WEEKLY TOOL BOX MEETING

Project Name: -……………………. Project Reference ……….. Date ……../..…../…………..

Name Of Employee Leading Tool Box Meeting……………………………………………………..Meeting Location:……………………………………………………..

1. Were there any Incidents, Injuries or First-Aid Reports for the week? O Yes O No Describe:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..…………………………………………………….

2. Were there any STOP WORK interventions due to safety negligence?O Yes O No Describe:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..…………………………………………………

3. Were any areas for improvement identified?O Yes O No Describe:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..…………………………………………………

ATTENDEE DETAILS

Si No. Name Designation Signature Start time Stop time TOTAL

1.2.3.4.56789

10

Total man hours____::____4. Job Related Problem Areas/Concerns:__________________________________________________________________________________________________________________________________________________________________________________________________________________

5. At the conclusion of the day, I certify that the job site is being left in a safe condition and there were no unreported incidents or first aid:O Yes O No Describe:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………………………….………………………………………………………………………………………………………………….

WEEKLY TOOL BOX MEETING

Project Name: -……………………. Project Reference ……….. Date ……../..…../…………..

Name Of Employee Leading Tool Box Meeting……………………………………………………..Meeting Location:……………………………………………………..

For R.E.I.P.L.

----------------------------------------Signature of Site In-Charge.