Title Page
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Site conducted
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Full Name
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The purpose of this check list is for a maintenance team member to inform the maintenance manager that they have the correct p.p.e to carry out their work.
By signing this data sheet you are declaring that you will also be wearing the correct p.p.e to carry out your work and that all the p.p.e in the list below is in good working order.
If you need any more or do not have the correct p.p.e stop what you are doing and collect what you need from the supervisor or line manager to continue your work.
It also acts as a register of whom attended this week’s meeting.
Please answer each box if you agree with the above statement and sign below. -
Conducted on
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Wet weather gear
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Hi-viz
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Steel toe cap footwear
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Ear Defenders
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Grade B Googles
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FFP3 Mask (fit tested)
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Gloves
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Wellies
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Uniform Jumpers
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Uniform Shirts
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Uniform Trousers
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Uniform Shorts
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please sign
