M/S SUDHANSU SEKHAR BHANJA
TOOL BOX TALK
DATE : .........................................................
LOCATION : .........................................................
DEPARTMENT : ..........................................................
COMPANY SUPERVISOR/ LINE MANAGER : ..........................................................
SAFETY REPRESENTATIVE : ..........................................................
AGENDA OF THE MEETING
(A) …………………………………………………………………………………………………
(B)………………………………………………………………………………………………….
(C)………………………………………………………………………………………………….
ITEMS DISCUSSED: (Indicate if not discussed)
1. Safety contact and review of action items from last meeting.
2. Items of General Safety Importance to the Total Work Site: (ask employees to mention any
incident / nearMiss during the past day which may have or have resulted into damage to
property or injury to Company or Contractor personnel).
3. Items of Safety Interest to this Group: (e.g. Red Stripes, Orange stripes, Green stripe,
safety alert tips forsafety communications, hazards or safety conditions applicable to this
group‟s work area,).
4. Standard Working Procedures (SWP) relevant to this group:
5. Reminders to Employees of their personal responsibilities to ensure and maintain:
Personal protective equipment, Housekeeping, tools and tackles, Electrical equipment
condition, Six directional hazards, Special requirements- e.g. Permit to work, No alcohol
regulations, No horse play, safe behaviour, team work approach , any hazardous material
etc.
6. Safety Message Hand outs/circulars to be shared with contract employees:
7. Actions resulting from this Meeting and points raised by Contract employee and
supervisors:
ITEM ACTION BY WHEN
ATTEDANCE SHEET WITH PPE CHECKLIST
SIGNATURE
LOCATION
SAFETY JACKET
HAND GLOVES
SL NAME
NOSE MASK
NO
EAR PLUG
GOGGLES
S. SHOE
HELMET
1
10
11
12
13
14
Signature of contractor Supervisor/ Manager _____________________Dated _______________
Note: Toolbox meeting is generally conducted every shift, therefore a register considering above
requirements should be made and maintained.
