PPE & Company uniform checklist DOC No: 167 ~ Version No: 001 ~ Version Date 22-09-2022 ~ Review Date: 22-09-2023

• Conducted on

  Date

• Conducted by

• Staff Member

• Location
  Address

PPE TYPE

Hard Hat

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Good

  Fair

  Poor

  N/A

Eye Protection

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Ear Protection

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Respirator

• issued

  Yes

  No

  N/A

Mask

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Chadwell T shirts

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Chadwell Jumper

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

High Vis

• issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Overalls

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Gloves

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Safety Boots

• Issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

Wellies

• Yes

  No

  N/A

• issued

  Yes

  No

  N/A

• Number of

• Condition

  Serviceable

  Unserviceable

  N/A

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