KCC - Toolbox meeting record

• Site/Location of toolbox talk
  Address

• Date

  Date

• Supervisor name

• Supervising officer title/Position

TOOLBOX TALK

• Toolbox talk - Topic

• Action items identified

  Yes

  No

  N/A

• Detail action items, responsible party and due date

GENERAL BUSINESS

• Detail any previous business that requires attention

• Document any new business discussed

• Action items identified

  Yes

  No

  N/A

• Detail action items, responsible parties and due date

SAFETY

• Incident and investigation status review

  Yes

  No

  N/A

• Hazard identification/Safety concerns

  Yes

  No

  N/A

• Make safe / Contact Safety Partner / Submit incident report (hazard, near miss, incident)

FEEDBACK

• Feedback or general comments provided by team members

  Yes

  No

  N/A

• Detail any feedback provided

ATTENDANCE LOG

• Team members to sign name and signature to acknowledge attendance at meeting

Team members

• Name and Signature

  Sign