Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Meeting Details
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Full Name of Supervisor
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Project / Site Name
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Name of Work Team/Group in attendance
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Meeting Topic & Meeting Discussion Points
Previous Business
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Is there any previous business to discuss or follow up?
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Add items of business from previous meetings
Previous Business
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Description of previous business
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Add an Action to this item if this previous business requires further follow up.
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Other Notes / Comments
New Safety Issues Raised
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Are there any new safety issues to report or discuss?
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Add new safety issues arising from this meeting
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?
General Business
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Is there any general business to be discussed?
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Record any other comments or general business arising from this meeting
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