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PPE and Safety Items Request Form

Enter the quantities for each item to be ordered. For any additional items not on the list add the item description in the "Additional Items?" box.

PPE & Safety Items Request Form

Project Number or PO Number

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Project Manager

Address for Shipping

White Hard Hat - FULL BRIM V-GUARD E LIGHT LOGO $17.99 (*BL65348-1 LOGO)

HARD HAT SHADE HI VIZ ORANGE $9.99 (6660-ORANGE)

GLOWEAR HI-VIS MESH NECK SHADE $6.99 (8005-ORANGE)

SWEATBAND TERRY-BAND MSA EACH 10/pk (Hard hat sweatband) $69.42 (696688)

SUSPENSION RATCHET VGARD MSA $16.04 EA (10148708)

Ear Plugs Uncorded Mega - T-Fit (NRR32) 100pr/bx $25.99

Ear Plug Corded/Disposable NRR32 100pr/bx $24.99

Orange, Class 2 Surveyor vest with E Light Electric Logos small $14.99 (RADIANS SV6O VEST CL 2 LOGO S)

Orange, Class 2 Surveyor vest with E Light Electric Logos Medium $14.99 (RADIANS SV6O VEST CL 2 LOGO M)

Orange, Class 2 Surveyor vest with E Light Electric Logos Large $14.99 (RADIANS SV6O VEST CL 2 LOGO L)

Orange, Class 2 Surveyor vest with E Light Electric Logos XL $14.99 (RADIANS SV6O VEST CL 2 LOGO XL)

Orange, Class 2 Surveyor vest with E Light Electric Logos 2X $14.99 (RADIANS SV6O VEST CL 2 LOGO 2X)

Orange, Class 2 Surveyor vest with E Light Electric Logos 3X $14.99 (RADIANS SV6O VEST CL 2 LOGO 3X)

Orange, Class 2 Surveyor vest with E Light Electric Logos 4X $14.99 (RADIANS SV6O VEST CL 2 LOGO 4X)

Orange, Class 2 Engineer Vest with E Light Electric Logo Med (Lead Vest) (RADSV55-2ZOD-M_V134527) $44.99

Orange, Class 2 Engineer Vest with E Light Electric Logo Large (Lead Vest) $44.99 (RADIANS SV55-2ZOD VEST CL2 LOG L)

Orange, Class 2 Engineer Vest with E Light Electric Logo XL (Lead Vest) $44.99 (RADIANS SV55-2ZOD VEST CL2 LOG XL)

Orange, Class 2 Engineer Vest with E Light Electric Logo 2XL (Lead Vest) $44.99 (RADIANS SV55-2ZOD VEST CL2 LOG 2X)

Orange, Class 2 Engineer Vest with E Light Electric Logo 3XL (Lead Vest) $44.99 (RADIANS SV55-2ZOD VEST CL2 LOG 3X)

Orange, Class 2 Engineer Vest with E Light Electric Logo 4XL (Lead Vest) $44.99 (RADIANS SV55-2ZOD VEST CL2 LOG 4X)

Green, Class 2 Engineer Vest with E Light Electric Logo Med (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG M)

Green, Class 2 Engineer Vest with E Light Electric Logo Large (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG L)

Green, Class 2 Engineer Vest with E Light Electric Logo XL (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG XL)

Green, Class 2 Engineer Vest with E Light Electric Logo 2X (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG 2X)

Green, Class 2 Engineer Vest with E Light Electric Logo 3X (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG 3X)

Green, Class 2 Engineer Vest with E Light Electric Logo 4XL (Supervisor Vest) $44.99 (RADIANS SV55-2ZYD VEST CL2 LOG 4X)

GTek, Cut 3 Resistant Gloves Small $4.99 per PR (PIP16-530/S)

GTek, Cut 3 Resistant Gloves Medium $4.99 per PR (PIP16-530/M)

GTek, Cut 3 Resistant Gloves Large $4.99 per PR (PIP16-530/L)

GTek, Cut 3 Resistant Gloves Extra-Large $4.99 per PR (PIP16-530/XL)

GTek, Cut 3 Resistant Gloves 2X-Large $4.99 per PR (PIP16-530/XXL)

Cowhide Driver Gloves, Unlined Small $4.76 per PR (PIP68-162/S)

Cowhide Driver Gloves, Unlined Medium $4.76 per PR (PIP68-162/M)

Cowhide Driver Gloves, Unlined Large $4.76 per PR (PIP68-163/L)

Cowhide Driver Gloves, Unlined XL $4.76 per PR (PIP68-162/XL)

CLEAR Anti-Fog Safety Glasses $8.44 per PR (PIP250-46-0520)

SMOKE Anti-Fog Safety Glasses $8.44 per PR (PIP250-46-0521)

Standard Clear Safety Glasses $5.72 per PR (SUR50001)

Standard Dark Safety Glasses $5.81 per PR (SUR50006)

Standard Indoor/Outdoor Safety Glasses $5.81 per PR (SUR50004)

Over Glasses Clear Safety Goggles $7.11 per PR (PIP248-5190-400B)

Over Glasses Dark Safety Glasses $4.74 per PR (PYRS3520SJ)

Hybrid Safety Glasses, Clear $10.02 per PR (PYRGB1810ST)

Hybrid Safety Glasses, Smoke $9.99 per PR (PYRGB1820ST)

Personal LOTO Lock (red plastic) $14.61 EA (ML410RED)

Lens cleaning towelettes, 100/bx, (1=1 box) $9.80 (RADLCD100)

N95 Respirator, disposable 10/bx (1=1box) $43.97 (ORS507-2300N95)

3 PC Rain Suit XL $19.60 (PIP4035/XL)

Bloodborne Pathogen/Bodily Fluid Spill Kit/Plastic $29.95 (AUC3060)

Eye Wash Station 2-16 Ounce Bottles $40.59 (AUC24-102-001)

16 Ounce Eye Wash Bottle $13.43 (AUC24-101-001)

4 shelf First Aid Station, Bulk $235.23 (CSMK615-029TOTALTOOL)

10 Person First Aid Kit $30.41 (CSMK202-014TOTALTOOL)

Fire Extinguisher 20-pound w/ wall hook (for office and fuel station) $156.42 (LOG466206K)

Fire Extinguisher 10-pound w/ wall hook (smoking pen, Connexus) $87.58 (LOG466204K)

Fire Extinguisher Inspection tags $1.10 EA (LOG4PTAGBR)

Sqwincher Variety Pack (400 per pack) $163.85 (690-060119-MB) One is 400 individual servings.

Kevlar A3 18" cut sleeve $6.10 (PIP10-KS18TO) (1 sleeve not pair)

Disposable Nitrile Gloves Large 100/BX $13.60 (PIP63-532PF/L)

Disposable Nitrile Gloves XL 100/BX $13.60 (PIP63-532PF/XL)

Disposable Masks- NON N95 (50/BX) $12.23 (CORELM100)

LOTO RED GROUP LOCK BOX $54.11 (W/ 12 Locks)

Panel LOTO Set (Two mounts and one Bar) $5.00

Full Brim Aluminum Hard Hat Bracket for Face Shield $18.95 (MSA10116627)

Medium Green Face Shield 8" x 15.5" $36.44 EA (SUR28633)

Clear Polycarb Face Shield 8" x 15.5" $9.61 EA (SUR29091)

Antibacterial Hand Sanitizer 4oz Bottle $7.40 EA (CSMR213-041)

32 Oz Empty Spray Bottle $4.33 (TC32OZSPBOTTLE)

Alcohol Wipes 200PK $5.40 (CSMR221-025)

Cut Glove, Touchscreen Capable, CUT Level 2, Small $10.88 EA (PIP34-8743/S)

Cut Glove, Touchscreen Capable, CUT Level 2, Medium $10.88 EA (PIP34-8743/M)

Cut Glove, Touchscreen Capable, CUT Level 2, Large $10.88 EA (PIP34-8743/L)

Cut Glove, Touchscreen Capable, CUT Level 2, X Large $10.88 EA (PIP34-8743/XL)

G-Tek Gray Cut 4 Glove, Small $5.02 EA (PIP16-560/S)

G-Tek Gray Cut 4 Glove, Medium $5.02 EA (PIP16-560/M)

G-Tek Gray Cut 4 Glove, Large $5.02 EA (PIP16-560/L)

G-Tek Gray Cut 4 Glove, Extra Large $5.02 EA (PIP16-560/XL)

G-Tek Gray Cut 4 Glove, XX Large $5.02 EA (PIP16-560/XXL)

First Aid Kit 50 Man Steel TOTAL TOOL AUC6120 64.99 EA

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