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PPE Issue Record Template

The document is a record of personal protective equipment issued to an employee. It lists the type of PPE issued including 50 yellow helmets, 10 pairs of safety shoes for labor, 25 green safety jackets, 100 orange safety jackets, and 4 pairs of tiger safety shoes. The employee is responsible for taking care of the issued PPE, using it properly, keeping it clean, and reporting any losses or defects. The record also shows the remaining quantities of materials in stock.

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Amit Bhatt
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1K views2 pages

PPE Issue Record Template

The document is a record of personal protective equipment issued to an employee. It lists the type of PPE issued including 50 yellow helmets, 10 pairs of safety shoes for labor, 25 green safety jackets, 100 orange safety jackets, and 4 pairs of tiger safety shoes. The employee is responsible for taking care of the issued PPE, using it properly, keeping it clean, and reporting any losses or defects. The record also shows the remaining quantities of materials in stock.

Uploaded by

Amit Bhatt
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PERSONAL PROTECTIVE EQUIPMENT (PPE) ISSUE RECORD

Helmet 50 nos send from office


Safety shoes 8 no
10 nos send from office
For labour
Safety jacket
Green _25 Nos
Orange _100 nos
Tiger shoes staff
_4nos

Note: this form should be retained in the staff member’s personal file

The PPE listed below has been issued to the above named employee in
accordance with the Management of Health and Safety at Work Regulations
1999 and the Personal Protective Equipment at Work Regulations 1992.

The employee has a responsibility to:

take reasonable care of the PPE provided;


use PPE in accordance with the training and instruction given;
 to keep the PPE clean and return it to its place of storage after use; and
 report any loss or defect immediately to insert job title

TYPE OF PPE ISSUE Remaining Company send total


ISSUED S materials / balance No material
Helmet yellow labour 21 29 50

Safety shoes labour 4 6 10

Safety jacket orange 50 50 100

Safety jacket green 10 15 25

Safety shoes tiger 3 1 4

WBC Health and Safety Manual for Schools


WBC Health and Safety Manual for Schools

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