Power Engineering World Co.

(PEW)

Personal Protective Gear Training Form

Trainee: ……………………………………………………………..
Employee Number: ………………………………………………
Job Title: ……………………………………………………………...
Department: ………………………………………………………
Date: / /

The employee has participated in the Personal Protective Gear Training course which included the
following:
1. Training importance of personal protective equipment .
2. Training on how to use it .
3. How to wear protective equipment .
4. The potential risks and consequences of non-compliance to wear protective equipment
5. Penalties for non-compliance with
6. Other Subjects: ………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………..

Safety Manager Name Trainer Name Trainee Name

and Signature and Signature and Signature

EHSP3-F7 Page 1 of 1 Rev.:0

 ‫)‪Power Engineering World Co. (PEW‬‬

‫ﻧﻣوذج اﻟﺗدرﯾب ﻋﻠﻰ ﻣﻌدات اﻟﺣﻣﺎﯾﺔ اﻟﺷﺧﺻﯾﺔ‬

‫إﺳــم اﻟﻣﺗدرب ‪..................................................................................... :‬‬

‫اﻟرﻗم اﻟوظﯾـﻔﻲ ‪.................................................................................... :‬‬
‫‪.................................................................................... :‬‬ ‫اﻟوظﯾﻔﺔ‬
‫اﻟداﺋــــرة ‪...................................................................................... :‬‬
‫‪/‬‬ ‫‪/‬‬ ‫‪:‬‬ ‫اﻟﺗﺎرﯾﺦ‬

‫ﺗم اﺷﺗراك اﻟﻣوظف ﺑﺎﻟدورة اﻟﺗدرﯾﺑﯾﺔ ﺑﻌﻧوان )اﻟﺗدرﯾب ﻋﻠﻰ ﻣﻌدات اﻟﺣﻣﺎﯾﺔ اﻟﺷﺧﺻﯾﺔ ( ﺣﯾث ﺗﺿﻣﻧت اﻟدورة ﻋﻠﻰ اﻟﺗﺎﻟﻲ ‪-:‬‬

‫‪ .1‬اﻟﺘﺪرﯾﺐ اھﻤﯿﮫ ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ اﻟﺸﺨﺼﯿﺔ ‪.‬‬

‫‪ .2‬اﻟﺘﺪرﯾﺐ ﻋﻠﻰ ﻛﯿﻔﯿﺔ اﺳﺘﺨﺪاﻣﮭﺎ ‪.‬‬
‫‪ .3‬ﻛﯿﻔﯿﺔ ارﺗﺪاء ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ ‪.‬‬
‫‪ .4‬اﻟﻤﺨﺎطﺮ اﻟﻤﺤﺘﻤﻠﮫ و اﻟﻤﺘﺮﺗﺒﮫ ﻋﻠﻰ ﻋﺪم اﻟﺘﻘﯿﺪ ﺑﺎرﺗﺪاء ﻣﻌﺪات اﻟﺤﻤﺎﯾﺔ‬
‫‪ .5‬اﻟﻌﻘﻮﺑﺎت اﻟﻤﺘﺮﺗﺒﮫ ﻋﻠﻰ ﻋﺪم اﻟﺘﻘﯿﺪ ﺑﮭﺎ‬
‫‪.6‬ﻣواﺿﯾﻊ اﺧرى ) ﺣددھﺎ ( ‪:‬‬
‫‪..................................................................................................‬‬
‫‪.................................................................................................‬‬
‫‪.................................................................................................‬‬

‫اﺳم ﻣدﯾر داﺋرة اﻟﺳﻼﻣﺔ و اﻟﺻﺣﺔ اﻟﻣﮭﻧﯾﺔ و ﺗوﻗﯾﻌﮫ‬ ‫اﺳم وﺗوﻗﯾﻊ اﻟﻣدرب‬ ‫اﺳم اﻟﻣوظف اﻟﻣﺗدرب و ﺗوﻗﯾﻌﮫ‬

‫‪EHSP3-F7‬‬ ‫‪1 of 1Page‬‬ ‫‪Rev.:0‬‬