Scribd
Upload
133 views2 pages

Toolbox Meeting Checklist

This document is a daily tool box meeting form from D. Rampersad and Company Limited. The form documents a safety meeting that was held, including attendance, topics discussed like PPE requirements and emergency response plans, and signatures from the job supervisor and work crew acknowledging their understanding of health and safety procedures for the job.

Uploaded by

romario381
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
133 views2 pages

Toolbox Meeting Checklist

This document is a daily tool box meeting form from D. Rampersad and Company Limited. The form documents a safety meeting that was held, including attendance, topics discussed like PPE requirements and emergency response plans, and signatures from the job supervisor and work crew acknowledging their understanding of health and safety procedures for the job.

Uploaded by

romario381
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

D.

RAMPERSAD AND COMPANY LIMITED


Doc. Cont. #: DRCL-OHSE-F-DTBMA-
2010-001
DAILY TOOL BOX MEETING FORM
Department: ______________________________ Permit #:
______________________________
Held by: __________________________________ Job location:
___________________________
Date: ____________________________________
Time:_________________________________
Project Name:
________________________________________________________________________________________
Job
Description:_______________________________________________________________________________________
___________________________________________________________________________________________________
_
PERSONNEL PRESENT AT MEETING:
NAME (BLOCK LETTERS) SIGNATURE JOB TITLE OR SKILL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

No Topic YE N/A
. S
1. PPE requirements for job discussed and present on site.
2. Emergency response actions of personnel discussed (inclusive of Assembly Points & Evacuation Route).
3. Personnel understand the specific requirements of the job (detailed in JHA and/or procedure) and agree
to comply.
4. Information about hazardous chemicals related to the job or job site shared with all personnel.
Note: A request for a copy of the SDMS can be made.
5. D. Rampersad’s requirements on housekeeping reviewed and understood by personnel.
6. Near Miss & other incident reporting discussed and agreed that all incidents are to be reported
immediately to the supervisor.
7. Quality of workmanship discussed.
8. JHA reviewed and discussed (where applicable).
SPECIAL PRECAUTIONS FOR JOB IN SCOPE OF WORK e.g. JHA (attach copy)
_______________________________________________________________________________________
_______________________________________________________________________________________
Job Supervisor and Work Crew have participated in the pre-task safety briefing meeting and fully understand their roles
with respect to HSE and quality on the job.

I have verified attendance and that each member has understood all the requirements that were reviewed in the above check sheet. Before
the work commences, I have ensured that all crew members have agreed with the job steps and the proposed hazard control measures.

JOB SUPERVISOR ___________________________________________________________________________________________________


BLOCK LETTERS SIGNATURE
D. RAMPERSAD AND COMPANY LIMITED
Doc. Cont. #: DRCL-OHSE-F-DTBMA-
2010-001

You might also like