SUPPLIER INPUT PROCESS OUTPUT CUSTOMER

Crew (requestor) PPE Request Form PPE REQUEST Completed PPE Safety and Security
request form Department
Safety and Security Completed PPE REQUEST Acknowledgement Crew (requestor)
Department request form ACKNOWLEDGMENT and received copy of
the request form
Safety and Security Email request REQUEST APPROVAL Approved request Immediate head
Department
Safety and Security Requisition slip, email PURCHASE ORDER Acknowledgement Materials and
Department approval Serviced
Materials and services Purchase order PPE DELIVERY Receiving report, Safety and Security
invoice Department
Safety and Security Requested PPE PPE RE-ISSUANCE Received PPE Crew (requestor)
Department
Safety and Security Acknowledgement ACKNOWLEDGEMENT Signed Crew (requestor)
Department form OF ACCOUNTABILITY acknowledgement
form
Safety and Security Signed INVENTORY UPDATE Updated inventory list Accounts Payable
Department Acknowledgement AND FILING
Form

PPE REQUEST FORM

Name: Date of request:
Vessel/Department: Rank/Position:

Regular Probationary
Reliever Apprentice
Total tenure period:__________

Type of request:
First issuance
Re-issuance
Replacement
If PPE is for replacement, indicate reason:___________________________________

PPE for request: (check appropriate box)

ITEM SIZE DATE OF LAST IDEAL KPI
ISSUANCE
COVER ALL 1 YEAR
SAFETY SHOES 1YEAR
HARD HAT 3 YEARS
SPECTACLES/GOGGLES 1 YEAR
SAFETY GLOVES *consumable
SAFETY VEST
RAIN COAT
RAIN BOOTS

Acknowledged by:____________ Date:

SSD