Nixon Medical Shoe Policy

Zachary McCook

Aug 20, 2026

Purpose

Nixon Medical is committed to providing a safe work environment for all associates. The Safety Footwear Policy provides an approved process for footwear requirements by classification and reimbursement to eligible associates.

Scope

This program outlines the job functions or departments based on Job Hazard Analysis (JHA’s) that are required to wear Safety footwear, the standards on Safety footwear, the process for purchasing and reimbursement.

Responsibilities

Associates: Eligible associates identified in this policy are required to wear the required footwear while performing their duties. Associates that report to work without required PPE will not be permitted to work. Failure to adhere to this policy will result in disciplinary action.

Managers: Ensure associates under their supervision adhere to this policy. Authorize purchase of safety footwear for associates affected by this policy. Forward purchase receipts and SF-13 forms to the EHS department.

Accounts Payable: Process approved Safety Footwear Purchase Program forms (SF-13) and to maintain the original forms and receipts. Process invoices from Red Wing and Grainger with the associated SF-13 form received from EHS and attach paperwork for filing.

EHS Department: Provide guidance on this policy and on hazard assessments to determine Safety footwear requirements. Work with local Safety Committees to establish and maintain contract agreements for providing Safety footwear.

Review and track associate purchases.

Definitions

Safety footwear: Safety footwear is a form of Personal Protective Equipment (PPE). Safety footwear is designed to protect the wearer from hazards and must comply OSHA standard 29 CFR 1910.136, to include ASTM F2412.05 or ASTM F2413 classification requirements.

OSHA 29CFR1910.136: The employer shall ensure that each affected associate uses protective footwear when working in areas where there is a danger of foot

injuries due to falling or rolling objects, or objects piercing the sole, or when the use of protective footwear will protect the affected associate from an electrical hazard, such as static-discharge or electric-shock hazard, that remains after the employer takes other necessary protective measures. Additionally, where there is potential for slippery conditions and or crushing hazards.

Safety Footwear standard

1. Nixon Medical will provide an annual safety footwear allocation or as deemed necessary with manager approval, for associates in departments affected by this policy. Managers will authorize associates to purchase Safety footwear based on the parameters below.

Department	Shoe Type (Steel/Composite Toe) ASTM F2412-05 or ASTM F2413-05 or ASTM F2413-11	Predominant Color	Slip resistant	Electrical Hazard Rated	Oil resisting sole
Service	X	Black	X
Maintenance	X	n/a	X	X	X
Shuttle	X	n/a	X
Shipping / Receiving	X	n/a	X
Load Out	X	n/a	X
Soil Staff & all other departments as defined locally	X	n/a	X
Stockroom	X	n/a	X
EHS / Marketing	X	n/a	X

Nixon Medical will provide a voucher for Red Wing Shoes, place an online order through the company Grainger account or reimburse the associate for the purchase of one pair of safety footwear, up to one hundred dollars ($100.00). Maintenance associates may purchase one pair of safety footwear meeting specified rating requirements of up to one hundred-fifty dollars ($150).

1. Procurement of Safety footwear

1. 1. The associate or Manager must complete SF-13 Safety Footwear Authorization Form and have it signed by their manager. The form remains with their manager and is submitted with the reimbursement paperwork.
  2. Red Wing voucher enables the associate to only pay out of pocket amounts over the allocated amount. Red Wing will submit an invoice for payment directly to Nixon for the voucher amount.
  3. If associates intend to purchase safety footwear online or from another vendor, they will not need the voucher. The associate is permitted to purchase safety footwear out of pocket from any vendor, granted the footwear meets the above requirements.
  4. Associates purchasing safety footwear from Grainger (shoe truck or online via an authorized Nixon Medical associate with account access), the associate may utilize the payroll deduction option if the total cost of the shoes is higher than the allocated amount.

1. Reimbursement/Payroll Deduction

1. 1. To be reimbursed for the approved purchase of safety footwear, the associate or their manager will need to complete SF-13 Safety Footwear Purchase Reimbursement Authorization form and submit to EHS Department with a receipt. Associates will only be reimbursed up to the allotted amount set forth in this policy.
  2. Associates purchasing safety footwear from Grainger, that are above the allocated amount must complete the Payroll Deduction form and forward to the EHS Department.

Recordkeeping

1. Red Wing purchases are tracked within the account set up by the department manager.
2. The Accounts Payable department will maintain the original authorization forms, receipts and payment information for invoices.

Forms/Attachments

SF-13 Payroll Deduction Authorization Form SF-16 Safety Footwear Voucher (Red Wing)

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