Record of Tool Box Talk

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Location of Meeting
  Address

Topic(s) Discussed

• What topics were discussed in today's meeting?

Comments and Points Raised

• Comments and points raised

• Corrective Action Required? If box is checked, then list responsible party below.

• Comments and Points Raised

• Corrective Action Required? If box is checked, list responsible individual below.

• Comments and Points Raised

• Corrective Action Required? If box is checked, then list individual responsible below.

• Employees Present

Employee Name

• Employee Signature

  Sign