High Visibility Clothing PPE Form
Please complete this form accurately and thoroughly for each employee issued with high-visibility clothing.
Employee Information
Name of Employee: | |
Employee ID: | |
Job Position: | |
Contact Information: | |
High Visibility Clothing Information
Date Issued: | |
Issued By: | |
Role/Position: | |
Contact Information: | |
Type and Specifications: | |
Size: | |
Color: | |
Condition at Issue: | |
Inspection Schedule: | |
Acknowledgement
I acknowledge that I have received and understand the proper use and care of the high-visibility clothing described above. I am committed to wearing and maintaining this PPE for my safety and the safety of those around me.
[Employee Name]
[MM/DD/YYYY]
Thank you for completing the form. If you have any concerns or require further assistance, please contact the [Department] at [Department Phone].
Your commitment to workplace safety is appreciated.
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