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Personal Protective Equipment (PPE)
Client:
Project:
Site Address:
Phone Number:
Image of site:
Worker:
Phone Number:
Note: Check if you have personal equipment, do not have equipment or pending review.
Safety Helmet:
Yes
No
Pending
Safety Jacket:
Yes
No
Pending
Safety Boots:
Yes
No
Pending
Safety Gloves:
Yes
No
Pending
Safety Glasses:
Yes
No
Pending
Full Body Harness:
Yes
No
Pending
FirtsAid:
Yes
No
Pending
Ladder & Equipment checked:
Yes
No
Pending
Nearest Hospital Location:
Yes
No
Pending
Daily Safety Site Meeting:
Yes
No
Pending
Image of Worker:
Worker's digital signature
Supervisor's Name:
Supervisor's digital signature
Byron's digital signature
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