Foot Protection & PPE Hazard Assessment Checklist
The first step in preventing foot injury is identifying and assessing hazards, the steps in place to control them and the need for PPE or other additional safety measures. Here’s a task-based hazard assessment checklist that you can adapt for your own use.
Task:
Occupation:
Assessment Completed By:
Location:
Department:
Date:
| Type of Hazard | Source of Hazard | Description of Tasks & Engineering & Admin. Controls in Place | PPE Required |
|---|---|---|---|
| Impact Hazards: Routine activities with risks of objects heavier than 5 lb. falling on worker’s feet | Working With: [ ] Heavy Packages[ ] Heavy Tools[ ] Heavy Objects[ ] Heavy Parts/Equip.[ ] Other: |
[ ] Yes [ ] No | |
| Compression Hazards: Roll-over hazards | Working With: [ ] High Use of Carts or Pallet Trucks[ ] Handling Heavy Pipes or Logs[ ] Drum Handling[ ] Other: |
[ ] Yes [ ] No | |
| Puncture Protection: Puncture to shoe soles | Working With or Near: [ ] Nails[ ] Wire[ ] Tacks[ ] Glass[ ] Large Staples[ ] Scrap Metal[ ] Screws[ ] Sharp Objects on Walking Surfaces[ ] Other: |
[ ] Yes [ ] No | |
| Electrical Hazards: Electric shock or burns | Working With or Near: [ ] Exposed Electrical Conductors[ ] Energized Parts[ ] Electrical Switch Gear[ ] Other Exposed Electrical Hazards: |
[ ] Yes [ ] No | |
| Chemical Hazards: Irritation or burns | Working With, Near or Around: [ ] Splash Hazards from Hot or Corrosive Liquids[ ] Other Chemical Hazards |
[ ] Yes [ ] No |