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  • Toolbox Form

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    Suresh Praba P
    34 views9 pages
    This document is a toolbox/pre-task talk form used for worksite safety meetings. It includes sections for documenting the site/project details, mandatory safety topics to be discussed like life saving rules and permit requirements. Additional topics are included for different types of work activities like working at heights, lifting operations, hot work, and emergency response. Sections are provided to record attendee names and obtain sign off from the permit holder. Brief notes emphasize that the talk should cover work activities, targets, quality control, hazards and risk controls to ensure smooth operations.

    Original Description:

    toolbox sample

    Original Title

    1. Toolbox Form

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    This document is a toolbox/pre-task talk form used for worksite safety meetings. It includes sections for documenting the site/project details, mandatory safety topics to be discussed like life saving rules and permit requirements. Additional topics are included for different types of work activities like working at heights, lifting operations, hot work, and emergency response. Sections are provided to record attendee names and obtain sign off from the permit holder. Brief notes emphasize that the talk should cover work activities, targets, quality control, hazards and risk controls to ensure smooth operations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    34 views9 pages

    Toolbox Form

    Uploaded by

    Suresh Praba P
    This document is a toolbox/pre-task talk form used for worksite safety meetings. It includes sections for documenting the site/project details, mandatory safety topics to be discussed like life saving rules and permit requirements. Additional topics are included for different types of work activities like working at heights, lifting operations, hot work, and emergency response. Sections are provided to record attendee names and obtain sign off from the permit holder. Brief notes emphasize that the talk should cover work activities, targets, quality control, hazards and risk controls to ensure smooth operations.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 9

    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Site / Station Name Location

    Program Project Manager

    Month Permit Holder

    COMPULSORY TOPICS

    Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

    Project Detail / Progress

    Target of Completion

    12 Life Saving Rules

    Shell Golden Rules


    (Comply, Intervene, Respect)

    Shell Goal Zero –


    No harm, no leak

    (Competence, Assurance, Culture)

    Blue Board Training

    Permit Holder Signature

    COMPULSORY TOPICS

    Date 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Project Detail / Progress

    Target of Completion

    12 Life Saving Rules

    Shell Golden Rules


    (Comply, Intervene, Respect)

    Shell Goal Zero –


    No harm, no leak

    (Competence, Assurance,
    Culture)

    Blue Board Training

    Permit Holder Signature

    ADDITIONAL TOPICS FOR ACTIVITY RELATED

    Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

    Working at Height

    Lifting / Critical Lift

    Confined Space

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Excavation

    LOTTO
    (Electrical / Pressure)

    Hot Work

    Chemical Handling

    Personal Protective
    Equipment (PPE)

    Housekeeping

    Traffic Management

    Emergency Response &


    Evacuation Route

    Others:

    1.

    2.

    3.

    Permit Holder Signature

    Comments:

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    ADDITIONAL TOPICS FOR ACTIVITY RELATED

    Date 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

    Working at Height

    Lifting / Critical Lift

    Confined Space

    Excavation

    LOTOTO
    (Electrical / Pressure)

    Hot Work

    Chemical Handling

    Personal Protective
    Equipment (PPE)

    Housekeeping

    Traffic Management

    Emergency Response &


    Evacuation Route

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Others:

    1.

    2.

    3.

    Permit Holder Signature

    Comments:

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Toolbox Attendance

    Permit CBRE / Date


    Name CIDB
    Validity 6HRT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Total Attendee

    Permit Holder Authorisation

    Toolbox Attendance

    Permit CBRE / Date


    Name CIDB
    Validity 6HRT 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.
    HSE-CHECKLIST-TB-REV00

    Toolbox / Pre-Task Talk Form

    Total Attendee

    Permit Holder Authorisation

    ● Toolbox / Pre-Task Briefing is not Safety Briefing. The topic should cover work activity related, target of achievement, quality control, hazards, and risk control
    measure to ensure smooth operation.

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