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Contractor Project In-Charge: LEMUEL LINGAD Safety Officer: MARK JAYSON YABES
(Signature over printed name) (Signature over printed name)
Condition Condition
Tools / Equipment PPE Remarks
Good Poor Good Poor
Screw Driver Safety Glass
Adjustable Wrench Safety Shoes
Open Wrench Hard hat w/ chin strap
Combination Wrench Safety Gloves
Pliers Sleeves
Measuring Tape Full Body Harness
Level Dust / face mask
Ladder
Pipe Bender
Flashlight
Glen yabes
Jayson Javier
Jerwin narciso
Edizon rivera
REVISION HISTORY