Form: RSI-HSSE-006 Rev: 3 Date: 01-04-2017

RED SEA INTERNATIONAL COMPANY

PPE ISSUANCE and REPLACEMENT Record
Complete Name: Nexus Number:
Department: Shift: Job Title:

No. PPE Received Date Received by Issued by PPE Returned Date Returned by Received by
1 COVER ALL
2 HARD HAT
3 SAFETY SHOES
4 DARK GLASSES
5 CLEAR GLASSES
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

PPE ISSUING AND REPLACEMENT RECORD RSI HSSE DEPARTMENT