Tool Box Talk Report

Date & Time: ................................... Job Description : ..........................................................................................

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Dept./Contractor:..................................................... Location: .............................................................................
Topic: ....................................................................................................................................................................
Task to be performed (Today): ..............................................................................................................................
I have briefed the personal protective equipment requirement for the task to be performed.
1
Safety Helmet 1 Safety Shoes 1 Goggles 1 Gloves 1 Respirators /Nose mask 1 Safety 1 Harness
Others please specify...........................................................................................................................................
I have briefed my team on the work method and appropriate safety measures to be adopted to execute the
work safety as given below:
Sr. Hazard Control Measures Compliance Remark
No. Required

Feedback received from participants: ....................................................................................................................

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Tool Box Talk delivered by: Witnessed By: Group Head:
Signature: ..................................................... Signature: .....................................................
Name: ........................................................... Name: ...........................................................
Designation: ................................................. Organisation: ................................................
Attendance Sheet
No. Name of the Employee Trade Employee No./G.P.No. Signature
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10