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Personal Protective Equipment (PPE) at Work

Personal protective equipment (ppe) at work presentation, free google slides theme and powerpoint template.

In many workplaces, personal protective equipment (PPE) is crucial to ensure the safety of employees and prevent any accidents or injuries on the job. Safety comes first! So, if a company has hired you to give a speech on PPE, including what it is, why it's essential, and how it should be used, get our customizable slides and give an awesome presentation. Thanks to its slightly abstract design, it can help make a good impression, but part of that job should be done by your own content. Edit the resources included and watch how everyone pays close attention!

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NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.

StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

StatPearls [Internet].

Personal protective equipment.

Matthew Z. Kening ; Kimberly Groen .

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Last Update: February 22, 2023 .

• Definition/Introduction

Personal protective equipment (PPE) came into the spotlight at the height of the COVID-19 pandemic, but these important materials and practices have been protecting healthcare providers for years. Regulation of PPE standards usually falls to the Centers for Disease Control (CDC) and the Occupational Safety and Health Administration (OSHA). The availability, application, and disposal of PPE play an essential role in a healthcare system's ability to care for patients safely. [1]

Part of standard precautions, PPE provides a barrier to minimizing workplace hazards that healthcare providers encounter from harmful exposures. Chemical, biological, radiological, and nuclear contamination threats are encountered throughout healthcare. This article discusses the application of PPE in relation to healthcare.

• Issues of Concern

Types of Personal Protective Equipment

Commonly worn PPE includes a gown, gloves, masks, respirators, and face shields or goggles. Understanding the limitations and proper wearing of PPE is essential to ensuring safe practices. Specific gloves offer differing levels of standards for infection prevention. One commonly used metric in glove safety evaluation is the acceptable quality level (AQL). A lower AQL means a higher quality glove with less micro-perforation potential and fewer pinholes in the glove product. The FDA generally recommends a minimum AQL level of 1.5 for surgical gloves and 2.5 for medical exam gloves. [2]  

Surgical procedural evidence supports using two layers of gloves as an infection prevention technique. [3] [4]  Surgical procedures also necessitate using sterile gloves, which have been treated to eliminate microbes.

The availability of appropriate gowns can prevent the spread of infection. Medical gowns follow the American National Standards Institute (ANSI), the Association of the Advancement of Medical Instrumentation (AAMI), and the Food and Drug Administration's (FDA) ANSI/AAMI PB70 standards for medical gowns. The ANSI/AAMI PB70 has four levels of fluid barrier protection. [5]  

USP 800 guidelines promote safety by outlining gown standards for handling hazardous drugs. Following suggested guidelines for PPE in the appropriate setting, whether using sterile gowns for surgery or non-sterile gowns for contact exposure, will ensure the safety of both healthcare workers and patients. [6] [7]  

Loosely woven cloth masks provide the least respiratory protection, while National Institute for Occupational Safety and Health (NIOSH) approved respirators offer the most protection. [8] [9]  A key component of mask protection involves the proper fitting of masks. [10]  All healthcare workers should be fit tested if required to use respirators, including N95 masks. [11] [12]  

If fit testing cannot be completed, then a NIOSH-approved powered air purifying respirator (PAPR) can be considered based on institutional and local regulatory requirements. [13] [14] [15]  The COVID-19 pandemic created a high demand for face coverings with limited consistent standards comparing different products. The American Society for Testing and Materials (ASTM) and NIOSH updated barrier face covering standards, ASTM F5302-21, allowing comparison between different barrier face coverings. [16]  

Standard Precautions

Standard precautions serve as a framework all healthcare providers should follow as part of an initial approach to limiting exposure. These preventative steps should be considered for every patient encounter. [17] [18] [19] [20]

 Standard precaution components are listed here:

• Hand hygiene, including hand washing, regardless if gloves are worn, before and after contact with a patient or bodily fluids [21] [22] [23]
• Appropriate use of PPE, including gown, gloves, and eye protection, especially if there is a risk of bodily fluid exposure
• Respiratory/cough etiquette to prevent droplet transmission of respiratory pathogens
• Patient placement with consideration for single patient rooms and routes of transmission for specific infectious agents
• Safe needle and instrument handling

Infection Prevention

PPE infection prevention recommendations can be categorized into specific transmission-based precautions. Following these recommendations, in addition to standard precautions, can protect healthcare providers and patients from disease infection. Clinical presentations giving concern for certain organism exposures require different standards of transmission prevention. [24] [25]  Please see Table 1. [26] [27]  

Contact precautions require the use of a gown and gloves in clinical situations involving organisms spread by direct or indirect contact with a patient or patient's environment. For example, clinical scenarios involving wound drainage, fecal matter, or other bodily discharge exposure would suggest using contact precautions. [28] [29]  

Droplet precautions should be utilized in respiratory illness where close mucous membrane contact or respiratory droplet exposure may occur. Droplet precautions should include standard precautions, eye protection, and a mask. Generally, pathogens requiring droplet precautions do not remain infectious over extended distances. Eye protection and an N-95 mask or higher-level respirator should be utilized with standard precautions in the setting of airborne precautions. Airborne pathogens have long-distance exposure potential that necessitates the need for special air handling and ventilation systems. These ventilation systems should meet the Architects Facility Guidelines Institute standards for airborne infection isolation rooms. Easily visible signs should be placed outside patient rooms and contact zones listing the required PPE for a specific patient encounter. [26]

Chemical and Nuclear Personal Protective Equipment

Healthcare providers may come into contact with harmful chemicals as part of day-to-day activity. Whether in the form of cleaning, pharmaceutical, or contamination, exposures are a risk at several points throughout regular workplace flow. In the event of exposure to workplace-stocked chemicals, Material Safety Data Sheets (MSDS) should be referenced for information specific to each chemical. Standard PPE should be utilized in the setting of chemical handling as defined by OSHA and CDC. Considerations should be made for areas of safe chemical handling, including adequate ventilation, safe handling areas, cleaning work surfaces, and spill procedures. In the scenario where a healthcare provider must enter a contaminated area with appropriate hazardous materials (HAZMAT), PPE must be utilized. [30] [31] [32]  

HAZMAT equipment PPE recommendations follow OSHA standards as outlined by Levels A, B, C, and D. Different levels of protection are offered in each guideline, from the highest level of protection, Level A, including self-contained breathing apparatus (SCBA) to Level D least protective including standard precautions and appropriate work uniform. Level A PPE should be utilized when the hazardous substance requires the highest level of eye, skin, and respiratory protection. [33] [34]  

Level A PPE guidelines are also followed when entering areas of poor ventilation or when a substance has not yet been identified as appropriate for a lower level of protection. Level B PPE provides protection in areas requiring a high level of respiratory protection, including scenes with less than 19.5% oxygen or incompletely identified vapors/gasses. Level C PPE protection is appropriate in situations necessitating air-purifying respirators and contaminants which will not cause adverse harm through exposed skin. Level D PPE would be utilized when no known hazard is present in the atmosphere and contact or inhalation with hazardous levels is precluded by work functions. Other PPE may be included as defined by specific sceneries and OSHA recommendations. Part of the appropriate response to chemical exposure also includes decontamination processes in addition to proper disposal of used PPE. [35]

Recommendations for nuclear hazardous materials come from OSHA guidelines regarding events involving chemical, biological, radiological, or nuclear (CBRN) agents. [36]  Recommendations for specific exposure risks can be found in relation to the area of contamination. Three zones of contamination are outlined in the recommendations, with the red zone being the area of most significant contamination and the green zone being the area of lowest contamination. Level A OSHA protection is usually recommended in a red zone. Yellow zone area of contamination PPE needs should be decided with consideration for air monitoring results, skin contact risk, and proximity of the event. Green zone contamination with CBRN agents is unlikely to occur.

OSHA Defined PPE

• Level A: positive pressure full face-piece SCBA, encapsulating covering chemical protective suit, chemical-resistant outer gloves, chemical-resistant inner gloves, chemical-resistant boots with steel toe, disposable protective suit/gloves/boots
• Level B: positive pressure full face-piece SCBA, chemical-resistant clothes with hood, chemical-resistant outer gloves, chemical-resistant inner gloves, chemical-resistant boots with steel toe
• Level C: air purifying respirator, chemical-resistant clothes with hood, chemical-resistant outer gloves, chemical-resistant inner gloves, chemical-resistant boots with steel toe
• Level D: gloves, coveralls, chemical-resistant boots/shoes with steel toe, safety glasses or chemical splash goggles

Radiologic PPE

Exposure to ionizing radiation can present a significant long-term health risk to healthcare providers. PPE should be available for healthcare providers working within radiation-exposure settings. Of particular importance, dose reduction with exposure to x-ray and gamma radiation can be achieved with proper PPE. [37] [38] [39]  Providers practicing with X-ray and gamma radiation exposure, especially fluoroscopy and other image-guided procedure devices, should have access to a lead apron/vest, lead-lined glasses, lead-lined cap, and lead protection collar. [40] [41] [42] [43]  

Dose monitoring is required by OSHA Ionizing Radiation standards for workers who enter a high radiation area or restricted area or receive a dose in any calendar quarter more than 25% of the appropriate occupational limit. [44] [45] [46] [47]  OSHA standards for monitoring radiation exposure can be followed by wearing a person's passive dosimeter for exposure dose evaluation. [48] [49]

• Clinical Significance

Personal protective equipment implementation has become the standard of care for medical providers. The COVID-19 pandemic reshaped healthcare in many ways, including the increased emphasis on health practitioner safety in the presence of communicable diseases. PPE has been shown to prevent the spread of disease and preserve the health of individual practitioners. Following guidelines regarding the use of PPE sets a standard for all healthcare organizations to follow. Proper training is needed for PPE to be effective, including the appropriate application and removal of PPE.

Specific steps for putting on (donning) and taking off (doffing) pieces of PPE will be reviewed here. Not all components of PPE are required for each patient, and specific isolation precautions should be followed as appropriate. [50] [51] [52]

Suggested Sequence for Application of PPE

Donning of PPE should take place outside patient rooms. 

• Cover body from neck to knees, arms to wrists, and ensure gown wraps around the back
• Tie neck and waist straps if available
• Mask or Respirator
• Place straps or ties around the head/neck
• Adjust the flexible band to the nose bridge for proper fit
• Fit-check respirator
• Eye protection
• Place eye protection on the face to ensure adequate protection of the face/eyes
• May include goggles and/or a face shield
• Gloves 
• Ensure application of gloves extends to cover the wrist of the gown

Suggested Sequence for Removal of PPE

Doffing of PPE should take place outside patient rooms. If a respirator is in use, do not remove the respirator until after exiting the patient room. 

• Remove the first glove by grasping the palmar surface with the other gloved hand, and discard the first glove in the appropriate disposal container
• Remove the second glove by sliding the fingers of the ungloved hand under the remaining glove at the wrist, and discard the second glove in the appropriate disposal container
• Remove without touching the contaminated outside surface on the front of eye protection, and handle equipment by the strap or earpieces
• Dispose of in the appropriate reprocessing or waste container
• Release gown straps or ties
• Touching inside of gown only, remove by pulling away from neck and shoulders
• Turn the gown inside out
• Place in an appropriate disposal container
• Do not touch the front or mouth area of the mask/respirator
• Remove by releasing ties or straps around the back of the head
• Discard in the appropriate disposal container
• Nursing, Allied Health, and Interprofessional Team Interventions

Proper use of CDC and OSHA-recommended PPE within a healthcare setting prevents the spread of infectious pathogens between patients and providers. However, more expansive studies are needed to review current practices and policies. [53] [54] [55] [56]

PPE also serves to help healthcare workers avoid harmful outcomes in the setting of exposure to CBRN agents. Adherence to PPE standards is multifaceted, with several components factoring into healthcare workers' ability and desire to follow PPE guidelines. Areas of concern include workplace culture, availability of PPE, training, trust in PPE, and communication of hospital guidelines. [57]

Administrative teams are often responsible for ensuring the availability of PPE resources. Infection prevention teams that monitor and track hospital personal standard precaution use may increase compliance. [58] [59] [Level 2] Following suggested doffing protocols can decrease the risk of potential contamination after providing care. [60] [61]  [Level 2]

PPE has been shown to offer protection against respiratory infections, especially COVID-19. [62]   [Level 1]

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Table of clinical presentations and recommended precautions Contributed by Matthew Kening, DO

Disclosure: Matthew Kening declares no relevant financial relationships with ineligible companies.

Disclosure: Kimberly Groen declares no relevant financial relationships with ineligible companies.

This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ( http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits others to distribute the work, provided that the article is not altered or used commercially. You are not required to obtain permission to distribute this article, provided that you credit the author and journal.

• Cite this Page Kening MZ, Groen K. Personal Protective Equipment. [Updated 2023 Feb 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-.

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NIOSH Directory of Personal Protective Equipment

The National Institute for Occupational Safety and Health (NIOSH) Personal Protective Technology (PPT) Program’s mission is to prevent work-related injury, illness, and death by advancing the state of knowledge and application of PPT. PPT in this context is defined as the technical methods (e.g., fit testing methods), processes, techniques, tools, and materials that support the development and use of personal protective equipment (PPE) worn by individuals to reduce the effects of their exposure to a hazard.

The PPT Program is responsible for testing and approving new respirators before they enter the market. This ensures that NIOSH-approved respirators meet the minimum construction, performance, and respiratory protection standards to keep users safe. The program conducts post-market activities such as the Long-Term Field Evaluation Program, the Certified Product Investigation Process, and the site and product audit programs. In addition, the PPT program works to evaluate and improve equipment worn by workers by conducting research on new technologies, emerging hazards, and PPE test methods. Based on the research, the Program is able to develop and implement science-based national guidance for respiratory and other personal protective technologies.

To learn more about the PPT Program and other activities in NIOSH, check out the NIOSH Program Portfolio .

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Noise and Hearing Loss Prevention

Occupational Latex Allergies

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Engineering Controls

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• Respirator Standards

Related NIOSH Programs

• Protective Technology
• Hearing Loss Prevention
• Prevention Through Design
• Respiratory Diseases

The following resources provide additional information and tools for selecting and using respirators, protective clothing, hearing protection, and eye protection.

• NIOSH-Approved Particulate Filtering Facepiece Respirators
• Respiratory Protection Information Trusted Source
• Conformity Assessment Notices
• Certified Equipment List (CEL)

Protective Clothing

• Considerations for Selecting Protective Clothing
• How to Choose Hearing Protection
• Eye protection for Infection Control

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Occupational Safety and Health Administration

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• Safety and Health Topics

Personal Protective Equipment

• Personal Protective Equipment Home

Hazards and Solutions

• Payment for Personal Protective Equipment
• Construction
• Workers' Rights

The following references aid in recognizing the need for personal protective equipment (PPE) and provides information about proper PPE selection and usage.

Related Safety and Health Topics Pages

• Eye and Face Protection
• Fall Protection
• Respiratory Protection

OSHA Publications and Fact Sheets on PPE

• Personal Protective Equipment . OSHA Fact Sheet (Publication 3603), (2012). Also available in Portuguese and Español . This is one in a series of informational fact sheets highlighting OSHA programs, policies or standards.
• Personal Protective Equipment . OSHA Publication 3151, (2023). Discusses the types of equipment most commonly used to protect the head, torso, arms, hands, and feet. Additional topics include requirements, hazard assessment, selection, and employee training.
• Small Business Safety and Health Handbook . OSHA Publication 2209, (2024) [ Español OSHA Publication 4261, (2024)]. Summarizes the benefits of an effective safety and health program, provides self-inspection checklists for employers to identify workplace hazards, and reviews key workplace safety and health resources for small businesses.
• OSHA Technical Manual . OSHA Directive TED 01-00-015 [TED 1-0.15A], (January 20, 1999). Section VIII of the OSHA Technical Manual describes the various types of clothing that are appropriate for use in chemical operations and provides recommendations in their selection and use.

OSHA eTools

• Electric Power: Personal Protective Equipment (PPE) . (January 2010). Discusses PPE often used in electrical work.
• Respiratory Protection . (October 1998). Provides information on the development of respirator cartridge change schedules. Addresses respirator selection and other requirements of the standard.

PPE selection and managing workplace PPE programs

• Personal Protective Equipment . Centers for Disease Control (CDC), National Institute for Occupational Safety and Health (NIOSH). Contains links to PPE related topics such as eye protection, hearing protection, skin exposures and protective clothing.
• Recommendations for Chemical Protective Clothing Database . National Institute for Occupational Safety and Health (NIOSH), (February 1998). Provides chemical protective clothing guidelines for chemicals listed in the NIOSH pocket guide.
• Personal Protective Technology Program . National Institute for Occupational Safety and Health (NIOSH), (June 2017). Evaluates and improves equipment worn by workers and develops interventions to protect them from hazards.
• National Personal Protective Technology Laboratory (NPPTL) . Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH). Focuses expertise from many scientific disciplines to advance federal research on respirators and other personal protective technologies for workers. Also features links to PPE related topics.
• Personal Protective Equipment Compliance Guide . The University of Alabama. Provides information to employers working toward compliance with certain provisions of Subpart I of 29 CFR 1910.
• OSH Answers Fact Sheets: Designing an Effective PPE Program . Canadian Center for Occupational Health and Safety (CCOHS). Gives an overview of designing a personal protective equipment (PPE) program.
• Personal Protective Equipment (PPE) . U.S. Department of Health and Human Services, Chemical Hazards Emergency Medical Management (CHEMM). Provides a number of resources for managing an effective PPE program.

PPE Training Materials and Training Resources

• Assessing the Need for Personal Protective Equipment (PPE) . OSHA. A guide created by the OSHA Training Institute intended to help readers to conduct PPE assessments, includes assessment checklists.
• Personal Protective Equipment . OSHA. Includes a PPE PowerPoint presentation created by the OSHA Training Institute intended as an aid to authorized OSHA Outreach Instructors teaching PPE safety.
• PPE Workshop Lesson Plan . National Institute of Environmental Health Sciences (NIEHS). Applicable for hazardous waste worker and emergency response training. Exercise for reinforcing and enhancing worker's knowledge of PPE.

PPE in Agriculture

• Personal Protective Equipment (PPE) . National Ag Safety Database (NASD). Some tasks on the farm contain hazards that must be done wearing personal protective clothing and/or specialized safety equipment if workers are to be safe. This page discusses various hazards and PPE typically found on farms.
• Head, Eye, and Foot Protection for Farm Workers . Fact Sheet Penn State Extension. Discusses three types of personal protective equipment: protective headwear, eyewear, and footwear.
• Solutions for Living Personal Protective Equipment for Agriculture . University of Wyoming Extension. Discusses equipment and clothing that can help farmers and ranchers remain safe when working around the many hazards on farms and ranches.

PPE for Emergency Responders

• Emergency Preparedness and Response Resources . National Institute for Occupational Safety and Health (NIOSH). Addresses respirators, protective clothing, latex allergy and eye protection as they relate to emergency response settings.
• Emergency Response Guidebook (ERG) . U.S. Department of Transportation, Pipeline and Hazardous Materials Safety Administration (PHMSA). Provides guidance for firefighters, police, and other emergency services personnel who may be the first to arrive at the scene of a transportation incident involving a hazardous material. This guidebook was developed jointly by the U.S. Department of Transportation, Transport Canada, and the Secretariat of Communications and Transportation of Mexico (SCT).
• Guide for the Selection of Personal Protection Equipment for Emergency First Responders . Developed by the Office of Law Enforcement Standards at the National Institute of Standards and Technology (NIST) for the U.S. Department of Homeland Security. Guide 102–06 (2nd Edition), (January 2007). Provides information on personal protection equipment (PPE) for consideration by emergency first responders when purchasing and using PPE, including duration of protection, dexterity/mobility, laundering, and use/reuse.

Additional PPE resources

• Exemption for Religious Reason from Wearing Hard Hats . STD 01-06-005 [STD 1-6.5], (June 20, 1994). OSHA Instruction STD 1-6.5 dated June 20, 1994 states that OSHA has granted an exemption from citations to employers of employees who, for reasons of personal religious convictions, object to wearing hard hats in the workplace.
• Laboratory Safety . Environmental Health and Safety at Stony Brook University.

Personal Protective and Lifesaving Equipment for Construction

Dec 20, 2019

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Personal Protective and Lifesaving Equipment for Construction. PPE. Hazard–free environment Protected against potential hazards Purpose of PPE. 1a. Who pays for PPE?. Employer pays and provides If employees provide PPE. 1b. Correct use of PPE. Implement engineering controls

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PPE • Hazard–free environment • Protected against potential hazards • Purpose of PPE 1a

Who pays for PPE? • Employer pays and provides • If employees provide PPE 1b

Correct use of PPE • Implement engineering controls • Used with other protective methods • Significant worker hazards 2a

Hazards of PPE • Heat stress • Physical stress • Psychological stress 2c

Impaired • Vision • Mobility • Communication 2d

Adequate protection • Over–protection • Under–protection • Improper use 2e

Written PPE program • Protect the wearer • Prevent injury 3a

Comprehensive PPE program • Hazard identification • Medical monitoring • Environmental surveillance • Selection 3b

Comprehensive PPE program • Use • Maintenance • Decontamination • Training 3c

PPE program review and evaluation • Reviewed at least annually 4a

What is PPE? • Clothing and accessories • Create a barrier • Head protection • Eye and face protective 5a

What is PPE? • Hearing protection • Hand protection • Foot protection • Respiratory protection 5b

Head injuries • Falling or flying objects • Bumping the head 6a

Head protection • Resist penetration • Absorb the shock of a blow • ANSI standards • Z89.1–1969 • Z89.2–1971 6b

Protective hat types • Type 1 • Type 2 • Three classes • Class G • Class E • Class C 7a

Helmets construction • Water–resistant • Slow burning • Shell and suspension • Adjustable headbands 8a

Helmet inspection and maintenance • Cleaning helmets • Inspect daily • Exposure to unusual conditions • Storage 9a

Eye and face protection • When to use • Suitable for the work • Who does it apply to? 10a

Eye hazards • Flying objects • Glare • Liquids • Injurious radiation • Combination 11a

Minimum requirements • Provide adequate protection • Comfortable • Fit snugly 11b

Minimum requirements • Durable • Can be disinfected • Cleanable • Easily maintained 11d

Proper selection • Kind and degree of hazard • Worker comfort 12a

Corrective glasses and eye protection • Spectacles with protective lenses • Goggles worn over corrective spectacles • Goggles that incorporate corrective lenses 12b

Eye protection fit • Goggles and safety spectacles • Prescription safety spectacles 13a

Inspection/maintenance of eye protection • Keep lenses clean • Daily inspection and cleaning • Replace pitted lenses, like dirty lenses, can be a source of reduced vision • Headbands • Storage 14a

Disinfect eye protection • Disassemble • Clean all parts • Rinse • Immerse in germicidal fungicide • Protect them until reissue 15a

Hearing protection/earplugs • Preformed or molded earplugs • Waxed cotton, foam, or fiberglass wool • Disposable earplugs • Perfect seal around the ear • Reduction in protection 16a

Earmuffs and earplugs • Extremely noisy situations • Change the nature of sounds 16c

Why use hand protection? • Burns • Cuts • Electrical shock • Amputation • Absorption of chemicals 17a

Types of hand protection • Gloves • Hand pads • Sleeves • Wristlets 17b

Why foot protection? • Falling or rolling objects • Sharp objects • Molten metal • Hot surfaces • Wet slippery surf 18a

Types of foot protection • Types of foot protection • Safety shoes • Boots • Leggings 18c

Requirements for safety shoes • Sturdy • Impact–resistant toe • ANSI Z41.1–1967 18d

Options for safety shoes • Metal insoles • Metatarsal guards 18e

Respiratory protection • Identical to 29 CFR 1910.134 19a

Fall protection equipment • Lifelines • Safety harness • Lanyards 20a

Safety nets • 25 foot rule • Place and test before beginning operations • Extend 8 feet • No more than 25 below • 6 inches by 6 inches 21a

Other hazards • Life jackets and drowning • Moving vehicles • Warning garments 22a

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