PPE Issuance Request Latest

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 Doc. Number : RLSCM-RWD-IMS-SP106-F2 Version : 00 PPE Issuance Request Effective Issue Date: 13.03.2015 Personal Protective Equipment Issuance Request A. Employee Name :_______ ___ Job itle:__ ______ Pro!e ct: ___________ ____ ". Requeste # Items $ ic% t&e r equir e# Item a n# 'ive re ason( )r* PPEs )elect Appropriate +ast Issuance $Date( Issue Number Reason for Issuance $Ne, Employee- ear /ear0 +ost( 1 Visible Jacket 2 Uniform 3 Dust Mask 4 Gas Mask 5 Safety Gole ! Safety S"oes # Safety $elmet % &'ron 10 Safety Glo(es 11 )t"er Sinature of t"e *e+uestin ,erson- Date- / / Ve rifie by ecuti(e- &''ro(e y 6a re"ouse Manaer- *emarks of 7are"ouse manaer 7"ere necessary-  Raaziq Logistics & Supply Chain Managemen t Page 1 of 1

Transcript of PPE Issuance Request Latest

Doc. Number : RLSCM-RWD-IMS-SP106-F2Version : 00

PPE Issuance RequestEffective Issue Date: 13.03.2015

Personal Protective Equipment Issuance Request A. Employee Name:_________________ Job Title:________________ Project: _______________B. Requested Items (Tick the required Item and give reason) Sr#PPEsSelect AppropriateLast Issuance (Date)Issue NumberReason for Issuance (New Employee, Wear &Tear/ Lost)

1Visible Jacket

2Uniform

3Dust Mask

4Gas Mask

5Safety Goggle

6Safety Shoes

7Safety Helmet

8Apron

10Safety Gloves

11Other

Signature of the Requesting Person: ----------------------------------------------Date: ---------/----------/--------------

Verified by (Executive): -------------------------Approved By (Warehouse Manager): -----------------Remarks of warehouse manager where necessary: Raaziq Logistics & Supply Chain Management

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