Toolbox Talk Meeting Record

BuildPassJun, 17, 2022

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Injured persons details

Name

Incident Location

Investigator’s Name

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Weather

°C

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Worker attendance test

Sign ons have been automatically pulled in and grouped by subcontractor

Total hours: 0

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Incident details

Incident Type

Task being performed by injured / involved party

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When did this occur?

Person employed by

BusinessSubcontractor

Is the task usually performed by this person?

Yes

If no. why not?

Was the task carried out in accordance with normal instructions?

YesNo

If no. why not?

Was the person trained in the task?

YesNo

If no. why not?

What safety instructions were given immediately prior to doing the task?

Was any of the plant or equipment damaged, inappropriately guarded or due for service etc?

What other factors were involved, e.g. PPR, climatic conditions, disability of the person, time of day etc?

What was the incident, Task being performed by injured/involved parties

Information from Persons who saw incident or first came to scene (name company contact details)

Other Information

Action(s) taken to ensure similar accidents will not occur

List below

When

Confirmation

Person in charge of area

Person Completing Report

Toolbox Talk Meeting Record

DescriptionDocument the discussions had in your Toolbox meeting.

DetailsCreated by BuildPassLast Updated Jun, 17, 2022