PPE Request Form
PPE Request Form
Requester Information
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Requester Name: |
[Your Name] |
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Department: |
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Contact Number: |
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Email Address: |
PPE Details
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PPE Type: |
Safety Goggles |
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Quantity: |
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Purpose of Use: |
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Urgency Level: |
Justification
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Reason for Request: |
Replacement for damaged stock |
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Risk Assessment: |
Approval Status
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Pending
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Approved
-
Denied
Supervisor Name:
Supervisor Signature:
Date of Approval:
