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HIAP SENG ENGINEERING LTD.

No. 4, Benoi Place Singapore 629925 Tel: 6861 0667 Fax: 6861 1960 No. 19, Tuas Crescent, Singapore 638713 Tel:6897 8082 Fax: 6897 8081 No. 28, Tuas Crescent, Singapore 638719 Tel:6897 8082 Fax: 6897 8081

RECORD OF PERSONAL EQUIPMENT


NAME: NRIC / FIN NO: WORK PERMIT NO: NATIONALITY: DESIGNATION: DATE EMPLOYED: EMPLOYEE NUMBER: DEPT / PROJECT: APPROVED BY: (Name & Signature)

Particulars To be in Upper Caps

Particulars To be in Upper Caps

DATE OF ISSUED

PERSONAL PROTECTIVE EQUIPMEMT TYPE * SAFETY HELMET * SAFETY HARNESS * SAFETY BELT * FACE SHIELD (FOR WELDING ONLY) ** SAFETY SHOES ** SAFETY GLASSES ** SAFETY GOGGLES ** EAR PLUGS ** GLOVES ** CHIN STRAP ** JACKET (POLYESTER/COTTON) ** TROUSERS ** OVERALLS

UNIT COST

QTY

SIZES

RECEIPIENT SIGNATURE & date

W / HOUSE SIGNATURE

REMARKS

I,the above mentioned had received the necessary personal protective equipments issued to me and under the Company's Safety Regulations.I will abide to use the personal protective equipment.I will return the PPE issued to me when my employment is ceased with the company or I will bear the cost of replacement due to my own negligence. * Items must be returned to the company ** One to one exchangenable items Applicant Signature: Date of Application:

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