EGT - Apprentice PPE Order Form

• Document No.

• Prepared On:

  Date

• Please click 'Start Audit' to begin the Audit

Apprentice PPE Order Form

• Contact Number

• Apprentice Emp #

• Apprenticeship year

• Prepared By

• Apprentice Name

Items (please leave blank for 0)

• Earmuffs - ProChoice Viper (PSEMVIP)<br>(To Be Given Put For Emergency Purposes Only)

  1

• Ear Plugs ProChoice Uncorded (PSEPOU) - (sets)

  2

  4

  6

  8

  10

• Respirator ProChoice Disposable P2 Valved (PSPC321)

  1

  2

  3

  4

  5

• Glasses Safety ProChoice - Tsunami Clear (PS1600TWW)

  1

• Glasses Safety ProChoice - Tsunami Smoke (PS1602TWW)

  1

• Glove Clip ASI Interlock (ASILGC)

  1

• Gloves ProChoice - Black Panther (Discontinued)<br>(PSLNGLBK9) Size: 9 - (PSLNGLBK10) Size: 10 - (PSLNGLKB11) Size: 11

  1 x Size-9

  1 x Size-10

  1 x Size-11

• Gloves ProChoice - Knitted Black Latex Palm (Discontinued)<br>(Green & Thicker Protection)<br>(PS342DG9) Size: 9 - (PS342DG10) Size: 10 - (PS342DG11) Size: 11

  1 x Size-9

  1 x Size-10

  1 x Size-11

• Gloves - Profit Magnetic Glove<br>Wear & tear basis<br>(Available from EGT Office or Field Officer)

  1 x Medium

  1 x Large

  1 x Extra Large

• Gloves - Pro Choice Arax Cut 5 Glove<br>Wear & tear basis<br>(Available from EGT Office or Field Officer)

  1 x Size-7

  1 x Size-8

  1 x Size-9

  1 x Size-10

  1 x Size-11

• Goggles Safety - ProChoice Scope II - Clear (PS3700)<br>(To Be Given Out For Emergency Purposes Only)

  1

• Hard Hat ProChoice 6Pt Vented EGT Logo (PSHH6VBLEGT)

  1

• Sweat Band FOR HARD HAT

  1

• Brin With Flap FOR HARD HAT (HS3018)

  1

• Hat Wide Brim WITH FLAP (HS4055) - Size: 59cm x 61cm<br>

  1

• Hat Wide Brim NO FLAP (HS4250) - Size: 59cm x 61cm

  1

• Sunscreen ProChoice SPF30+ 125Gsm Tube (PSSS125)

  1

• Tag Safety "Danger" 125mm * 75mm (PSSTD12575)

  1

  2

  3

  4

  5

• Tag "Out of Service" (STC12575)

  1

  2

  3

  4

  5

• Apprentice Signature

  Sign

• Date

  Date

• Comments: