PERSONAL PROTECTIVE EQUIPMENT FORM
Senior Manager:
Annex Manager:
Supervisor:
Department/Shop/Area: Safety
# Personal Protection Equipment Restock Frequency
1 Head Protection (Hard Hats) (1.1) 1 year
2 Safety Glasses with Side Shields or Wrap Around 3 months
3 Goggles – Direct Vents 6 months
4 Goggles – Indirect Vents 6 months
5 Cotton Hand Gloves 3 months
6 Non Conductive Safety Shoes/Boot 6 months
7 Hearing Protection Devices- Ear Plugs 6 months
8 Hearing Protection Devices- Ear Muffs 1 months
9 Coveralls 6 months
10 Reflective Denim Jacket/ Trouser 6 months
11 Dust Mask 6 months
12 Disposable Respirators 6 months
13 Maintenace hand Gloves
14 Leather Hand Gloves
15 Leather Leg Guard
16 Aluminized Leg guard
17 Rubber Hand Gloves
18 Safety Harness
19 Smelting Goggle
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PERSONAL PROTECTIVE EQUIPMENT FORM
Senior Manager:
Annex Manager:
Supervisor:
Department/Shop/Area:
Required Stock for Restock
# Personal Protection Equipment / Id # Unit LN FN/AN Frequency
1 Head Protection (Hard Hats) (1.1) ea 2 3 1 Year
2 Safety Glasses with Side Shields or Wrap Around pair 4 6 3 Months
3 Goggles – Direct Vents ea 2 3 6 months
4 Goggles – Indirect Vents ea 2 3 6 months
5 Goggles – No Vents ea 2 3 6 months
6 Cotton Gloves pair 12 18 3 months
7 Leather Palm Gloves pair 6 9 3 months
8 Disposable Nitrile / Latex Gloves box 6 9 3 Months
9 Nitrile / Latex Chemical Gloves pair 6 9 3 Months
10 Non Conductive Safety Shoes/Boot pair 2 3 6 months
11 Rubber boot with steel toe protection pair 2 3 1 Year
12 Hearing Protection Devices- Ear Plugs box 1 1 6 months
13 Hearing Protection Devices- Ear Muffs ea 2 3 1 year
14 Disposable Coveralls - Particulate box 2 3 6 months
15 Disposable Coveralls - Polypropylene fabric box 2 3 6 months
16 Coveralls ea 6 9 6 months
17 Reflective Vest / Traffic Vest ea 6 9 1 Year
18 Dust Mask box 6 9 3 Months
19 Disposable Respirators box 4 6 3 Months
20 Air Purifying Half and full Respirators ea 2/0 3/3 1 Year
21 Air Purifying Filter Cartridge ea 12 18 6 months
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