FORM HSE-HQ-F110-0 PPE Record

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HEALTH, SAFETY &

ENVIRONMENTAL PLAN
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PPE RECORD
HSE-PROJECT-FORM NO.-REV.

PAHANG - SELANGOR RAW WATER TRANSFER PROJECT LOT 1-1 HSE-HQ-F110-0

PERSONAL PROTECTIVE EQUIPMENT (PPE)


NAME PASSPORT/
NIRC NO. SAFETY SAFETY SAFETY SAFETY RAIN
EAR PLUG GOGGLE SIGNATURE
HELMET SHOES VEST BELT COAT

10

11

12

13

14

* The above mentioned employees are provided with adequate personal protective equipment (PPE) and are reminded that PPE must NOT be misused others than its purpose. All safety helmet must be provided with chin-strip.

Company Name : ________________________________ Submitted by : _________________________________

Date : ________________________________ Name : _________________________________

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