PPE Requisition Form

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ZHEC BOW SMEDRIC JV

BSMSN,MIRSARAI, ECONOMIC ZONE,CHHITTAGONG.

MATERIALS REQUISITION FORM (MRF)

DATE OF REQUISITION : 01.11.2023


PROJECT: ZHEC BOW SMEDRIC JV 50 MLD WTP AND DTW AT BSMSN,MIRSARAI,CHATTOGRAM

REMARKS
BUDGET BUDGET CUMULATIVE PRESENT REQUIRED REMAINING REQUIRED
Sl ITEM DESCRIPTION UNIT
HEAD QUANTITY RECIVED STOCK QUANTITY QUANTITY DELIVERY DATE

1 Fire Extigusher(CO2-3pcs,,Foam Type-2 and DCP-5pcs)


Pcs 8 0 10 0 03.11.2023

2 Manual Smoke detector


Pcs 0 0 3 0 03.11.2023
3 Manual Heat Detector
Pcs 2 0 3 0 03.11.2023
For Substation,Generator
HSE Room and site canteen
4 25mm ms screw
Pcs 2 0 50 0 03.11.2023

5 Rowel Plug 25mm


Pkt 0 0 2 o 03.11.2023

Total
REASON FOR REQUISITION: For Official and Site safety item

URGENT / REGULAR: (INITIATOR) Regular


JUSTIFICATION FOR URGENCY: (INITIATOR) For Site fire safety and protection work

BUDGET
TOTAL BUDGET Figures in
BDT
BUDGET ALREADY USED
REMAINING BUDGET
PERTIAL 8 nos for
PREVIOUS TIME PROCURED RECORD office
FOUND

PREPARED CHECKED BY APPROVED BY


Sr. HSE Officer Department Head Manager/DPM/PM
ZHEC BOW SMEDRIC JV
ZHEC BOW SMEDRIC JV
BSMSN,MIRSARAI, ECONOMIC ZONE,CHHITTAGONG.

MATERIALS REQUISITION FORM (MRF)

DATE OF REQUISITION : 01.11.2023


PROJECT: ZHEC BOW SMEDRIC JV 50 MLD WTP AND DTW AT BSMSN,MIRSARAI,CHATTOGRAM

REMARKS
BUDGET BUDGET CUMULATIVE PRESENT REQUIRED REMAINING REQUIRED
Sl ITEM DESCRIPTION UNIT
HEAD QUANTITY RECIVED STOCK QUANTITY QUANTITY DELIVERY DATE

1 Ear Plug - hering protection lavel at leasts 90dB


Pcs 0 0 10 0 03.11.2023

2 Safety Goggles (Black and White)


Pcs 0 0 20 0 03.11.2023
3 Face Mask each box contained 50 pcs
Box 2 0 6 0 03.11.2023

4 Caution Tape Thikness 100 micron(Red,Yellow)


Roll HSE 2 0 10 0 03.11.2023

5 Red Ribbon
Roll 0 0 4 o 03.11.2023

6 Barricataion Rope
Roll 0 0 1 o 03.11.2023

Total
REASON FOR REQUISITION: For Official and Site safety item

URGENT / REGULAR: (INITIATOR) Regular


JUSTIFICATION FOR URGENCY: (INITIATOR) For Health and safety and hazourd identification work

BUDGET
TOTAL BUDGET Figures in
BDT
BUDGET ALREADY USED
REMAINING BUDGET
PERTIAL
PREVIOUS TIME PROCURED RECORD
FOUND

PREPARED CHECKED BY APPROVED BY


Sr. HSE Officer Department Head Manager/DPM/PM
ZHEC BOW SMEDRIC JV
BSMSN,MIRSARAI, ECONOMIC ZONE,CHHITTAGONG.

MATERIALS REQUISITION FORM (MRF) Requisition No.:05 /2023

DATE OF REQUISITION : 15.10.2023


PROJECT: ZHEC BOW SMEDRIC JV 50 MLD WTP AND DTW AT BSMSN,MIRSARAI,CHATTOGRAM

REMARKS
BUDGET BUDGET CUMULATIVE PRESENT REQUIRED REMAINING REQUIRED APPROXIMATE
Sl ITEM DESCRIPTION UNIT
HEAD QUANTITY RECIVED STOCK QUANTITY QUANTITY DELIVERY DATE BUDGET PRICE

1 Induction sticker All Worker &


Pcs 0 0 100 18.10.2023 700.00 Empolyees

2 Inspection card All machinaries &


Pcs 0 0 100 18.10.2023 600.00 equiepments
3 Extingusher Card For Extingusher
Pcs 0 0 50 18.10.2023 450.00
4 Hand Gloves (Lather Type 2 Pair,Nylon Rubber coated HSE For Local Worker Use
10Pair,EN for electrical Hand Gloves 2 Pair ) Pair 0 14 18.10.2023 3000.00 only

5 laminating machine has 0.5m/min speed, 80-250mic thickness, For lots of Documents
4 rollers, 330mm laminating width, 620w power consumption, laminating and signage
220v / 50Hz power supply. Pcs 0 0 1 18.10.2023 4000.00

6 Safety Helmat for safety Officer ( Color :Green ) For safety officers
Pcs 0 0 2 18.10.2023 500.00

Total 9,250
REASON FOR REQUISITION: For Official and Site safety item

URGENT / REGULAR: (INITIATOR) Regular


JUSTIFICATION FOR URGENCY: (INITIATOR) For HSE inspection and Identifications and signage work

BUDGET
TOTAL BUDGET Figures in
BDT
BUDGET ALREADY USED 9250
REMAINING BUDGET
PERTIAL 30.07.23
PREVIOUS TIME PROCURED RECORD
FOUND

PREPARED CHECKED BY APPROVED BY


Sr. HSE Officer Department Head Manager/DPM/PM
ZHEC BOW SMEDRIC JV
BSMSN,MIRSARAI, ECONOMIC ZONE,CHHITTAGONG.

MATERIALS REQUISITION FORM (MRF) Requisition No.:03 /2023

DATE OF REQUISITION : 11.10.2023


PROJECT: ZHEC BOW SMEDRIC JV 50 MLD WTP AND DTW AT BSMSN,MIRSARAI

BUDGET BUDGET CUMULATIVE PRESENT REQUIRED REMAINING


Sl ITEM DESCRIPTION UNIT REMARKS
HEAD QUANTITY RECIVED STOCK QUANTITY REQUIRED QUANTITY
DELIVERY DATE
Register Book For Project Manpower
and Materials Entry
1 Nos 0 2 record

Umbrella (Big Size and Steel stick made) For project Security
2 Nos 0 2
HSE/ET For Night safety and
3 Whistles Nos 0 1 12.10.2023 control project

For Freezer
4 Stablizer 1KVA Nos 0 2
For project Security
5 Charger Light (Long backup ELD Type ) Nos 0 1
Total
REASON FOR REQUISITION: For project and office use only

URGENT / REGULAR: (INITIATOR) Reguler


JUSTIFICATION FOR URGENCY: (INITIATOR)

BUDGET
TOTAL BUDGET Figures in
BDT
BUDGET ALREADY USED
REMAINING BUDGET

PREVIOUS TIME PROCURED

PREPARED BY
Md Osman Gony CHECKED BY APPROVED BY
Sr. HSE Officer Manager/DPM/PM

Page 6
ZHEC BOW SMEDRIC JV
BSMSN,MIRSHARAI, ECONOMIC ZONE,CHITTAGONG.

PPE REQUISITION FORM

Name : DATE :
Department Name :

Sl ITEMS DESCRIPTION UNIT REMARKS

Total
REASON FOR REQUISITION:

Approved From Department Manager Signature

Approved From Safety Director Manager Signature

Approved From Store Officer Signature

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