Daily HSE & Toll Box Talk Report Form No.

SGP-QHSE-05

Project Name “Design and Construction of High Mast Project Manager

Lighting and Associated Works” Name
Location SAUDI GLOBAL PORTS CO. (SGPC) Site # Riyadh Dry Port (RDP)

Date Time
Work at height and Lifting ladder/
Electrical Others
Activity tower climbing (manual/ crane) scaffolding

TBT Topic

Safety officer Site Engr/sup

First Aider Firefighter

Sr NO Name Position Signature

1
2
3
4
5
6
7
8
9
10
11
12
13
Pre-Start PPEs Checks
Harness
Safety Safety Safety Positioning Electrical
Name Helmet shoes goggles
2
lanyard gloves
Signature
lanyard

Activity Pre-Start Checks

Items Y N N/A Items Y N N/A
Risk Assessment First aid box
Emergency#
Fire Extinguisher
available
All PPEs Condition
Rescue Kit Available on site
OK
3P of W@H PPEs Wind speed is safe

Conducted By: Position Signature