HEALTH, SAFETY & ENVIRONMENT Doc.

Reference No:
Construction Health, Safety and Environment Plan SGCM-OSH-FRM-26-C
Rev. / Issued: Rev. Date:

TOOLBOX TALK 00 / 02 / /2022

Date & Time: Project Title:

PTW No. Work

JP Name:
(As Applicable) Location:
Short Description of Task:

Identify Hazards / Risk in the Area: Identify Clients LSRs for this Job:
(✔ Yes X No) (✔ Yes X No)

❑ Fall From Height ❑ Heat Stress ❑ 1. Protect yourself against a fall

❑ Toxic Gases ❑ Manual Handling ❑ 2. Conduct gas test whenever required.

❑ Flammable Substances
❑ Transportation Hazards
❑ Excavation Hazards
❑ Lifting Hazards
❑ Confined Spaces
❑ Existing live facilities
❑ Electricity
❑ Fire Hazards
❑ 3. Do not walk or stay under a suspended load.
4. Carry a personal Gas detector & EEBA when
❑ entering an H2S Zone.
5. Obtain authorization or a valid confined space
❑ certificate before entering a confined space.

❑ Radioactive Materials
Hot Works Hazards:
❑ Welding, Cutting &
Grinding Etc…..
❑ Radiography Hazards
❑ Shutdown Activities
❑ Noise
❑ Wellhead Location
❑ Hydro Testing Hazards
❑ Other ___________
6. Verify isolation before work begins and use the
❑ specified life protecting equipment.
❑ 7. Work only with a valid permit to work
8 Obtain authorization or a valid Permit to Work
❑ before overriding or disabling safety-critical
equipment / system.
❑ 9. Wear a seat belt

❑ 10.Do not exceed speed limit

Identify the Closest Emergency Equipment: Review Emergency Actions:
(Please explain) (Please explain)

Emergency Assembly Point In case of any emergency alarm,

First Aid Box siren sounds, assembly area is

Fire Extinguisher
Evacuation route explained ❑
Emergency Telephone

Fire Watch Required ❑ Yes ❑ No ❑ N/A Emergency procedure explained ❑

Are Method Statements / Risk Assessments / Checklists (as

applicable) available & communicated to workforce? ❑ Yes ❑ No ❑ N/A

Are tools / equipment’s used, inspected / calibrated / approved

by Client? ❑ Yes ❑ No ❑ N/A

Health, Safety & Environment Is Everyone’s Responsibility

 HEALTH, SAFETY & ENVIRONMENT Doc. Reference No:
Construction Health, Safety and Environment Plan SGCM-OSH-FRM-26-C
Rev. / Issued: Rev. Date:

TOOLBOX TALK 00 / 02 / /2022

❑ Full Body
IDENTIFY ADDITIONAL PPE FOR THIS JOB ❑ Dust Mask ❑ Face Shield
(Hard Hats, Coverall , H2S escape Mask , H2S personal monitor , Safety Harness
Goggles, Safety shoes are mandatory for all jobs)
❑ SCBA ❑ Gloves ❑ Other :

Health, Safety & Environment Is Everyone’s Responsibility

 HEALTH, SAFETY & ENVIRONMENT Doc. Reference No:
Construction Health, Safety and Environment Plan SGCM-OSH-FRM-26-C
Rev. / Issued: Rev. Date:

TOOLBOX TALK 00 / 02 / /2022

S/N NAME DESIGNATION SIGNATURE REMARKS

1

10

11

12

13

14

15

16

17

18

19

20

21

22

23

I declare that I have reviewed the conditions of the work permits and / or the safe work requirements for this job.

_____________________________ _________________________
Project Engineer HSE Officer Signature

I understand and will conform to the requirements as discussed at the briefing of the above mentioned documents:

Health, Safety & Environment Is Everyone’s Responsibility