CLIENT: CONSULTANT: CONTRACTOR: AL SAHRAA

PROJECT TITLE:
CONTRACT NO:
009: PPE RECORD FOR ORDERING AND ISSUING

Coverall 2 sets for Safety Shoes for Coverall 2 sets for Safety Shoes for 6
Tally No. Helmet
(6 months) (6 months) 6 months months
Name of Last Helmet Employee
Trade Project
Employee Date of Date of issued Date of Safety Date of New Issue Signature
Shoe
Old New Size Last Last (1 year) Size New Shoe New
size
Issue issue Issue size Issue

By
Filled by Site Time Keeper Filled by Central Store Filled by Site Store Keeper/ Time Keeper
employee
DISTRIBUTION:
Original Copy: Central Store Copy to: Project Manager Others (specify) …………………………………….

Al Sahraa General Transport & Clearance Page 1 of 1

Doc. No.: AS-F-HSE-009 Date Printed: January 2017
Revision No. 01