Renoscape PPE Register

• Client / Site

• Prepared by

• Location
  Address

• Personnel

Personal Protective Equipment (PPE)

• This PPE Register logs the issue of personal protective equipment such as protective gloves, hi-visibility vests, ear defenders etc to each employee
  
  The PPE register documents the following
  
  1) PPE issued
  2) Statement of acceptance that the employee understands it is their responsibility not to misuse the PPE issued and to request a further issue of PPE once the item is no useable.
  3) Name of Employee and signature
  4) Management Name and signature

• What PPE has been issued?

  Select Hard Hat Bump Cap Hi-visibility Vest Hi-visibility long sleeve vest Hi-visibility trousers Hi visibility jacket / coat Ear defenders Ear plugs Protective Gloves Protective Face Mask (dust) Protective Eyewear Other

  • Hard Hat
  • Bump Cap
  • Hi-visibility Vest
  • Hi-visibility long sleeve vest
  • Hi-visibility trousers
  • Hi visibility jacket / coat
  • Ear defenders
  • Ear plugs
  • Protective Gloves
  • Protective Face Mask (dust)
  • Protective Eyewear
  • Other

• If other, please specify

• I understand that the PPE that has been issued today is my responsibility to keep in good order. It is also my responsibility to inform the office if PPE issued is no longer fit for purpose. I agree that PPE issued will not be misused in any way

• Employee Name & Signature

  Sign

• Date and time

  Date

• Management Name & Signature

  Sign