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PERSONAL PROTECTIVE EQUIPMENT INSPECTION

Date of Inspection : CSTR-HSE-FM-022 Rev.0


Vessel / Location :
Project :

LEGEND : √ - In good condition × - Damage / Torn R - Requires replacement.


SCOPE OF INSPECTION
NO. NAMES DESIGNATION REMARKS
HARD HAT S/GLASSES COVER ALL BOOTS OTHERS

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Note :

Prepared by : Verified by : Acknowledged by :

____________________________ ____________________________ ______________________________


( ) ( ) ( )
SSS SHO Construction Manager / Rep

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