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Sample PPE Request Form and Records

The document discusses personal protective equipment (PPE) request forms and records. PPE request forms are used by workers to request new protective gear, while PPE records track what equipment has been issued to each worker. The forms include fields to log the date, worker name, items requested or returned, supervisor signature, and notes. Maintaining these forms and records helps contractors keep track of issued PPE.

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Brijgopal Yadav
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
475 views

Sample PPE Request Form and Records

The document discusses personal protective equipment (PPE) request forms and records. PPE request forms are used by workers to request new protective gear, while PPE records track what equipment has been issued to each worker. The forms include fields to log the date, worker name, items requested or returned, supervisor signature, and notes. Maintaining these forms and records helps contractors keep track of issued PPE.

Uploaded by

Brijgopal Yadav
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SPACE INTERRIO PVT. LTD.

PPE Request form & Records


What are PPE request forms and records?
A Personal Protective Equipment (PPE) request is a document that is used by workers to request PPE. A PPE record is used to record what PPE is issued to workers.

Project Name & Location: - Name of Contactor:-


PPE request form
Personal protective equipment request form

Old PPE given back


Date Safety Shoes Safety Helmet Reflective Safety Gumboot Safety Harness Signature Remark
Jacket Goggles

PPE request records


New PPE Requested / Personal protective equipment records

Date Contactor Supervisor / Worker Name Work Type Safety Safety Reflective Gloves Safety Goggles Gumboot Face Mask Earplug Signature Remark
Shoes Helmet Jacket

The PPE request form and records are important for keeping track of what has been issues and to whom

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