Daily Toolbox Meeting Form

Project Name : Refractory Installation Boiler Unit #1

Client : PT.PLN Persero Sektor Tarahan
Job No. :
Work Category : CFB Boiler Refractory Installation Work
Location : Tarahan-Lampung
Contractor : PT.Bintang Sejati Utama

DATE___________ LOCATION_________________
SUPERVISOR_______________

Toolbox Talk – Topics to discuss

Additional Write discussion points here and names of any employees asking questions
discussion points
Other points or issues raised (include names of persons raising the points)

 Any safety
issues that
need
discussing

PT.Bintang Sejati Utama

 Attendance Manpower List

NAME IN FULL SIGNATURE

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PT.Bintang Sejati Utama

Attendance List

NAME IN FULL SIGNATURE

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PT.Bintang Sejati Utama