JSLO/F/EHS/31(b)

EHS DEPARTMENT

TOOL BOX TALK / PEP-TALK REPORT

AREA: ________________________________ LOCATION: _____________________________

DATE: _______________________ TIME: ________________________________
NAME OF THE CONTRACTOR : ____________________________________________________
NAME OF THE SUB-CONTRACTOR : ________________________________________________
TOPIC: _________________________________________________________________________

SL NAME OF PERSON DESIGNATION GATE PASS SIGNATURE

NO NO

Signature & Name of Signature & Name of

Supervisor / In-charge Concerned Contractor Trainer

NOTE: One copy to be submitted to JSL Safety Dept.