Receipt of Equipment and Workwear

This form is a record of issues of tools, equipment, workwear, personal PPE, and the issue of disposable PPE. You should sign and date this form to acknowledge receipt of the equipment and the instruction and training they have been given in its use. On completion it will be filed in your Personnel file.

Name(Required)
Select Equipment Issued(Required)
I confirm that I have received the following Equipment. I also confirm that I have been given, and clearly understand, instruction, information, and use regarding the equipment, including: The purpose for which equipment has been provided. The hazards that PPE will protect against. The correct method of use. My responsibility for ensuring that the equipment remains in an efficient state, properly working and in good repair. I agree that I will report any defect or loss of equipment to the Person in Charge.
Please detail quantities received, make, model, serial numbers, etc.. all relevant details
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.