| No. | PPE Item | Available | Condition | Remarks |
|---|---|---|---|---|
| 1 | Safety Helmet | |||
| 2 | Safety Glasses/Goggles | |||
| 3 | Safety Shoes/Boots | |||
| 4 | Reflective Vest | |||
| 5 | Gloves | |||
| 6 | Hearing Protection | |||
| 7 | Face Shield | |||
| 8 | Respiratory Protection | |||
| 9 | Harness/Lifeline | |||
| 10 | Other PPE |
| Prepared By | Position | Signature | Date |
|---|---|---|---|