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  • Form - Pengembalian Ppe

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    Muhammad Triansyah
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    This document is a form for returning personal protective equipment. It requires the employee to provide their name, ID number, job title, and check off which pieces of protective equipment they are returning such as mask, shoes, belt, helmet, uniform, glasses. The employee must also specify the reason for returning such as resignation, moving locations, or equipment being borrowed by the company. Any notes can also be included and the form requires dates and signatures from the employee, safety officer, supervisor, and project manager.

    Original Description:

    Form PPE

    Original Title

    FORM - PENGEMBALIAN PPE

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    This document is a form for returning personal protective equipment. It requires the employee to provide their name, ID number, job title, and check off which pieces of protective equipment they are returning such as mask, shoes, belt, helmet, uniform, glasses. The employee must also specify the reason for returning such as resignation, moving locations, or equipment being borrowed by the company. Any notes can also be included and the form requires dates and signatures from the employee, safety officer, supervisor, and project manager.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    16 views1 page

    Form - Pengembalian Ppe

    Uploaded by

    Muhammad Triansyah
    This document is a form for returning personal protective equipment. It requires the employee to provide their name, ID number, job title, and check off which pieces of protective equipment they are returning such as mask, shoes, belt, helmet, uniform, glasses. The employee must also specify the reason for returning such as resignation, moving locations, or equipment being borrowed by the company. Any notes can also be included and the form requires dates and signatures from the employee, safety officer, supervisor, and project manager.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 1

    PT.

    HASTAKARYA TUNGGAL MANDIRI

    CLEARENCE PERSONAL PROTECTIVE EQUIPMENT


    PENGEMBALIAN ALAT PELINDUNG DIRI

    NAME
    NAMA

    ID NO
    NOMOR ID

    FUNCTION
    JABATAN

    PPE SHOES BELT HELMET UNIFORM


    ALAT PELINDUNG DIRI

    MASKER OTHERS GLASSES

    ( HIRE I WOULD LIKE RETURN PERSONAL PROTECTIVE EQUIPMENT ( P P E ) COUSED OF :


    ( DENGAN INI SAYA BERMAKSUD MENGEMBALIKAN PERALATAN ALAT PELINDUNG DIRI DIKARENAKAN OLEH )

    RESIGNED
    BERHENTI -

    MOVE TO OTHER LOCATION -


    PINDAH LOKASI KERJA

    BORROWED BY COMPANY -
    DIPINJAMKAN OLEH PERUSAHAAN

    OTHERS
    LAIN - LAIN

    CROSSED
    IF CLEARANCE PPE DID NOT APPROVED BY COMPANY CAUSED OF DAMAGE / LOST SHOT -
    CUT FROM REMAINING SALARY.
    NOTE IF ANY :

    DATE :
    TAGGAL :

    PREPARE BY, CHECK BY, CHECK BY, APPROVE BY,

    ( EMPLOYEE ) ( SFETY OFFICER ) ( SUPERVISOR ) ( PRJ MGR )

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