ACS Mids Safety Alert Briefing

• Document No.

• Safety Alert Title (attach copy of Safety Alert/Bulletin)

• Client / Site

• Conducted on

  Date

• Briefing / Alert Prepared by

• Location
  Address

• Site Management Personnel

Briefing Details

• Full Name of Responsible Person giving the briefing

  Sign

• Project / Site Name

• Name of Work Team/Group in attendance e.g. Groundworks, Plant Operators

Safety Issue Raised

• Has a new safety issue or incident occurred ?

  Yes

  No
Safety Issue

• Description of safety issue

• Other Notes / Comments

• Add an Action to this item if this item requires further follow up.

• Who raised this issue?

Attendance Log

• Attendee name and signature acknowledging attendance at this meeting OR attach an image of the Briefing Register

  Media
Team Member

• Name & Signature

  Sign