Form A - Safety Shoe Needs Analysis.xlsx

The provided PDF document is a Safety Shoe Needs Analysis Questionnaire form for the City of Tallahassee. It includes sections for Position Information, Needs Analysis Questionnaire, and Safety Shoe Class. The form requires the supervisor to assess if the job tasks of a position expose employees to various hazards related to feet, such as abrasive objects, heavy impacts, molten materials, electrically energized objects, slippery surfaces, and others. Based on the responses, it determines if safety shoes are required for the position and instructs on selecting the appropriate protective safety shoe class(es) for the identified hazards. The form also includes spaces for supervisor details, signature, and date.