The form should be completed by the requesting department and reviewed by the necessary approving authorities.
Date: | [Month Day, Year] |
Department: | [Your Department Name] |
Prepared by: | [Your Name] |
Approval sought by: | [Approver’s Name] |
Item No. | Description of PPE | Quantity | Unit Cost | Total Cost | |||||
1 | Hard Hats | 20 | $25 | $500 | |||||
Hard hats are essential for the construction project at the new warehouse site, ensuring head protection for workers in areas with a risk of impact from falling or flying objects, or accidental head contact with electrical hazards. |
Department Head Signature:
Date: [MM-DD-YYYY]
Finance Department Signature:
Date: [MM-DD-YYYY]
Final Approval by Safety Officer:
Date: [MM-DD-YYYY]
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