daiLY 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 day? 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:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..………………………………………………

4. 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:……………………………………………………………………………………………………………....……………………………………………………………………………………………………………………………………………………..………………………………………………………………………………………………………………………………………………….…….

5. Job Related Problem Areas/Concerns:1. ………………………………………………. 6. ……..………………………………………..2. ……………………………………………..... 7. ..……………………………………………..3. ………………………………………………. 8. ……………………………………………….4. ………………………………………………. 9. ……………………………………………….5. ………………………………………………. 10. .……………………………………………..

MEETING ATTENDEE DETAILS

Si No. Name Company Name / Designation Signature

1.2.3.4.5678910

daiLY TOOL BOX MEETING

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

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

Signature of Site Engineer

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