Toolbox Talk Meeting Record Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Meeting Details

• Full Name of Supervisor

• Project / Site Name

• Name of Work Team/Group in attendance

• Meeting Topic & Meeting Discussion Points

Previous Business

• Is there any previous business to discuss or follow up?

  Yes

  No

  N/A

• Add items of business from previous meetings

Previous Business

• Description of previous business

• Add an Action to this item if this previous business requires further follow up.

• Other Notes / Comments

New Safety Issues Raised

• Are there any new safety issues to report or discuss?

  Yes

  No

  N/A

• Add new safety issues arising from this meeting

Safety Issue

• Description of safety issue

• Other Notes / Comments

• Add an Action to this item if this item requires further follow up.

• Who raised this issue?

General Business

• Is there any general business to be discussed?

  Yes

  No

  N/A

• Record any other comments or general business arising from this meeting

Attendance Log

• Each present team member to sign name and signature acknowledging attendance at this meeting

Team Member

• Name & Signature

  Sign