PPI - Personal Protective Equipment Issue - Version 3 September 2014

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PERSONAL PROTECTIVE EQUIPMENT ISSUE

Form PPI

Use this form to record the issue of Personal Protective Equipment to workers. Record also details
of any training given in its correct method of use and maintenance. Dont forget to also keep
training details in the employees personnel file.
Use the TAB key or mouse to move between cells. Use SHIFT + TAB to move back through the form. Type or select your
entry at the cursor.

Name of person responsible for issuing personal PPE items:


Employee receiving
PPE

Description of PPE
issued

Date
issued

Training in use and


Maintenance.
(give details and datewhere face fit testing
was carried out include
details)

Training and
instruction given by

1-Jan-99

- PBS Version 3

Form PPI - Personal Protective Equipment Issue Record - Page 1 of 2

Employee receiving
PPE

Description of PPE
issued

Date
issued

Training in use and


Maintenance.
(give details and datewhere face fit testing
was carried out include
details)

Training and
instruction given by

- PBS Version 3

Form PPI - Personal Protective Equipment Issue Record - Page 2 of 2

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