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PPE Individual Monitoring Form

This document is a PPE individual monitoring form used by the Africa Q-HSE department to track the personal protective equipment provided to employees. It collects an employee's name, position, hire date, and whether they are permanent or temporary staff. It then tracks the distribution of safety equipment like helmets, goggles, gloves, raincoats, boots, high visibility vests, and safety shoes to each employee on various dates, having them sign after receiving supplies. Department heads and Q-HSE managers also sign the form.

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3K views1 page

PPE Individual Monitoring Form

This document is a PPE individual monitoring form used by the Africa Q-HSE department to track the personal protective equipment provided to employees. It collects an employee's name, position, hire date, and whether they are permanent or temporary staff. It then tracks the distribution of safety equipment like helmets, goggles, gloves, raincoats, boots, high visibility vests, and safety shoes to each employee on various dates, having them sign after receiving supplies. Department heads and Q-HSE managers also sign the form.

Uploaded by

dnmule
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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AFRICA Q-HSE DEPARTMENT

PPE INDIVIDUAL MONITORING FORM


Document N°: HSE-F-0515 Rev 07

Name and First name:

Position: Date of recruitment:

Staff: Permanent Temporary

High
Safety
Date Overall Helmet Goggles Gloves Raincoat Boots Visibility Signature
Shoes
Vest

Note: Enter the quantity provided in the corresponding cell and have the employee sign in the corresponding signature cell

Date of first completion Signature Head of Department Signature Q-HSE Manager

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