Laboratory Personal Protective Equipment (PPE) Assessment
Laboratory Name/Location:
Assessment Date:
Assessor Name:
Principal Investigator/Supervisor:
Description of Laboratory Activities/Processes:
Identified Hazards (check all that apply):
Chemicals
Biological Agents
Radiation
Heat
Mechanical
Other
PPE Assessment Table:
Hazard
PPE Required
Provided (Y/N)
Notes
Y
N
Y
N
Y
N
Additional Comments or Recommendations:
Assessor Signature:
Date: