YRefuse WorkNoise, sharp objects, garbageHearing protection, safety glasses, cut/punctureresistant gloves, rubber gloves, safety shoesYGrounds Keeping WorkPesticides, noise, flying particles,heat stress, insect and plantstoxinsHearing protection, safety glasses, protectionfrom pesticides according to label, application,and reentry requirements, skin protection frominsects and plants, safety shoes, glovesYPest Management WorkPesticides, animals and plantsProtection from pesticides according to label,application, and reentry requirements, skinprotection from animals and plants, safetyglassesYTree Trimming workPesticides, falling, noise, flyingparticles, heat stress, insect andplant toxinsFall protection, hearing protection, protectionfrom pesticides according to label, application,and reentry requirements skin protection fromY
Moving Workplant toxinsand reentry requirements, skin protection frominsects and plants, safety shoes, safety glasses,glovesLifting/carryingSafety shoesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Maintenance WorkerDate: 10/16/00Department: Physical PlantSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Plumbing WorkHot surfaces, rough surfacedmaterials, sewageHeat resistant gloves, cut/puncture resistantgloves, rubber gloves, safety glassesYGeneral Maintenance WorkRough surfaced materials,lifting/carryingCut/puncture resistant gloves, safety shoes,safety glassesYMachine Tools (drills, grinders andsaws)Flying particlesSafety glassesYArc Welding or CuttingElectric shock, metal sparks,molten and hot metal, UV, IR andvisible light, falling, dropping,rolling and sharp objectsInsulating mats or blankets, insulated/heat andpuncture/cut resistant gloves, safety shoes, hardhat, safety glasses, welding shield or helmet withappropriate eye shadeYMoving WorkLifting/carryingSafety shoes, glovesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Scenic CarpenterDate: 10/16/00Department: TheatreSupervisor:Location / Worksite: Auditorium, WhartonAnalysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Operating saws and other powertoolsEye hazard, cuts from bladeSafety glasses with side shields (hearingprotection), guard in placeYOperating metal sawEye hazard and skin hazardSafety glasses with side shields and face shield,Long cuffed leather glovesYWeldingEye hazard, Hand and skinhazardWelding helmet with appropriate shadeprotection, Long cuffed leather glovesYMoving wood and metal pieces,liftingFoot hazard, dropping objects andpiercing objects, wood splinter,pinchLeather work shoe/boot with thick sole, glovesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Grounds KeeperDate: 10/16/00Department: Housing, Grounds, Physical PlantSupervisor:Location / Worksite: Campus, StadiumAnalysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Use of powered ground keepingequipment; lawn mowers, weedwhips, chainsaw etcSkin and eye damageSafety glasses, long sleeved shirts, long pants,cloth glovesYConducting any type of activities onan active fairway. Conductingactivities with the potential formaterials to be dropped onto head.ImpactHard hatYTrash Clean upDust, cuts, noiseMask, gloves, ear protectionYUse of Pruning devicesCutsGlovesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Laboratory WorkerDate: 09/17/03Department: AllSupervisor:Location / Worksite: Research BuildingsAnalysis: Dave EricksonEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Working with low hazard chemicalswhen a low probability of splashexistsSkin and eye irritationSafety glasses, Light chemical resistant gloves,Lab coat, closed shoe, pantsWorking with smaller amounts ( 1liter) of corrosive or injuriouschemicals where a reasonableprobability of splash existsSkin and eye damageChemical splash goggles, Light chemicalresistant gloves, Lab coat, closed shoe, pantsWorking with larger quantites ofcorrosive liquids ( 1 liter), or toxiccorrosivesLarge surface area skin and eyedamage, Poisoning, orGreat potential for eye and skindamageChemical splash goggles & face shield,Appropriate heavy resistant glovesLab coat, closed shoes, pants and chemicalresistant apronYWorking with small volumes oforganic solvents ( 1 liter)Skin and eye damageSlight poisoning potential throughskin absorptionSafety glasses, goggles if splash hazard exists,Light chemical resistant glovesLab coat, closed shoe, pantsYWorking with large volumes oforganic solvents ( 1 liter), highlytoxic organic solvents or workwhich may create a splash hazardMajor skin and eye damagePotential poisoning through skinabsorptionSafety goggles & face shieldAppropriate heavy resistant glovesAbove clothes and chemical resistant apronYY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Laboratory WorkerDate: 09/17/03Department: AllSupervisor:Location / Worksite: Research BuildingsAnalysis: Dave EricksonEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Working with small volumes ofhuman blood, body fluids or otherpotentially infectious materials(OPIM) as defined in the MSUBloodborne Pathogen ExposureControl PlanPotentially infected with infectiousdisease (BBP)Potential spread of infectiousdiseaseSafety glassesDisposable nitrile glovesLab coat, closed shoe, pantsYWorking with large volumes ofhuman blood, body fluids or otherother potentially infectiousmaterials and/or splash hazardsIncrease potential of becominginfected with infectious disease(BBP)Increased potential spread ofinfectious diseaseSafety goggles & face shieldNitrile glovesLab coat, closed shoe, pantsCoveralls and foot covers may be necessaryYWorking with hazardous powdersPotential skin and eye damage,Potential for poisoning throughskin absorptionSafety glassesGoggles for large quantitiesLight chemical resistant glovesLab coat, closed shoe, pantsYWorking with acutely toxichazardous powdersGreat potential skin and eyedamageGreat potential for poisoningthrough skin absorptionSafety gogglesAppropriate chemical resistant glovesLab coat, closed shoe, pantsCoveralls and booties if necessaryYWorking with dispersibleradioactive materialsPotential tissue damagePotential spread of radioactivecontaminationAppropriate eye protection,Disposable nitrile glovesLab coat, closed shoe, pantsYWorking with radioactive chemicals(corrosives, solvents, toxics, etc.)See appropriate chemical sectionabovePotential tissue damagePotential spread of radioactiveSafety glasses, goggles for splash hazardLight chemical resistant glovesLab coat, closed shoe, pantsUse PPE for applicable tasks aboveY
contaminationWorking with radioactive humanblood, body fluids or otherpotentially infectious materialsPotential tissue damagePotential spread of radioactivecontaminationPotential exposure to OPIMSafety glasses, goggles for splash hazardDisposable nitrile glovesLab coat, closed shoe, pantsYWorking with sealed radioactivesourcesDamaged or leaking source mayspread contamination, Someleaking sources may pose anexternal does risk.Safety glasses, light gloves, shield may beneeded for high energy sourcesY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Laboratory WorkerDate: 09/17/03Department: AllSupervisor:Location / Worksite: Research BuildingsAnalysis: Dave EricksonEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Working with crygenic liquidsMajor skin, tissue and eyedamageChemical splash goggle and face shieldHeavy insulated glovesLab coat, closed shoe, pantsYWorking with very cold materialsand equipment (freezers, dry ice)FrostbiteHypothermiaSafety glassesInsulated gloves and warm clothingLab coat, closed shoe, pantsYWorking with hot liquids, equipmentand/or open flames (autoclave,bunsen burner, waterbath, oil bath)Skin damageEye damageSafety glasses or goggles for large volumes orsplash hazardsInsulated glovesLab coat, closed shoe, pantsYWorking with large volumes of hot,cold, or cryogenic liquidsMajor skin and eye damageFrozen or burned body tissuesSafety glasses or goggles and face shieldHeavy insulated glovesAbove clothes and apron or coverallsYWorking with Ultraviolet RadiationConjunctivitisCorneal eye damageErythemaUV face shield and gogglesLab coat, closed shoe, pantsYWorking with LASER radiationRetinal eye damageSkin damageAppropriate shaded goggles with optical densitybased on individual beam parametersLab coat, closed shoe, pantsNo jewelry/reflective items allowedY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Laboratory WorkerDate: 09/17/03Department: AllSupervisor:Location / Worksite: Research BuildingsAnalysis: Dave EricksonEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Working with Infrared emittingequipment (glass blowing)Cataracts and flash burns tocorneaAppropriate shaded goggles, Lab coat, closedshoe, pantsYArc/TIG weldingConjunctivitisCorneal eye damageErythemaAppropriate shaded gogglesWorking glovesYInstrument or equipmentrepair/serviceEye damage from foreign objectsSafety glassesNo loose clothing or jewelryYMetal working/Woodworking shopEye damage from foreign objectsSafety glassesNo loose clothing or jewelryYGlassware washingSkin lacerationsSafety glasses, Heavy rubber glovesLab coat, closed shoe, pantsYWorking in Industrial lab withpotential injury from fallingequipment or tools (ex. Earthquakelab, Structural Engineering lab, etc.)Head injury, foot injuryHard-hatSteel toe bootsYSpill clean-upSee potential hazards forapplicable task sectionSee applicable individual task sectionYChanging Cryostat knife bladeSkin lacerationsPotential infection by BBPSkin lacerationsPotential infection by BBPY
Personal Protective EquipmentHazard Assessment CertificationJob Title: Farm WorkerDate: 10/02/00Department: Farms / Land ManagementSupervisor:Location / Worksite: State WideAnalysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Farm WorkerFalls From machineryTraining on safe mount/dismountNoFarm WorkerPowered shafts/beltsDisengage power for routine maintenance,gloves, lockout tag for extensive repairYesFarm WorkerSun burn, heat stress, frost biteTraining, proper clothing, sunscreenYesTransport of equipment onhighway/roadsTraffic crashTraning on safe driving, Slow Moving Vehiclesigns on equipmentNoUse of forks, shovelsFoot injuryLeather shoes or bootsYesFarm WorkerRolling equipment could crushbody/limbsTraining, park or wheel chocksNoMixing/application ofChemicals/HerbicidesSplash to faceGloves, gogglesYes
Personal Protective EquipmentHazard Assessment CertificationJob Title: Tree TrimmerDate: 10-2-00Department: GroundsSupervisor:Location / Worksite:Analysis: Dan BeachnauEmployee Name(s):Signature:Tasks, Job Classificationor WorkstationPotential HazardType of PPE RequiredPPE Required(Yes / No)Operating hand saw, chainsaw andwood chipperImpactImpact approved safety glasses or goggles andfaceshieldYTrimming activities in, under, oraround treesFalling or rolling objects, splinters,cuts, abrasionsHard had and safety boot, leather palm glovesY
Hazard Assessment Certification Job Title:S c eni Ca rp t Date 1 0/6 Department:Th eatr Supervisor Location / Worksite:A ud i torm, W h anAnalysis D Be c Employee Name(s):Signature Tasks, Job Classification or Workstation Potential Hazard Type of PPE Required PPE Required (Yes / No) Operating saws and other power tools
