Title Page
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Document No.
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Safety Alert Title
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Client / Site
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Conducted on
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Briefing / Alert Prepared by
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Location
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Site Management Personnel
Safety Alert Details
Briefing Details
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Full Name of Responsible Person giving the briefing
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Project / Site Name
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Name of Work Team/Group in attendance e.g. Groundworks, Plant Operators
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Meeting Topic & Meeting Discussion Points
Safety Issue Raised
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Has a new safety issue or incident occurred ?
Safety Issue
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Description of safety issue
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Other Notes / Comments
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Add an Action to this item if this item requires further follow up.
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Who raised this issue?
Attendance Log
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Each present team member to sign name and signature acknowledging attendance at this meeting
Team Member
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Name & Signature