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User Record
Full Name:
Select date
Is any Uniform required?
Diva Blue Polo TShirt
How many?
Size:
Small
Medium
Large
X Large
XX Large
1/4 Zip Black Sweatshirt
How many?
Size:
Small
Medium
Large
X Large
XX Large
Mens Black Combat Trousers
How many?
Size:
28"
30"
32"
34"
36"
38"
40"
42"
Ladies Black Combat Trousers
How many?
Size:
8
10
12
14
16
18
Black Outer Jacket
How many?
Size:
Small
Medium
Large
X Large
XX Large
Black Thermal Vest
How many?
Size:
Small
Medium
Large
X Large
XX Large
Black Thermal Trousers
How many?
Size:
Small
Medium
Large
X Large
XX Large
Black Knitted Hat
How many?
Black Baseball Cap
How many?
Black Scarf
How many?
Black Gloves
How many?
Is any Safety PPE Required?
Respirator Mask
Face mask - Mayflowers
How many?
Dust mask - Coversure
How many?
Work Gloves
Black Tradesman Gloves
How many?
Hi Vis Thermal Grip Glove
How many?
Hi Vis Vest
How many?
Size:
Small
Medium
Large
X Large
XX Large
Knee Pads
How many?
Ear Defenders
How many?
Waterproof Trousers
How many?
Size:
Small
Medium
Large
X Large
XX Large
Safety Glasses
How many?
Safety Goggles
How many?
Safety Boots
How many?
Size:
7
8
9
10
11
Team member Confirmation
Management Confirmation
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is
permissible in your workplace or jurisdiction.