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FORMAT NO.

:
REV. NO. 0 DATE :
SAFETY MATERIALS ISSUE REGISTER
PAGE 1 OF 1

Project Name: Project Code:

Month: Date:

Stock carried Stock in Hand


S. Received Issued
Safety Materials (PPE) from previous (d)= (a+b-c)
No (b) (c)
month (a)
Safety Helmet (Labour)
White Helmet
Green Helmet
Blue Helmet
Safety Belt
Safety Net
Barrication Tape
Safety Goggles
Nose Mask
Cotton Knitted Gloves
Leather Palm Gloves
Rubber Hand Gloves
Safety Shoes
Reflection Jacket
Others
a)
b)
c)
d)

Safety Personnel : Store Personnel :

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