PERSONAL PROTECTIVE EQUIPMENT ISSUE REGISTER

Name of Agency:- Date:-

Month:-
** As per BOCW Act 1966 and BOCW central rules 1988 it is responsibility of Agency / EIC to ensure issue IS standard PPE to all their
workers based on job requirements**
SL NAME OF PERSON DESIGNATION Personal Protective Equipment SIGNATURE
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
1 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
2 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
3 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
4 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
5 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
6 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
7 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
8 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather
 Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
9 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor  Raincoat Hand Gloves (Leather)
Mandatory:  Safety Helmet  Safety shoes
 Reflective Jacket  Nose Mask  Goggles  Hand Gloves
(Cotton)
10 Other PEEs:  Full body Safety Harness  Electrical Safety Shoes
Gumboots Ear Plug Safety Goggles Snake Guard  Rope
Grab Fall arrestor
 Raincoat Hand Gloves (Leather)

Type of PPEs:
 Safety Helmet  Dust Mask  Full body Safety Harness
 Safety Shoes  Ear Plug  Rope Grab Fall arrestor
 Electrical Safety Shoes  Ear Muff  Retractable Fall arrestor
 Gumboots  Safety Goggles  Life line Rope
 Reflective jacket  Raincoat  Respirator (Airline)
 Hand Gloves (Cotton)  Welding Shield (Helmet Attachment)  Dielectric Safety Helmet
 Hand Gloves (Leather)  Welding aprons  Snake Guard
 Hand gloves (Vinyl coated)  Fire blanket

Person Responsible for issuing PPE Year of PPE issue Register

Name:-

Signature:-