DC Contractors Toolbox Talk Meeting Record

• Name of Manager/Supervisor conducting meeting

  Select

• Name

• Name of Work Team/Group in attendance

  Select

• Name/s

  Yes

  No

  N/A

• Date

  Date

Previous Business

• Is there any previous business to discuss or follow up?

  Yes

  No

  N/A

• Add items of business from previous meetings

Previous Business

• Description of previous business

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

• Other Notes / Comments

New Safety Issues Raised

• Are there any new safety issues to report or discuss?

  Yes

  No

  N/A

• Add new safety issues arising from this meeting

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?

Illnesses and injuries

• Any illness or injuries to report or discuss?

  Yes

  No

  N/A

• Add any illness es or injuries (Dean, insure an Incident Record is completed if it hasnt been already)

Ilnesses and Injuries

• Who? (name)

  Select

• Description of illness or injury

  Yes

  No

  N/A

• What caused it?

• Does this need to be followed up?

  Yes

  No

  N/A

General Business

• Is there any general business to be discussed?

  Yes

  No

  N/A

• Record any other comments or general business arising from this meeting

Training requirements or concerns

• Describe what training needs to be done

• Who?

  Select

Attendance Log

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

Team Member

• Name & Signature

  Sign