PPE Issue Report

This report outlines a safety concern regarding a tear in the right glove, emphasizing the need for prompt resolution to ensure employee well-being and workplace safety.

Employee Information:

Name:	[Name]
Job Title:
Department:
Date of Report:
Contact Number:
Email:

PPE Details:

Type of PPE:	Safety Gloves
Brand/Model:
Issue Description:
Date Issue Noticed:
Location:

Issue Severity:

Severity Level:	Medium
Impact on Safety:

Action Taken:

Immediate Action:	The affected glove has been replaced with a spare one from the supply.
Recommendations:

Verification and Follow-Up:

Verifier's Name:	[Name]
Verification Date:
Resolution Date:
Follow-Up Actions:

Signatures:

I, [Your Name], the undersigned, acknowledge the accuracy of the information provided in this PPE Issue Report. I confirm that I reported the issue on the specified date.

Employee's Signature:

[Your Name]

[Job Title]

[Month Day, Year]

I, [Name], the [Safety Supervisor], have reviewed and verified the reported PPE issue. I confirm the actions taken and the resolution date as stated.

Safety Supervisor's Signature:

[Name]

[Job Title]

[Month Day, Year]

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