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JHA No:

EPC LOGO
To be added
Tool Box Talk/Safe Conversation Form
JOB WO No: PLANT/UNIT
TYPE Excavation Work : NOOR LYN

Job
Descripti Alarm Detector Installation
on
Agenda of Tool Box Meeting 1. Define the Scope of Work
2. Explain the Hazards & Risks associted with the job
3. Explain the safety precautions along with the required PPE for the Job
4. Give them the authority to stop any unsafe act or unsafe condition
5. Explain Emergnecy procedures to be followed in case of emergency
Attendance
S.N. Name ID Number Time receive the TBT Remarks
1. JNAIFI Mustapha SH 172459
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State Special Requirements (If Applicable) :

TBT Conducted by Permit Acceptor / Responsible Signature Date Time


Person, Name: REBAH Salah-eddine

NC/PTW/SP-001/FM-023 Rev. 03 Date 28 Aug 2017 1

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