ELECTRO GROUP APPRENTICE PPE / UNIFORM REQUISITION

• Document No.

• APPRENTICE NAME:

• DATE ISSUED:

  Date

• ISSUED BY:

• LOCATION:

  Select EGA ON SITE

  • EGA
  • ON SITE

• SITE ADDRESS:

APPRENTICE DETAILS:

• DATE ISSUED:

  Date

• NAME:

• YEAR LEVEL:

  Yes

  No

  N/A

PPE ISSUED:

ADD PPE ISSUED

• PPE ITEM

  Select SAFETY GLASSES (CLEAR) SAFETY GLASSES (TINTED NYLON GLOVES RIGGERS GLOVES EAR PLUGS EAR MUFFS HELMET SUN BRIM SAFETY GOGGLES SUN SCREEN HI-VIS SHIRTS SMALL HI-VIS SHIRTS MEDIUM HI-VIS SHIRTS LARGE HI-VIS SHIRTS XL HI-VIS SHIRTS XXL TROUSERS 77 TROUSERS 82 TROUSERS 87 TROUSERS 92 TROUSERS 97 TROUSERS 102 TROUSERS 109 JACKET S JACKET M JACKET L JACKET XL JACKET XXL

  • SAFETY GLASSES (CLEAR)
  • SAFETY GLASSES (TINTED
  • NYLON GLOVES
  • RIGGERS GLOVES
  • EAR PLUGS
  • EAR MUFFS
  • HELMET
  • SUN BRIM
  • SAFETY GOGGLES
  • SUN SCREEN
  • HI-VIS SHIRTS SMALL
  • HI-VIS SHIRTS MEDIUM
  • HI-VIS SHIRTS LARGE
  • HI-VIS SHIRTS XL
  • HI-VIS SHIRTS XXL
  • TROUSERS 77
  • TROUSERS 82
  • TROUSERS 87
  • TROUSERS 92
  • TROUSERS 97
  • TROUSERS 102
  • TROUSERS 109
  • JACKET S
  • JACKET M
  • JACKET L
  • JACKET XL
  • JACKET XXL

• QUANTITY ISSUED

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

UNIFORM ISSUED:

• REASON FOR ISSUE

  Select CHANGE OF YEAR WEAR AND TEAR INITIAL ISSUE

  • CHANGE OF YEAR
  • WEAR AND TEAR
  • INITIAL ISSUE

• ADD UNIFORM ITEM

ITEM

• DISCRIPTION

  Select SAFETY GLASSES (CLEAR) SAFETY GLASSES (TINTED NYLON GLOVES RIGGERS GLOVES EAR PLUGS EAR MUFFS HELMET SUN BRIM SAFETY GOGGLES SUN SCREEN HI-VIS SHIRTS SMALL HI-VIS SHIRTS MEDIUM HI-VIS SHIRTS LARGE HI-VIS SHIRTS XL HI-VIS SHIRTS XXL TROUSERS 77 TROUSERS 82 TROUSERS 87 TROUSERS 92 TROUSERS 97 TROUSERS 102 TROUSERS 109 JACKET S JACKET M JACKET L JACKET XL JACKET XXL

  • SAFETY GLASSES (CLEAR)
  • SAFETY GLASSES (TINTED
  • NYLON GLOVES
  • RIGGERS GLOVES
  • EAR PLUGS
  • EAR MUFFS
  • HELMET
  • SUN BRIM
  • SAFETY GOGGLES
  • SUN SCREEN
  • HI-VIS SHIRTS SMALL
  • HI-VIS SHIRTS MEDIUM
  • HI-VIS SHIRTS LARGE
  • HI-VIS SHIRTS XL
  • HI-VIS SHIRTS XXL
  • TROUSERS 77
  • TROUSERS 82
  • TROUSERS 87
  • TROUSERS 92
  • TROUSERS 97
  • TROUSERS 102
  • TROUSERS 109
  • JACKET S
  • JACKET M
  • JACKET L
  • JACKET XL
  • JACKET XXL

• QUANTITY ISSUED

  Select 1 2 3 4 5 6 7 8 9 10

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8
  • 9
  • 10

• NOTES:

• ELECTRO GROUP REPRESENTATIVE SIGNATURE

  Sign

• APPRENTICE SIGNATURE

  Sign