GP.1135.

F01

BRIEFING RECORD
This form (GP.1135.F01) is directly linked to, and should be completed in conjunction with:
 Group Procedure GP.1135 Daily Briefings

SECTION A - SITE DETAILS

CONTRACT NO. CONTRACT NAME

SECTION B - BRIEFING DETAILS

(To be completed by the nominated Responsible Person)

TOPIC

DAILY BRIEFING ☐ SITE RULE VIOLATION ☐ HSEQ ALERT ☐

REASON
JUST CULTURE
TOOL BOX TALK ☐ (Including Good/ Poor practice, outcome, actions etc.) ☐ OTHER ☐

BRIEFING BY JOB ROLE

(PRINT NAME)

EMPLOYER SIGNATURE

ISSUE DATE ISSUE TIME

SECTION C - EVIDENCE OF BRIEFING

CONFIRMATION

I have signed this briefing record to acknowledge that I have understood the Briefing detailed above.

NAME JOB ROLE EMPLOYER CARD REFERENCE SIGNATURE

(CSCS, CPCS, PTS, ID Etc.)

GP.1135.F01 Briefing Record Rev. No. 1 Dated: 21.06.18 Page 1 of 3

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SECTION C - EVIDENCE OF BRIEFING

CONFIRMATION

I have signed this briefing record to acknowledge that I have understood the Briefing detailed above.

NAME JOB ROLE EMPLOYER CARD REFERENCE SIGNATURE

(CSCS, CPCS, PTS, ID Etc.)

CONTINUED FROM PAGE 1

COMMENTS/ FEEDBACK FROM ATTENDEES

GP.1135.F01 Briefing Record Rev. No. 1 Dated: 21.06.18 Page 2 of 3

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Hard Copy File at Project Office | Electronic copy back to HSEQ

GP.1135.F01 Briefing Record Rev. No. 1 Dated: 21.06.18 Page 3 of 3