Template

COVID-19 PPE Resource Request Form

20+

Use this COVID-19 PPE resource request form to standardize orders across healthcare facilities, first responders, and community health services. Capture facility details, contacts, delivery instructions, and PPE needs including masks, respirators, gowns, gloves, face shields, goggles, sanitizer, coveralls, and test kits. Record current stock, daily burn rates, and quantities requested. Prioritize use cases and acknowledge supply constraints to streamline fulfillment.

With Mitti you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

With Mitti you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Mitti

Mitti (by SafetyCulture) is the operations system for every site, shift and standard. Trusted by 80,000 organizations in 190 countries, Mitti publishes free checklists, SOP templates, audit checklists and toolbox talk topics that turn paper processes into a digital audit trail. Download one, put it to work on your next inspection or shift, and see why teams keep coming back for more.

Template

UBB Basildon COVID-19 Cleaning and Hygiene Inspection

Use this COVID-19 cleaning and personal hygiene inspection to verify controls across your site. The checklist covers training and communication, awareness of COVID-19 symptoms, cleaning and disinfection of high-touch surfaces, PPE use, and hand hygiene practices. Confirm sanitizer availability at 60 percent alcohol or higher, adequate signage and barriers, and sufficient stock of masks and gloves. Capture observations, note issues, and sign off to support compliance with public health guidance.

by Ian Hurst, from the Community

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Pirtek PPE Request Form

Use this Pirtek PPE Request Form to request and document personal protective equipment for construction and field teams. Record employee details and job title, then select required items such as overall jacket and pants, hard hat, T shirt, and safety shoes with sizes and unit counts. Attach photos or evidence for replacement PPE where applicable. Acknowledge availability constraints to confirm orders will be fulfilled based on stock. Streamline PPE provisioning and ensure workers are properly equipped and compliant.

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COVID-19 Compliance Audit

Use this COVID-19 compliance audit to evaluate workplace readiness and adherence to health protocols. The checklist covers site setup and recordkeeping, entrance postings, response plans, worker and visitor registers with contact details, temperature screening, sanitation and handwashing facilities, adequate waste bins, correct PPE use, and social distancing practices. Ideal for construction and other onsite operations seeking to standardize COVID-19 safety checks and document audit certification.

by Cindy Kyle, from the Community

200+

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Weekly GM COVID-19 Inspection Checklist

Use this weekly GM COVID-19 inspection checklist to verify front-of-house and back-of-house COVID-19 controls in restaurants. Items include closing self-serve stations, installing Plexiglas barriers, cleaning outside dining tables after each use, physical distancing markers, contactless pickup, surface disinfection, handwashing facilities and supplies, correct use of disinfectants, sealed utensil provision, required entrance signage, and proper PPE use (face coverings, gloves, face shields). Capture signatures to document compliance.

by Chad Cathcart, from the Community

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Coronavirus 2020: Risk Assessment and PPE Checklist

This Coronavirus 2020 checklist supports organizations in managing COVID-19 safety measures, including confirming receipt of risk assessments, safe working policies, toolbox talks, and PPE distribution. It covers verification of nitrile gloves, hand sanitizer, and face masks, provides guidance on accessing documents, and reminds employees of their responsibility to request PPE replenishment. Designed to help standardize infection control practices and document compliance across teams.

by Myles Lomas, from the Community

30+

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Itemized Parts Request Form Template

This parts request form template helps teams submit clear, itemized part orders. Capture quantities, part numbers, descriptions, and photos for up to 10 items, set urgency (high, medium, low), and include job, client, store, and location details to ensure accurate fulfillment. The form supports signatures and dates for accountability and faster approvals. Ideal for maintenance, manufacturing, and field teams that need a simple, standardized way to request parts and track requests across sites and jobs.

by Charlie McKenzie, from the Community

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COVID-19 PPE Resource Request Form

About author

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