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Personal Protective Equipment (General)

YES No
Hard hat
Gloves
Safety Glasses
Work Shoes
Working at Height
Scaffolds YES No
Level
Braced
Safety Harness
Proper Supports
Qualified Person Present
Ladder YES No
In use
Qualified Person Present
Scissor Lift
Qualified Person Present
Brace /Supports
Level
Safety Harness

WORK AREA YES No


Orderly
Housekeeping
Hazardous Materials Present

Welding Operation YES No


Proper PPE’s
Fire Extinguisher in place/nearby
(for smoke) Exhaust/Blower
Threading YES No
Gloves
Safety Shoes
Cutting Works YES No
Gloves
Safety Shoes
Goggles

Prepared by: Noted: _________________

Simon S. Gimena Date: ___________________


Safety Officer

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