Delta Company Ltd.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment Issue and Replacement Record

• Location:

  Select Al Maather Al Hazem Al Waha Khuzam Mahjar Hindawiah Bawat Khatam Hail 69 KV Taima

  • Al Maather
  • Al Hazem
  • Al Waha
  • Khuzam
  • Mahjar
  • Hindawiah
  • Bawat
  • Khatam
  • Hail
  • 69 KV
  • Taima

• Employee Name:

• Badge Number:

• PPE issued?

  Yes

  No

• PPE issued

PPE

• What PPE

  Select Safety Shoes Safety Vest Safety Helmet Coverall

  • Safety Shoes
  • Safety Vest
  • Safety Helmet
  • Coverall

• Shoe size

  Select 39 40 41 42 43 44 45

  • 39
  • 40
  • 41
  • 42
  • 43
  • 44
  • 45

• Date issued

  Date

• Signature of employee:

  Sign

• Size:

  Select Small Medium Large X Large XX Large

  • Small
  • Medium
  • Large
  • X Large
  • XX Large

• Date issued

  Date

• Signature of employee

  Sign

Reminders:

• Note1: Employee must receive training in the use, care and maintenance for the clothing/equipment issued.
  Note2: Employee must sign the Letter of Commitment to Wear.