Title Page
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The PPE listed has been issued to the named employee in accordance with the Management of Health and Safety at Work Regulations 1999 and the Personal Protective Equipment at Work Regulations 1992.
The employee has a responsibility to:
• Take reasonable care of the PPE provided;
• use PPE in accordance with the training and instruction given;
• To keep the PPE clean and return it to its place of storage after use; and
• report any loss or defect immediately to your supervisor -
Employee Name
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Date of issue
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PPE issued
- Ear defenders
- Safety glasses
- Safety visor
- Hard Hat
- Back support
- Bump Cap
- Covid face shield
- Hi vis coat
- Hi vis vest
- Thermal fleece
- Thermal under wear
- Full face respirator
- Half face respirator
- Clean space respirator
- Dust mask
- Welders cloves
- Overalls
- safety boots
- Kevlar armlet
- welders armlets
- welders apron
- Welding head shield
- Welding head shield with respirator
- Welders spats
- Respirator filters
- Gloves
- Knee pads
- Safety harness
- Lanyard
- OTHER
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What other PPE was issued
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I confirm that the above PPE has been issued to me and I understand that it is my responsibility to wear it when required. I have been trained in the correct use, storage, cleaning and care of the PPE and also understand that I must report any lost or defective/damaged items immediately to my manager or supervisor who will reissue as applicable.
