CLH Toolbox Talk Meeting Record

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Meeting Details

• Full Name of Supervisor

• Project / Site Name

• Name of Work Team/Group in attendance

Agenda

• Hi vis vest & Safety boots worn at all times

  Yes

  No

  N/A

• Site management safety plan reviewed & register signed Daily (>450K)

  Yes

  No

  N/A

• SWMS & or JSA sighted (if applicable)

  Yes

  No

  N/A

• White Card carried on person

  Yes

  No

  N/A

• PCBU's Have signed self inductions sheets provided with PO

  Yes

  No

  N/A

• Damage caused to property reported

  Yes

  No

  N/A

• Correct PPE being worn

  Yes

  No

  N/A

• First Aid kit Carried at all times (has been sighted

  Yes

  No

  N/A

• Cleaning of Site Daily

  Yes

  No

  N/A

• On site Incidents reported to Building Supervisor

  Yes

  No

  N/A

• Site Toilets kept Clean

  Yes

  No

  N/A

• Tools have In date tag & Testing

  Yes

  No

  N/A

• Scaffold Hasn't been modified/tampered with

  Yes

  No

  N/A

• No obstructions to footpaths

  Yes

  No

  N/A

• Left over Materials stacked neatly

  Yes

  No

  N/A

• No power has been used from neighboring properties

  Yes

  No

  N/A

• Bunting placed across scaffold stairs each night

  Yes

  No

  N/A

• Considerate of the next Trade/s after you

  Yes

  No

  N/A

• Other items Covered

Attendance Log

• Each present team member to sign name and signature acknowledging attendance at this meeting

Team Member

• Name & Signature

  Sign

• Supervisor Name & Signature

  Sign