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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


S. Received Issued
Safety Materials (PPE) from previous Hand
No (b) (c)
month (a) (d)= (a+b-c)
1 Safety Helmet (Labor)
2 Safety Helmet (Loading)
3 White Helmet
4 Red Helmet
5 Green Helmet
6 Blue Helmet
7 Safety Belt
8 Safety Net
9 Barrication Tape
10 Safety Goggles
11 Nose Mask
12 Cotton Knitted Gloves
13 Leather Palm Gloves
14 Rubber Hand Gloves
15 Gum Boot
16 Safety Shoes
17 Helmet Refill
18 Reflection Jacket
Others
19 a)
20 b)
21 c)
22 d)

Safety Personnel : Store Personnel :

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