Implementation Date: 15-Mar-2023

TOOL BOX MEETING RECORD Revision No.: 00

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TBM No.:
Date & Time TBM Conducted: TBM Venue: Presenter: Position:

Reason for Conducting TBM: (tick appropriate boxes)

Specific Task HSEQ Awareness QMS Topic/ Refresher
Changes in Process/ Procedures New Procedure/ Form/ Checklist/ Personnel
Customers/ Interested Parties Concerns Newly Revised Process/ Procedure/ Form/ Checklist/ COTO
Schedule/ Results of Inspection/ Audit CAPA/ NC/ Improvements Items/ Spare Parts Delivered
Delivery Status/ Concerns/ Requirements Memos [Mgt., Gov’t Bodies] Others _________________
`Communication Tool Used: (tick appropriate boxes)
Verbal White Board Illustration Actual Demonstration Videos/ Power Point

HR REMINDER: CLEANLINESS OF COMFORT ROOM

The concern regarding untidy agency comfort room has reach to Human Resource Department of which on several occasions
agency personnel:

 fail to flush the toilet bowl after using,

 and fail to put shampoo wrapper and other garbage to designated trash can

Things to do!

 Maintain cleanliness in the comfort room by::

 flushing the bowl every after use,

 flushing the urinal every after use,
 put all garbage especially shampoo wrapper in the trash can,
 and be a responsible person.

TBM ATTENDANCE LIST (see attached list)

No. Name Position Signature Section/Department
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

No. Safety Yes No If no, Why? Concern from attendees:

1 All workers have the required PPE’s
2 All workers physically fit to work, no
influence of liquor, drunk, drowsy or
poor body condition
3 Able to remind safety precaution in
the working area.
 Implementation Date: 15-Mar-2023
TOOL BOX MEETING RECORD Revision No.: 00
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Page: 2 of 2

4 Instructed to perform housekeeping

every after work

Conducted by: Noted by: Verified by:

__________________ ________________ _________________

SV/ Manager SO/ Manager QMR