各位大侠, 小弟分享一个有关作业岗位职业健康风险因素辨识和作为劳保用品选用参考依据的表格表样,可实际管控中发挥一定的作业和效果。
HazardAssessment Form (for PPE) 危害评估(针对个人保护装备)
Department/Area: 部门/区域:______________________
AssessmentDate 评估日期:______________________
Preparedby: 评估人_________________________ (SignatureRequired)
The above-signedindividual certifies that the attached Hazard Assessment was performed ingood-faith and diligence in determining potential employee hazards and personalprotective equipment requirements for the above-described location.上述的签署表明所附的风险评估是以善意和真诚的方式进行的,能表明所需个人防护用品是基于潜在的风险决定的。
Minimum PPE Requirements 至少需要的个人防护用品 Note: Additional PPE requirements maybe established for employees when employees are performing specific tasks. Reference JSA and PPEdescriptions. 注意:当员工在从事特定的操作时,可能需要额外的PPE。参照作业风险评估及个人防护装备说明。 Position Surveyed 岗位 | Basic Hazard Categories 基本的风险 | Potential Hazard Identified 识别出的潜在风险 | PPE required for this area worker 作业者所需的防护用品 |
| Entanglement缠绕 |
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| Crushing挤压 |
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| Cutting / Stabbing/ Puncturing切/刺/戳 |
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| Striking物体打击 |
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| Slipping / Tripping滑倒、跌倒 |
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| Falling坠落 |
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| Electrical电 |
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| Ergonomic人机工程 |
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| Chemicals/ Biological化学品/生物危害 |
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| High or Low Temperature or Fire高/低温或者火灾 |
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| Noise噪声 |
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| Noxious Fumes有毒烟雾 |
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| Dust粉尘 |
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| Vibration振动 |
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| Radiation (UV/EMR/Welding)辐射(电离/紫外线/焊接) |
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| Confined Space (Suffocation/Dark/Flammable)有限空间(窒息、黑暗、易燃爆等) |
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