Information

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

Toolbox Meeting

  • Was content of Toolbox meeting clear precise, relevant and understood?

  • Any issues raised during toolbox talk appropriately addressed?

PPE (Personal Protective Equipment) / Employees Fitness

  • Are all employees involved in the operation are wearing appropriate PPE?

  • Are all employees and contractor fit for allocated duties?

SWI / JSA / WI / Procedure

  • Are appropriate SWI's, JSA's, Work Instruction or Procedure available and do all employees & contractors fully understand content?

  • Has SWI been reviewed within the past 12 months?

  • Was JSA written for task that is not covered by SWI?

  • Have any Take 3's been completed?

Working Environment

  • Working area inspected for slips, trips and fall hazards?

  • Is power isolated / locked out in place (on powered equipment or machinery) ?

  • Are employees working in the immediate vicinity of suspended load? If so, are appropriate safety measures in place?

General / Additional Comment:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.