Doe.no. FORN-COR-HSE-186-E rf Sas FORM Rev. 01 Date 09/04/2017 Let ‘OFFSHORE CONSTRUCTION VESSELS Page tof 1 | SAIPEM TOOL-BOX TALK RECORD Rel, Doc, OPR-COR-HSE-043-E VESSEL, DATE __/__/. LOCATION _REASON FORTOOL BOXTALK _ | Tick Start of new shift New RA or JSA developed (or existing revised) New Permit to Work (embarking on major operations or non-routine tasks) New Lifting Plan (or revision of existing) Changes in routine work process that may create new hazards New or unfarmiliar personnel involved in the task Post-incident discussion Management of Change (MOC) Other (specify) DISCUSSION NOTES: ‘Your signature acknowiedges thet you have been briefed and have read the information on this Toolbox Talk sheot and have "understood all the information and that any issues have been discussed and recorded Name _[ Signature Name Signature | 1 1 2 2 3 8 4 14 5. 1% 16. 1 8 48. ®. 19. ‘SUPERVISOR'S NAME ‘SIGNATURE ‘This documents the property of Saipem SpA. All rights reserved.