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PPE Request Form V2

The document is a PPE request form from Meghnaghat PVC Limited/TCCL. It contains fields for requester information, PPE item details, and approval signatures. The form is used to request personal protective equipment and track issuance and replacements.

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swapon kumar shill
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71 views1 page

PPE Request Form V2

The document is a PPE request form from Meghnaghat PVC Limited/TCCL. It contains fields for requester information, PPE item details, and approval signatures. The form is used to request personal protective equipment and track issuance and replacements.

Uploaded by

swapon kumar shill
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MEGHNA PVC LIMITED/TCCL

Meghnaghat, Sonargaon, Narayanganj


Document no MPVCL/HSE&S/F/002
PPE REQUEST FORM Effective date
Revision no
25.08.2022
2

PLANT NAME : _____________________________________ DATE : _ _/_ _ /_____

REQUESTER'S NAME : ________________________________ DEPARTMENT : __________________________

DESIGNATION: ____________________________________ EMPLOYEE ID : _________________________

PHONE NO: ____________________________________

Issuance Type
Quantity Specification Last Issue Purpose/
SL No. PPE Name SAP Code Replace Remarks
(PCS/PAA) Size/ Color) New Date Reason of use
ment

APPROVAL
N.B: In case of PPE replacement or lost case, need additional
approval from Plant Head. Please specify the reason of PPE
RECOMMENDED BY: _____________________________ replacement……………………………………………………………………………..

SECTION HEAD/ SUPERVISOR ………………………………………………………………………………………………….


.

APPROVED BY: ___________________________ ADDITIONAL APPROVAL: ___________________________


HSE DEPARTMENT PLANT HEAD

RECEIVED BY: __________________________ DISTRIBUTED BY: _______________________________________


REQUESTER/ REQUESTER'S REPRESENTATIVE STORE DEPARTMENT
Note: Store Department Keeps the Original Copy Last Revised date: 25-08-2022

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