Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
Toolbox Meeting
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Was content of Toolbox meeting clear precise, relevant and understood?
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Any issues raised during toolbox talk appropriately addressed?
PPE (Personal Protective Equipment) / Employees Fitness
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Are all employees involved in the operation are wearing appropriate PPE?
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Are all employees and contractor fit for allocated duties?
SWI / JSA / WI / Procedure
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Are appropriate SWI's, JSA's, Work Instruction or Procedure available and do all employees & contractors fully understand content?
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Has SWI been reviewed within the past 12 months?
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Was JSA written for task that is not covered by SWI?
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Have any Take 3's been completed?
Working Environment
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Working area inspected for slips, trips and fall hazards?
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Is power isolated / locked out in place (on powered equipment or machinery) ?
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Are employees working in the immediate vicinity of suspended load? If so, are appropriate safety measures in place?
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Pedestrian, Plant & Equipment interaction - what are the hazards, risk and have corrective actions been taken?