Jabatan/Unit: __________________________________________________
Nama: __________________________________________________
No Kad Pengenalan: __________________________________________________
Jenis PPE
*Sila tandakan (/) pada jenis PPE yang terlibat
(/) Tarikh Terima Saiz
1 Safety Helmet
2 Safety Goggles
3 Earplug
4 Welding Shield Set
5 Safety Vest
6 Safety Jacket
7 Safety Gloves
8 Body Harness
9 Fire Retardant Coverall
10 Safety Boot
Tarikh: Tarikh: