Training Video – dB Custom

Name *

First

Last

Coy/Clock/BD Number *

Shaft *

Type of employment *

True or False *

Use water to rinse your glasses
Use Oil to rinse your glasses
Use Shampoo to rinse your glasses

True or False *

Use your toes to remove dirt off lenses
Use your overall/work wear
Use your Fingers and running water to remove dirt off lenses

True and False *

Store your safety glasses at home during work time?
Store your safety glasses in hard case and micro-fibre cloth supplied
Store you glasses in your pocket

I declare, I will report any lost and / or damage to my prescriptive safety glasses immediately to my Supervisor / SHE Department. Prescriptive safety glasses will only be replaced by Booysendal Mine due to unforeseen circumstances, any neglect on my side will result in replacing them on my own cost. I have received my prescriptive safety glasses in good condition. I will take good care and always protect my prescriptive safety glasses. I undertake to always wear my prescriptive safety glasses while performing any duties at Booysendal Mine.