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DocuSign Envelope ID: 9DFCB120-1BD5-4D20-A379-446A39562241

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NEOM-NPR-STD-001_FRM01
ACTIVITY BRIEFING FORM

Project Name:
Location:

Activity: Responsible
Eng./Site Mngr

Supervisor Name:
Date:

Risk Assessment:
Time:

PART 1: During the activity briefing, explain the activity and ask everyone the following:

1. Do we feel good and fit for work? ☐ Yes ☐ No

2. Which of the following significant hazards apply?


Mobile Plant and Driving Working on or near Breaking Ground Working at Height Lifting Confined Spaces
Equipment Live Roads and Excavations

Exclusion Zone Hot Works/Fire Energized Systems Temporary Works Drilling and Working on or near Working in Heat
Blasting Water

3. What are the behaviors for the associated significant hazards?

PART 2: Are there any other hazards involved? If yes, list the hazards and controls below:

Hazards Control Measures

NEOM-NPR-STD-001_FRM01 | Rev. 01.00 1

©NEOM [2023]. All rights reserved.


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DocuSign Envelope ID: 9DFCB120-1BD5-4D20-A379-446A39562241
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PART 3: Work Readiness

1. Do we have the right tools and equipment to perform the job safely? ☐ Yes ☐ No

2. Have you briefed the team on emergency and welfare arrangements? ☐ Yes ☐ No

PART 4: Sign-off Sheet

No. Full Name of Employee Employee No. Signature

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Supervisor: Reviewer:
(Name & (Name &
Signature) Signature)

Date: Date:

IF SOMETHING CHANGES OR IS NOT CORRECT, STOP WORK AND LET YOUR SUPERVISOR KNOW!

NEOM-NPR-STD-001_FRM01 | Rev. 01.00 2

©NEOM [2023]. All rights reserved.


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