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70 <br /> <br /> (√) <br />If Present Potential Hazard Potential Harm <br /> Source And Location Of Hazard <br />(identify hazard) <br /> <br /> PHYSICAL HAZARDS, continued <br /> Torso hazards (e.g. sharp objects <br />heat/fire, and chemicals) <br />May cause lacerations, abrasions, thermal <br />burns, and chemical burns/exposure. May result <br />in injury or death. <br /> <br /> Foot hazards (e.g. rolling or falling <br />objects) <br />May cause lacerations and/or fractures. May <br />also result in chemical exposure/burns. <br /> Belt, chain, and screw conveyors Worker may become caught between moving <br />parts. May result in injury or death. <br /> Hot surfaces/equipment Worker could receive thermal burns. Could <br />ignite a fire. May result in injury or death. <br /> Material storage May result in fire, falling object, and/or slip, trip <br />and fall hazards. May result in injury or death. <br /> Hoists, cranes, slings, and chains Equipment could fail. Employee could be struck <br />by a falling object. May result in injury or death. <br /> Limited exits and/or complex floor plan Workers may become trapped in a fire. May <br />result in injury or death. <br /> <br /> <br /> <br /> <br /> <br /> <br /> This checklist provides general guidance for the identification of common work place hazards. It is not all-inclusive. The employer must customize the form for the specific work place. <br /> <br /> <br />