Issue status: Rev.2.

0
TOOLBOX TALK FORM Issue date: March 2023
Issued by: QHSE
Document no.: Authorized by: Director

Vessel/name: Serial number:

Project name: Location:

Date: Time:

Name & Designation of RA ref.

the person who Conduct
the Meeting PTW ref.no.

Points discussed:
1. Kindly ask the Team if anyone is:
Seeing the medic:
 On medication _________________________________________
 Has been ill recently _________________________________________
 Has any health problem _________________________________________
 Feel himself unwell/not able to perform the work/dive __________________
2. Work scope for the next 12 hours Refer to RA no.: ______________________________
3. Full PPE on deck all times – Work safely and look out from one to another.
4. Drive safely within NPD team
5. We must maintain a high level of vigilance while resuming the work to be able to:
 Continuously identify the changes which may occur in the working environment
 Continuously assess the gaps which exists between (the residual RISKS exposures
which discuss during toolbox talk and the real situation/parameters/environment)
 Continuously assess the adequacy of the tools, controls, precautions, barriers we
have put in place prior the drive/task execution
In case of any doubt to apply Stop Work Policy add to immediately discuss with the supervisor
about how to cope with the existing actual situation:
6. ________________________________________________________________________
7. ________________________________________________________________________
8. ________________________________________________________________________
9. ________________________________________________________________________

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@NEMO PRO DIVING March 2023
 Issue status: Rev.2.0
TOOLBOX TALK FORM Issue date: March 2023
Issued by: QHSE
Document no.: Authorized by: Director

No. Name Sign No. Name Sign

1. 2.

3. 4.

5. 6.

7. 8.

9. 10.

11. 12.

13. 14.

15. 16.

17. 18.

19. 20.

21. 22.

23. 24.

25. 26.

27. 28.

29. 30.

31. 32.

33. 34.

35. 36.

37. 38.

39. 40.

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@NEMO PRO DIVING March 2023