Title Page
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Title:
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Contractor:
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Date:
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Prepared by:
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Project Title:
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ELR & Mileage:
Key summary and findings
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Your job role:
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Person spoken to:
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Role of person spoken to:
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Conversation location:
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What did you talk about during the safety conversation?
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What did you discover during your safety conversation?
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Was a Close Call reported?
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What did you learn?
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What did you do with the information?
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What did your conversation partner/s do with the information?
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How will you share this information?
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What type of conversation did you have?
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Why would you encourage colleagues to have safety conversations?
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Have you received training to deliver safety conversations?
