Van Mandatory Supplies Form
Van Mandatory Supplies Form
Name
Date
License Plate
Hard Hats (2)
Yes
No
Vest (2)
Yes
No
Fire Extinguisher
Yes
No
First Aid Kit Restocked
Bandaids
Alcohol wipes
Antiseptic cream
Bee sting wipes
Eye wash
Burn cream
Ice pack
Gauze
Colored tape
Poison ivy wipes
Arc Flash Kits
Shield
Shirt
Pants
Gloves
Backpacks stocked
Ear plugs
Safety goggles
Masks
Clorox wipes restocked
Yes
No
Hand sanitizer
Yes
No
Thank you for completing your mandatory vehicle supplies form! You rock!
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Chapple Electric
810-691-6921
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