Page 68 - PPE GUIDELINE
P. 68
Hazards
Guidelines on the Use of PPE Against Chemical
Department: _______________________
NRIC No: _______________________ Position: __________________________
Date join department: _______________
APPENDIX 3: EMPLOYEES PPE ISSUANCE RECORD FORMAT
*Date Receiver *Date *Date *Date initials inspection/ inspection/ inspection/ inspection/ reissue reissue reissue reissue 68
*Date inspection/ reissue Department of Occupational Safety & Health, Ministry of Human Resources, Malaysia October 2005
Name: ________________________
Staff No: ______________________
Date issued
helmet goggles spectacles shields respirator gas mask apparatus gloves suit boot shoes/ *Strikethrough wherever applicable
PPE type 1.Safety 2.Safety 3.Safety 4.Face 5.Toxic 6.Dust 7.Breathing 8.Chemical 9.Coverall 10.Chemical 11.Safety
