Appendix 12

PERSONAL PROTECTIVE EQUIPMENT (PPE) RECORD FOR THE MONTH OF ……………………………..…..

PROJECT : The Execution and Completion of 2 Blocks, 25 Storey Pangsapuri Mewah CONTRACTOR : ………………………………………………….
(187 Units) Including 2 Storey Podium & 4 Storey Basement at Jalan INDUCTION COURSE DELIVERED BY : ……………………..
Bukit Pantai Kuala Lumpur. TRANSLATOR : …………………… TOTAL HOURS : ………

SAFETY ORIENTATION REFERENCE NO : …………………………..

Please be informed that the following workers are briefed on the site rules and regulation. All of them are issued with adequate personal protective equipment
(PPE) and are reminded that PPE must be worn at all times at site. They have also been oriented on the proper usage of various types of PPE issued to them.

PERSONNEL PROTECTIVE EQUIPMENT* PASS

S/NO NAME NRIC/passport TRADE SIGNATURE
HELMET EARPLUG GOGGLES SHOES S. BELT VEST NO
1
2
3
4
5
6
7
8
9
10

Note :
Helmet must be provided with chin-strap