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PERSONAL PROTECTIVE EQUIPMENT Page 1 of 2

COMPANY NAME DATE

SAFETY SAFETY SAFETY SAFETY RAIN EAR Dust


NAME GOGGLE OTHER SIGNATURE REMARK
HELMET SHOES BELT HARNES COAT PLUG Mask
/DATE

The above mentioned employees are provided with adequate personal protective equipment (PPE) and are reminded that PPE must NOT be misused other than its purpose.
PERSONAL PROTECTIVE EQUIPMENT Page 2 of 2

Issued by :_________________________

Name :_________________________

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