SUBSEA Personal Protective Equipment (PPE)

SPHI-KSB
Request Form
SK-QHS-FRM-042

Personnel Details
Name Patrick lleto

Position THOME

Date 15th June 2023

Details of PPE Requested:

Safety Glass □ Tinted 00 Clear

Safety Helmet □ Green □ White

Quantity requested:
Fire Retardant Coveralls
OS □ M □ L □ XL □ XXL □ XXXL D 4XL □ 5XL

Impact Resistant Gloves □ Diving □ Rigging Size:

Safety Boot UK/US Size:

Denim Diving Coverall □ s □ M □ L □ XL □ XXL D XXXL □ 4XL D 5XL

Diving Booties UK/US Size:

Reason for Replacement:

Requested for crew boat crew change on 16th June 2023. Will be back charged to THOME.

Replacement Type:

IBl Entitlement □ Personal Cost D F.0.C

Requestor Signatur�

Approved by
Supervisor

Name/ Signature Digitally signed by

Sathiaselan Sathiaselan
Passkeren
Passkeren Date: 2023.06.18
Date 22:41:44 +08'00'

Rev0/June2023 Page 1 of 1