23/10/2021, 16:53 Toolbox Talk Meeting Record Checklist - SafetyCulture

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Meeting Details

Full Name of Supervisor

Enter text

Project / Site Name

Enter text

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Name of Work Team/Group in attendance

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Meeting Topic & Meeting Discussion Points

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Previous Business

Is there any previous business to discuss or follow up?

Yes No N/A

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Description of previous business

Enter text

Add an Action to this item if this previous business requires further follow up.

Other Notes / Comments

Enter text

New Safety Issues Raised

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Are there any new safety issues to report or discuss?

Yes No N/A

Description of safety issue

Enter text

Other Notes / Comments

Enter text

Add an Action to this item if this item requires further follow up.

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Who raised this issue?

Enter text

General Business

Is there any general business to be discussed?

Yes No N/A

Attendance Log

Each present team member to sign name and signature acknowledging attendance at this
meeting

Team Member

Name & Signature 

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Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things,
workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to
determine if the use of such checklist is permissible in your workplace or jurisdiction.

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