Information
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Workplace
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Location
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Document No.
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Conducted on
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Persons presenting toolbox talk
Presenter
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Name and title of person presenting toolbox talk
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PCBU attending toolbox talk
PCBU
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PCBU attending toolbox talk
1. Agenda Items for Discussion
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Agenda
Agenda item
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Agenda Item and Risk Rating
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1. Agenda items for discussion
2. Generic safety topics
3. Safety matters raised
4. Project or daily work instructions
Generic Topics Discussed
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1. MAINTAIN AWARENESS ALL DAY (Think about your decisions).
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Comment and risk rating
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Control implemented and risk rating
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Name of person responsible for implement control (Sign off once completed)
Generic Topics Discussed
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2. SWMS or SWP (Tick cell to indicate discussed)
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Comment and risk rating
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Control implemented and risk rating
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Name of person responsible for implement control (Sign off once completed)
Generic Topics Discussed
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3. REMEMBER TO COMPLETE JSAs at site (Tick cell to indicate discussed)
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Comment and risk rating
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Control implemented and risk rating
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Name of person responsible for implement control (Sign off once completed)
Presenter Safety Issues and Details
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Safety issues and details
Safety issues
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Safety details
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Comments?
1. Safety Issues
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Worker safety issues or concerns
Safety issue
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Comment or issues raised for attention and risk rating
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Safety matter resolved and risk rating
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Name of person responsible for implement control (Sign off once completed)
Summary of Daily Work Instructions
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Daily work instructions
Instruction
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Daily work instruction details
Comments
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Worker comments
Comment
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Worker Comments
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Name signature (Title if required)
Presenter Name Title and Signature
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Presenter name, signature (Title if required)
Presenter name
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Name, title and signature
Workers Name and Signatures
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Name and signature of worker (Title if required)
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Name of worker and signature (Add title if required)
