Title Page

  • Conducted on

  • Issued by

  • Document Number

Issued PPE

  • Name

  • The articles of personal protective equipment, which has been issued to you by Quilpie Shire Council are now your responsibility.

    If you misuse or abuse the equipment you may be disciplined. In turn your employer must provide you with what is deemed as reasonably practicable for the purpose. If the equipment genuinely needs to be replaced you must inform your Supervisor or Manager.

    Your Supervisor/Manager will provide instruction in the correct fitting /how to wear the equipment/clothing correctly.

  • What PPE has been issued

  • Please sign below to acknowledge that you have received the personal protective equipment and the training /instruction required to wear the equipment correctly, and that you also understand that you may be disciplined if you misuse or abuse the equipment.

  • Signature:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.