DUQM REFINERY AND PETROCHEMICAL INDUSTRIES COMPANY
PPE REQUEST FORM
Name:
Mohamed Mostafa Mohamed Mahmoud
Position:
Senior Field Operator
Operation – SRU
Department:
Signature:
Elnobey
Date:
1-June-2022
Employee NO:
403614
Eligibility
Criteria
Tick (√)
√
OQ8 Staff (Field)
OQ8 Staff (Office)
OQ8 Visitor
PPE Request
Item
Description
√ if required
Quantity
1
Safety Helmet
2
Coveralls (Temporary)
3
Safety Boots
√
1
4
Eye Protection (Clear, Dark)
√
1
5
Ear Protection (Earmuff)
√
2
6
Jacket
√
7
Trouser
8
9
Size
Comments
Didn’t receive from joining
44
Clear, Dark
1
XL
Didn’t receive from joining
√
3
36
Didn’t receive from joining
T-shirt
√
3
XL
Didn’t receive from joining
Gloves
√
3
Big size
Reason for Request (√)
First Time
Lost/Stolen
Damaged/Replacement
√
Other (Specify)
First time to receive (T-shirt
& Trouser & Jacket)
Instructions
1. The form shall be submitted to the OQ8 PPE email oq8-ppe@oq8.com after signing by the Line
manager.
2. Submit the approved form 2 days (minimum) before PPE is required.
3. Receipt of PPE will be in the fire service building after 1 PM, or will be advised by the focal points.
Requesting Line Manager:
Approving HSSE – Fire Service Department:
Name:
Name:
Signature:
Signature:
Date:
Date:
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