CHSPF:XX.

SAFETY MEETING REPORT

MONTH: ..................... DATE OF MEETING: ..........................

BRANCH: ......................... PREPARED BY: ..........................

REPORT UNDERTAKEN BY:………………………………………………………………..

PRESENT: ...............................................................................................................................................
Once completed file copy in Site Co-ordinators and send copy to EHS Manager

ACCIDENT REPORTING:
Total Number of Accidents for the Month: Attach copies of all Accident Register entries

Number of Lost Time Accidents: Attach copies of the appropriate

Investigation forms. (AHSPF 14.2)
Comments:

MATTERS ARISING FROM PREVIOUS MEETING:

ACTION BY:

WORKPLACE INSPECTIONS: Detail actions required:

ACTION BY:

TRAINING: (Detail any training requirements that are required incl; Inductions)

COMPANY Health & Safety Procedure Form Page 1 of 4 Version 0

 CHSPF:XX.1

SAFETY MEETING REPORT

ANY PROCEDURAL CHANGES REQUIRED

ANY PROJECT WORK/CONTRACTORS ON SITE IN THE COMING MONTHS

MAINTENANCE/CERTIFICATION/INSPECTION ON PLANT/TOOLS IN COMING MONTH

EHS GOALS FOR COMING MONTH

WERE EHS GOALS COMPLETED FOR LAST MONTH (if not which ones are out standing)

COMPANY Health & Safety Procedure Form Page 2 of 4 Version 0

 CHSPF:XX.1

SAFETY MEETING REPORT

UNDERTAKE REVIEW OF HAZARDS IN REGISTER (HR 1.0 – HAZARD REGISTER) APPLICABLE FOR
THE MONTH

Evaluate effectiveness of hazard controls currently in place, provide feed back on hazard control monitoring
from last months report:

Hazard No. Number of Hazard in Register

R Review – Review on existing Hazard
M Monitor – Monitoring results from last review of the identified hazard
R M Comments:
Hazard No.

Provide details of any new hazard that needs to be added to the register:

General Comments:

COMPANY Health & Safety Procedure Form Page 3 of 4 Version 0

 CHSPF:XX.1

SAFETY MEETING REPORT

COMPANY Health & Safety Procedure Form Page 4 of 4 Version 0