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Work Safety Conditions Job Hazards (safety training required) Select the following hazards the employee will be directly exposed to in their work environment: Animals Confined space entry Radioactive materials Around moving machinery Excessive noise Repetitive motion Baseline evaluation of FBI check/fingerprinting Restricted access hearing required Baseline evaluation of vision Fumes, dust, others Powered industrial vehicle required (fork, reach, bucket lift) Bloodborne pathogens Infectious agent Select agents Chemicals Laser UV light Commercial products Pesticides or herbicides X-ray Comments: Job Tasks Select the following tasks assigned to the employee: Lifting up to Select lbs Security Respirator use Plant/Facility maintenance Physical exertion Custodial duties DOT shipping/receiving of hazardous, biological or infectious Grounds (lawn maintenance) materials Other: Explain if employee is responsible for individuals under the age of 18 years: Personal Protective Equipment Required Select the following equipment needed to perform the job: Appropriate gloves Lab coat Hard hat Protective eyewear Hearing protection Other: Respiratory protection Safety shoes Ergonomic Concerns Select the activities required to perform the job: Balance Crouch Bend/Stoop Keyboard/Type Climb ladders Kneel Climb stairs Squat Crawl Push/Pull Explain: Reach Reach above shoulder Repetitive motion Use computer mouse Travel Requirements Employee will be required to drive while on the job Employee will operate university vehicle Valid Ohio driver’s license required Chauffeur driver’s license required (pre-employment testing and drug testing required) Commercial driver’s license required (pre-employment testing and drug testing required) Employee will transport hazardous materials (chemicals, contaminated equipment, lead, PBC, paints) Other: Employee will transport biohazardous waste (chemical samples, human blood or tissue, animals, contaminated equipment) Other: Employee will transport universal materials (ballasts, batteries, computers, fluorescent bulbs, insecticides, mercury products) Other: Explain: