Information
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Document No.
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Project / Field Camp
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Conducted on
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Location / Tenement
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INSTRUCTIONS: WEEKLY SAFETY MEETINGS ARE TO BE COMPLETED EVERY WEDNESDAY BY THE FIELD SUPERVISOR. ALL CREW MEMBERS MUST ATTEND! BE PREPARED TO DEVOTE TIME TO COMPLETE THIS PROPERLY!
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Is the Crew aware of their Duty of Care to one another?
Topics / Outstanding Issues from Previous Meetings
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Subject 1
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Has Corrective Action Been Taken?
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Subject 2
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Has Corrective Action Been Taken?
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Subject 3
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Has Corrective Action Been Taken?
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Subject 4
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Has Corrective Action Been Taken?
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Subject 5
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Has Corrective Action Been Taken?
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Subject 6
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Has Corrective Action Been Taken?
CURRENT TOPICS / HAZARDS / INCIDENTS DISCUSSED: A MINIMUM OF 3 ISSUES / TOPICS MUST BE DISCUSSED AND RECORDED!
Topic 1
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
Topic 2
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Issue / Item
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Discussion Summary
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If Yes, Who is Responsible for Corrective Action?
Topic 3
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
Topic 4
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
Topic 5
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
Topic 6
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
REPORTABLE INCIDENT / ACCIDENTS
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Did the Crew or Contractor(s) have any reportable Incidents or Accidents during the week?
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If Yes, Was an Incident / Accident Report Completed and Filed?
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Basic Summary of Incident / Accident - Refer to date of Daily Field Report and Incident / Accident Report if possible
REVIEW OF IN HOUSE OR PUBLISHED INCIDENT REPORTS / SAFETY ALERTS
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Subject
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Comments / Recommendations
GENERAL HOUSEKEEPING
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
VEHICLES - Record of Use (and Servicing)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
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Enter Vehicle Code, Odometer or Hours Record, and Service (if any)
VEHICLES - Record of Deficiencies or Items Requiring Corrective Action
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
PLANT / CAMP EQUIPMENT - Record Deficiencies or Items Requiring Corrective Action
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Issue / Item
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Discussion Summary
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Is Further Action Required?
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If Yes, Who is Responsible for Corrective Action?
GENERAL PERSONAL WORK SAFE PRACTISES
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Is PPE in good condition and being used properly?
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Why not? Corrective Measures to be Taken!
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Are Daily Equipment Checks Being Completed?
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Why not? Corrective Measures to be Taken!
SUPPLY AND SUPPORT
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New Equipment Supply Required
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Is Warehouse to Supply?
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If Yes, has SRF or PO been prepared and sent?
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Replacement Equipment Required
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Is Warehouse to Supply?
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If Yes, has SRF been prepared and sent?
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Insert Photo
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Insert Photo
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Damaged Equipment / Repairs Required
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Is Warehouse to Repair and/or Replace?
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If Yes, has SRF been prepared and sent?
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Insert Photo
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Insert Photo
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Have Tax Invoices for Capital Items (>$500) Purchased by the Field Crew been Copied and Forwarded to the Warehouse?
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If No....... What was it? Why were details not forwarded?
CREW ON SITE
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Have all In-house Crew Participated in this Meeting?
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If No, Who and Why Not!
SUPERVISOR'S SIGNATURE:
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Enter Name and Sign