Cantera Toolbox Meeting Form - duplicate

• Job Name

• Job Number

• Report Date (YYYYMMDD)

• Superintendent

• Project Manager

• Location
  Address

TOPICS COVERED

TOPIC

• TOPIC #1

• Photos

  Media

• Did you check the following? Protection for...Eye/Face? Head? Foot? Hand? Respiratory? Hearing?

  Yes

  No

• Proper...Fall protection? Equipment? Scaffolding? Extension cords? Power Source? GFCI? Housekeeping?

  Yes

  No

EMPLOYEE SIGN IN

Employee

• Name:

  Sign

• Meeting Date and Time

  Date

• Meeting Facilitator:

  Sign