Toolbox Talk Record Form 0014664

All personnel in volved in the work activity must be participate in the Toolbox Talk an d sign below as being present.

Checklist/ Prompt for Discussions (Tick where applicable)

Types of Operation to be executed Crane I Lifting requirements

Methods/ Procedures to be adopted Supplementary Permit/ Certificate Requirements

PTW/ TRA Precautions & Controls Hazards & Hazardous substances used/ present

Safety Equipment and Location Isolation Requirements

Individual Responsibilities Conficting Activities

Access/ Egress Work in adjacent areas

Tests/ Monitoring Environmental considerations

Work Equipment Waste Management

Production/ Operational Constraints Site Rules

General Comments I Observations Identified during Toolbox

Action required? YesO No □

Details of persons attending Toolbox Talk

Name Trade / Discipline Signature Date

Toolbox Talk conducted by:

Name: Signed: Date: