PPE REQUEST/ISSUE RECORD

This form should be completed using the Ramboll UK Standard PPE Catalogue to identify
the items you wish to order. Please return the form to officemanagers@ramboll.co.uk

PART 1 – RECORD OF REQUEST

Name: Date:

Team: Order No (Office Admin only):

Item Product Ref. Description Qty Size

Authorised By: Date: _______________

(Manager)

Authorisation is required for any items not included in the Ramboll Standard PPE Catalogue.
Authorisation must be recorded by signature or email.

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PART 2 – RECORD OF ISSUE

Issued By: ______________________________________ Date: _______________

I, ______________________ confirm that I have received and been instructed on the correct use,
storage and maintenance of the above equipment.

Should an item issued to me become damaged in any way, I will immediately stop using the
equipment and contact my Location Support Coordinator or a member of the FM team to arrange
disposal and replacement.

Received By: _____________________________________ Date: _______________

(Signature of Employee)

This issue record must be stored by the Location Support Coordinator.

HS08-02-F Rev 7 Page 1 of 1

Date: 15-Dec-2022