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Click ‘Get Form’ to open the safety shoe program template in the editor.
Begin by entering your name in the 'Employee Name' field. This ensures that your reimbursement request is properly attributed to you.
Next, input your UMID# in the designated field. This unique identifier helps streamline processing within the university's system.
Fill in the 'Date of Purchase' to indicate when you acquired the safety shoes. Accurate dates are crucial for reimbursement eligibility.
Enter the 'Amount of Purchase' reflecting how much you spent on the safety shoes, keeping in mind that reimbursement is capped at $130 per year.
In the statement section, confirm that you purchased steel-toed safety shoes/boots for work use and specify any issues encountered with finding acceptable options.
Sign and date where indicated as the employee, then ensure your supervisor also signs and dates their section to validate your request.
Finally, complete the 'Department Shortcode' field to facilitate proper departmental accounting for reimbursements.
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For safety footwear, the primary standard is ASTM F2413-18. This standard encompasses several critical aspects, including: Impact Resistance: The impact standard relates to protecting the foot from falling or rolling objects. Compression Resistance: Guards against heavy objects that may crush the foot.
What is a safety shoe program?
Safety Shoe Program The Safety Shoe Program has been established to protect NIH employees from possible foot injuries due to occupational foot hazards. If you are at risk of foot injury on the job and you are an NIH employee, you can obtain safety shoes upon approval of your supervisor.
What is S1, S2, and S3 in safety shoes?
S1 = same as SB + closed back, antistatic properties, heel energy absorption, hydrocarbon resistance. S1P = same as S1 + anti-puncture sole. S2 = same as S1 + water-repellent upper material. S3 = same as S2 + anti-puncture sole. OB = work shoe, without protective toe cap.
What is the sample safety footwear policy?
To ensure the safety of employees, appropriate protective footwear must be worn by all persons when working in areas where there is a danger of foot injuries due to falling or rolling objects that could crush the foot, objects that could pierce the sole, and where the employees feet are exposed to electrical hazards.
What is the OSHA policy for footwear?
Safety toe protective footwear must be worn at all times regardless of the presence of a hazard; and the safety toe protective footwear must meet the following requirements - leather uppers, oil resistant and non-skid soles, and American Society for Testing and Materials (ASTM) F2413-05 with an impact resistance rate
safety shoe program template
Safety shoe program template wordSafety shoe program template pdfFree safety shoe program templateSafety shoes policy for employeesSafety shoe reimbursement policyCorporate safety shoe programsFootwear policy in the workplaceSafety Shoe reimbursement form
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The basic requirements described in EN ISO 20345 include: height of the upper. heel area on boots. minimum length, pressure and bump impact resistance of the toe cap. water vapour permeability and water vapour number of the upper. outsole thickness and abrasion resistance of the outsole.
Related links
Safety Shoe Program
PURPOSE: The Berkeley Facilities Services Safety Shoe Program supplements the Universitys Personal. Protective Equipment Policy and provides the requirements
Oct 1, 2019 The purpose of this program is to enhance the employee safety by providing superior quality protective footwear, meets or exceeds the current
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