Employee PPE Form  Fields marked with an * are required Employee Name* Ref No.* Employee ID* Job Title* Date* The equipment(s) listed below has been issued to the name of the employee above to protect the employee from exposure to workplace hazards and the risk of injury Please tick below* Uniform (Blue)Uniform (Grey)Uniform (Green)Uniform (Blue)Coverall (Normal)Coverall (Fire Resistant)Safety ShoesSafety BootsSafety HelmetSafety Eyeglasses (Clear)Safety Eyeglasses (Dark)Safety Goggle - Pest ControlSafety Goggle - Fogging/MistHand Glove - RubberHand Glove - Cotton with GripHand Glove - High Rise CleaningHand Glove - ImpactEar PlugsEar MuffsRespirator - Normal MaskRespirator - 3M Fogging / Misting MaskHead LightTorch Light Quantity* Remarks*