Personal Protective Equipment Issue and Return Log (Supplementary)

Employer / organization​

Unit: Site / unit​. Period: Recording period​. Person responsible for records: Person responsible for the log​. This log is a supplementary register. Issue and return of personal protective equipment (PPE; СИЗ) are recorded in the employee's individual PPE issue card under Ministry of Labor Order No. 766n (766н). Employer's standards: Issue standards and approval particulars​.

Employee: Selected employee's full name​, Selected employee's position​. Individual card No. Individual record card number​. Transaction: issue. Ground and standards item: Ground for issue​.

List of personal protective equipment​ Entry made in the paper individual card: Date/number of the individual card entry​. Employee ______________ / Selected employee's full name​ /. Person issuing / receiving PPE: Position of the person issuing / receiving PPE​ ______________ / Full name of the person issuing / receiving PPE​ /. Signing date: Signature date. The register is stored as follows: Storage location, procedure and period​. Shared-use PPE and skin protection products are subject to their special rules; an entry in this log does not replace the records they require.