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    OSH002 - PPE Issue Record Form

    Uploaded by

    Ronnie E. Escullar
    This document contains records for issuing, returning, and replacing personal protective equipment (PPE) for employees. It lists the employee's name, job title, department and the types of PPE issued along with dates. Terms require all PPE to be returned upon leaving and that losses due to negligence will be charged. The replacement request form requires reason for replacement and manager approval.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    OSH002 - PPE Issue Record Form

    Uploaded by

    Ronnie E. Escullar
    894 views4 pages
    This document contains records for issuing, returning, and replacing personal protective equipment (PPE) for employees. It lists the employee's name, job title, department and the types of PPE issued along with dates. Terms require all PPE to be returned upon leaving and that losses due to negligence will be charged. The replacement request form requires reason for replacement and manager approval.

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    This document contains records for issuing, returning, and replacing personal protective equipment (PPE) for employees. It lists the employee's name, job title, department and the types of PPE issued along with dates. Terms require all PPE to be returned upon leaving and that losses due to negligence will be charged. The replacement request form requires reason for replacement and manager approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    894 views4 pages

    OSH002 - PPE Issue Record Form

    Uploaded by

    Ronnie E. Escullar
    This document contains records for issuing, returning, and replacing personal protective equipment (PPE) for employees. It lists the employee's name, job title, department and the types of PPE issued along with dates. Terms require all PPE to be returned upon leaving and that losses due to negligence will be charged. The replacement request form requires reason for replacement and manager approval.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 4

    PERSONAL PROTECTIVE EQUIPMENT (PPE) ISSUE RECORD

    Employee Name:
    Job Title:
    Department:

    The PPE listed below has been issued to the above named employee in accordance with Rule 1080 of
    Labor Code of the Philippines and Safety and Health Policy of P.A. Properties.

    Date
    Type of PPE Issued Date Issued Signature Returned To Signature
    Returned
    Hard Hat
    Suspension Strap
    Chin Strap
    Safety Shoes
    Safety Boots
    Raincoat
    Goggles
    Rubber Coated Gloves

    Terms and Condition of Use:


    1. All PPEs issued to P.A. Properties employee are company property and must be
    surrenderred upon separation.
    2. PPEs must be used as instructed and must be taken cared-of.
    3. Loss or destruction of PPEs due to negligence shall be charged against the user.
    4. Report any loss or defect immediately to insert job title

    Received by: Issued By:

    Name and Signature Name and Signature


    PERSONAL PROTECTIVE EQUIPMENT (PPE)
    REPLACEMENT REQUEST RECORD
    Employee Name:
    Job Title:
    Department:

    This PPE Replacement Request is subject for review and approval. In cases of loss or destruction of PPE is
    due to negligence, it shall be charged against the user.

    Type of PPE for


    Replacement

    Reason for
    Replacement

    Assessed By

    Remarks

    Date PPE Replacement


    Issued

    Received by: Approved By:

    Name and Signature Name and Signature


    PERSONAL PROTECTIVE EQUIPMENT (PPE) ISSUE RECORD
    Employee Name:
    Job Title:
    Department:

    Ang Personal Protective Equipment na nakalista sa ibaba ay ibinibigay sa empleyado ng kumpanya


    alinsunod sa Rule 1080 ng Labor Code ng Pilipinas at Safety and Health Policy ng P.A. Properties.

    Date
    Type of PPE Issued Date Issued Signature Returned Returned To Signature

    Hard Hat
    Suspension Strap
    Chin Strap
    Face Mask
    Safety Shoes
    Safety Boots
    Raincoat
    Goggles
    Rubber Coated Gloves

    MgaTuntunin at Kundisyon sa Paggamit:


    1. Ang lahat ng PPE na ibinigay ng P.A. Properties sa empleyado nito ay ari-arian ng kumpanya
    at dapat na ibalik huling araw bago ang paghiwalay sa kumpanya.
    2. Ang Kagamitang Pang-Proteksiyon ay dapat gamitin bilang itinagubilin at dapat na pag-aalagaan.
    3. Ang pagkawala o pagkasira ng PPE dahil sa kapabayaan ay sisingilin sa gumagamit.
    4. Iulat ang anumang pagkawala o depekto kaagad sa Safety Officer.

    Natanggap ni: Na ibinigay ni:

    Pangalan at Lagda Pangalan at Lagda


    PERSONAL PROTECTIVE EQUIPMENT (PPE)
    REPLACEMENT REQUEST RECORD
    Employee Name:
    Job Title:
    Department:

    Ang PPE Replacement Request ay sasailalim sa pagsusuri at pag-apruba. Sa mga kaso ng pagkawala o
    pagkasira ng PPE dahil sa kapabayaan, ito ay sisingilin sa gumagamit.

    PPE na Papalitan

    Dahilan para sa Kapalit

    Tinutukoy Ni

    Komento

    Petsa ng pagbigay ng
    kapalit na PPE

    Natanggap ni: Inaprubahan ni

    Pangalan at Lagda Pangalan at Lagda

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