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Tool Box Talk Form

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<strong>Tool</strong> <strong>Box</strong> <strong>Talk</strong> <strong>Form</strong><br />

Date:<br />

Person Conducting Meeting:<br />

Project Name: Project Number: Meeting Location:<br />

Items Discussed:*<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

Job Related Problem Areas/Concerns:<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

Attendees: (sign and print name)<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

_______________________________________________________________________________<br />

_______________________________________________________________________________<br />

_______________________________________________________________________________<br />

_______________________________________________________________________________<br />

_______________________________________________________________________________<br />

Employee Improvement Suggestions:<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

________________________________________________________________________<br />

* 1. Determine if all corrective measures have been implemented.<br />

2. Report results of latest site safety inspection.<br />

3. Review recent injury or accident reports.<br />

4. Discuss current issues.<br />

5. Plan future operations with safety in mind.<br />

cc:<br />

Project File<br />

Safety Director

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