SSF 010 Register for Issue of PPE, Equipment and Tools

• Job Number

• Site

  Select

• Conducted on

  Date

• Site Supervisor

• Location
  Address

PPE Issued

• Tick all that apply

  Select Safety Gloves Hard Hat Hi-visibility Waistcoat Ear Defenders Sunstrom Half-Mask c/w filters Safety Boots Safety Glasses Dark Safety Glasses Safety Goggles Over-Spectacle Safety Glasses Harness/Restraint Kit

  • Safety Gloves
  • Hard Hat
  • Hi-visibility Waistcoat
  • Ear Defenders
  • Sunstrom Half-Mask c/w filters
  • Safety Boots
  • Safety Glasses
  • Dark Safety Glasses
  • Safety Goggles
  • Over-Spectacle Safety Glasses
  • Harness/Restraint Kit

• Any other PPE not listed

Tools Issued

• Tick all that apply

  Select 7lb Sledge Hammer 10lb Sledge Hammer Demolition Bars Mattock Broom Shovel Large Adjustable Spanner Medium Adjustable Spanner Stilson Wire Cutters Bolt Cutters - Angled Bolt Cutters Lifting Straps Brick Axe Screwdriver Set Allen Key Set Filter Wrench Socket Set Bow Saw c/w Blades Hack Saw c/w Blades Fence Spanner

  • 7lb Sledge Hammer
  • 10lb Sledge Hammer
  • Demolition Bars
  • Mattock
  • Broom
  • Shovel
  • Large Adjustable Spanner
  • Medium Adjustable Spanner
  • Stilson
  • Wire Cutters
  • Bolt Cutters - Angled
  • Bolt Cutters
  • Lifting Straps
  • Brick Axe
  • Screwdriver Set
  • Allen Key Set
  • Filter Wrench
  • Socket Set
  • Bow Saw c/w Blades
  • Hack Saw c/w Blades
  • Fence Spanner

• Any other Tools not listed

• I acknowledge receipt of the equipment / tools being issued to me and to look after and maintain it in accordance with the manufacturers instructions. I will report any loss or damage.

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Site Supervisor Sign-Off

• Add signature

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• C. G. Comley & Sons Limited T/A Comley Demolition. Registered office: Southern Way, Rye Common, Odiham, Hook, Hampshire, RG29 1HU. Telephone: 01256 702178. Email: comley@comleydemolition.co.uk Company Registration Number: 01672195