Title Page
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PPE Issue Form: -
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Employee
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Conducted on
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Prepared by
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Division
PPE
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Supervisor to Complete'Type' and Quantity/Size
Equipment To Be Issued: -
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Equipment Issued: -
- 3 Point - Hard Hat
- Harness
- Single Lanyard
- Safety Gloves
- Twin Tail Lanyard
- Light Eye Protection
- High Impact Goggles
- Hi-Vis
- Safety Boots
- Tether for Level
- Tether for Impact Wrench
- Spanner with Tether
- Hammer with Tether
- Hammer Frog
- Tether
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Size:-
- Small
- Medium
- Medium - Large
- Large
- XL
- N/A
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Issued By: -
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Signed as Acceptance By: -
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Date: -
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ANY SPECIALIST EQUIPMENT I.E. HARNESS’S, LANYARDS ETC. MUST BE RETURNED TO MATTISON SCAFFOLDING LTD IN THE EVENT OF YOU LEAVING THE COMPANY, OR THE COST WILL BE DEDUCTED FROM ANY MONIES DUE
