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Vijay Kumar & Son'S: VENDOR CODE - 404168

VJ/TSBSL/EHS /09 /03 is a personal protective equipment compliance audit form for a work location. The form lists various protective equipment like safety goggles, gloves, helmets, shoes, masks, and more. For each employee, the condition of their equipment is marked as "C" for good condition, "NC" for damaged, or "N/A" if not applicable. Equipment marked as non-compliant must be removed from the site. The form is signed by an auditor and site manager to verify the audit.

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Sean Das
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122 views

Vijay Kumar & Son'S: VENDOR CODE - 404168

VJ/TSBSL/EHS /09 /03 is a personal protective equipment compliance audit form for a work location. The form lists various protective equipment like safety goggles, gloves, helmets, shoes, masks, and more. For each employee, the condition of their equipment is marked as "C" for good condition, "NC" for damaged, or "N/A" if not applicable. Equipment marked as non-compliant must be removed from the site. The form is signed by an auditor and site manager to verify the audit.

Uploaded by

Sean Das
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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VJ M/S VIJAY KUMAR & SON’S Effective Date:

VENDOR CODE – 404168 18.07.19


VJ/TSBSL/EHS /09 /03 REV. NO. -01

Personal Protective Equipment’s Compliance Audit


Location: Date:
Assessor Name:

Inspection item must be marked “C” if in good condition “NC” if damaged condition, or “N/A” if not applicable.
Item marked Non compliance may not be used and must removed site.
List of Personal Protective Equipment’s
Name of Employee
Returned Date of
damaged PPEs

Apron
Face Shield

Other
Ear Plug
GlovesHand

Singuard /
GoggleSafety

HelmetSafety

ShoesSafety

MaskDust / Face

suite Aluminium
leg guard

jacketFlorescent

Auditor signature : Signature of Site Head/ Manager / In charge

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