Head Protection

Department:_____________________________ Supervisor______________________
Task Evaluated__________________________ Date___________________________
Building ________________________________ Location________________________
Name of Evaluator___________________________________________________________
 
I certify that on the above date I performed a hazard assessment of the above task. This document constitutes the certification of that hazard assessment. I understand that this document facilitates compliance to the hazard assessment requirements of OSHA 29 CFR 1910.132(d)(2), only. In addition, proper PPE selection, fitting, utilization and communication must be accomplished in accordance with other requirements of Subpart I.

Head protection is required when working in an area with the potential of an object falling and hitting the head or when there is a significant electrical shock exposure to the head. Helmets must meet American National Standard for Personal Protective Headwear for Industrial Workers, ANSI-Z89.1-1986 standards and be labeled with an ANSI certification. Class A or Class B helmets are the only class of helmets acceptable at the University of Kentucky. These helmets offer identical impact and penetration protection. The Class A helmet is rated for protection against electrical shock up to 600 dc volts and the Class B helmet is rated for electrical protection above 600 volt dc. (check box(es) that apply)

Part 1. HAZARD ASSESSMENT CHECKLIST

Job Questionnaire

Hazardous Activities

Required PPE
  Are employees working with any type of equipment or materials overhead of other employees? Work stations or traffic routes located under catwalks or conveyors belts Hard Hat
  Are employees handling or manipulating objects above head level without safety guards installed to protect from falling objects? Construction, confined space operations, building maintenance, wiring, work on or near communications computers or other high tech equipment Hard Hat
  Do employees work in areas with a probability of falling objects? Construction sites, tree trimming, trenches/ excavations Hard Hat

Part 2. TRAINING GUIDE - Employees must be trained to know the following:

Q. Why and when is head protection necessary:
A. Head protection is required to protect the head from falling objects and electrical shock. Protection must be worn when working under other employees or when operations are being conducted overhead of your work area or when working with electrical connectors that may come into contact with the head.

Q. How head protection protects them:
A. Class A helmets and Class B helmets are constructed with an outer shell and inner suspension system that cradles the head and is designed to withstand impact and penetration forces of 8 pounds. They also offer electrical shock protection to the head.

Q. How straps or other parts of the suspension are adjusted for a comfortable and effective fit:
A. Follow manufacturer information on how to tighten the head band to achieve a proper fit for the helmet. Most suspension systems do not allow for adjustments but if provided, maintain the required distance between the webbing and the shell of the helmet. Do not use suspension systems from other manufacturers and do not turn system around to allow hat to be worn other than as specified by the manufacturer.

Q. How the signs of wear are identified:
A. Inspect the shell for cracks, dents, cuts, holes, burns, or other material damage. Inspect the webbing, headband, and suspension attachment points for signs of cuts, tears, and frayed material.

Q. How the hard hat is cleaned:
A. Follow the manufacturer's recommendation for cleaning procedures. Most manufacturers recommend using soap and water only.

Some situations may occur when a hard hat is infeasible, but head protection is necessary. It is the department supervisor's responsibility to assess the situation and require the use of any additional protection. Consult Occupational Health and Safety, if necessary, to ensure the correct equipment is provided and worn.

Part 3. VERIFICATION OF TRAINING
Personal Protective Equipment Assessment and Training

I have received and understand the material presented concerning a job hazard assessment and Personal Protective Equipment (PPE) requirements for this job assignment. My training included a discussion period covering the following points:
  • What PPE must be worn in this work place
  • When PPE must be worn
  • How to inspect PPE for wear and damage
  • How to put on, make fit, and take off PPE
  • What the limitations of the PPE are
  • How to properly store and clean PPE
  • How to properly dispose of the PPE

I have been afforded the opportunity to ask questions about the use of PPE and I have had a "hands on" exercise using this PPE properly.

Trainer/Supervisor____________________________ Date: _______________

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