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Conducted on
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Prepared by
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Site location
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Please check the items below that you require. Please note that you must give as much notice as possible (minimum of 3 days) At all times it is the employees responsibility to contact the office to order replenished PPE after the initial distribution within the specified order lead times.
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Disposable nitrile gloves
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Hand sanitiser
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Face mask
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Van cleaning materials
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Employee Signature
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When you have received your items of PPE please add the date and time below
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Date items received
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Employee signature upon receipt of items
