Hand Safety Handbook

Glove trial feedback form

Your name: Company: HexArmor ® product: Previous products used:

Date: Position: Location:

Protection and performance 1 Back-of-hand protection 2 Cut protection in palm area 3 Puncture protection 4 HexArmor ® PPE allows me to perform my job better than other gloves 5 I feel better protected in this product than in others 6 Product is appropriate for my application 7 Durability 8 Lasted ______ days of 8-hour work shifts Grip (if applicable) 1 Grip when dry 2 Grip when wet or coated with chemicals 3 Grip consistency

1 Below average 2 Average 3 Fair 4 Good 5 Excellent 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a

1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a 1 2 3 4 5 n/a

4 The grip/coating used is appropriate for my application 5 Grip/coating lasted ______ days of 8-hour work shifts

Comfort/fit 1 Overall comfort

2 Overall fit 3 Dexterity 4 Product is comparable in comfort to previous products worn 5 If applicable: gloves are correct length in the fingertips 6 If applicable: gloves are correct width across the palm 7 If applicable: product kept me cooler/warmer than previous products Overall satisfaction

1 2 3 4 5 n/a

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