TRC Employee Personal Protective Equipment

• Document #:

• Date PPE Received:

  Date

• Employee Name:

• Employee ID #:

• Employee Reporting Office:

• Hardhat (type E)

  Yes

  No

  N/A

• Safety Glasses (tinted-ANSI Z87.1)

  Yes

  No

  N/A

• Safety Glasses (clear-ANSI Z87.1)

  Yes

  No

  N/A

• Safety Glasses (OTG-ANSI Z87.1)

  Yes

  No

  N/A

• Safety Vest Class 2 (ANSI/ISEA 107-2015)

  Yes

  No

  N/A

• Safety Vest Class 3 (ANSI/ISEA 107-2015)

  Yes

  No

  N/A

• Gloves (leather)

  Yes

  No

  N/A

• Non-conductive Measuring Tape

  Yes

  No

  N/A

• Insulated Water Jug (personal 1 gallon)

  Yes

  No

  N/A

• Other PPE:

  Yes

  N/A

• What is the PPE?

Signature

• Employee Signature:

  Sign