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Doc Ref No.

: CPNL/HSE-PPE-IR/918

PPE ISSUE REGISTER Issue date: JUNE 01, 2021

Revision:
000

Employee Name: _________________________ Date _______________________

Department: ________________________ Site Location: ____________________________

Signature of Recipient

Kindly tick the box to indicate item being issued


PPE ITEM QUANTITY ISSUED NEXT REPLACEMENT DATE
Hardhat
Safetyboots
Ear plugs
Dustmask
High visibilityclothing
Gloves
FirstAid Kit
Long sleevedshirts
Wet weatherclothing
Raincoat
Coverall

The signature indicates confirmation that the employee has received the listed PPE with
appropriate instructions and training in its correct use.

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