ENGINEERING PROCUREMENT & PROJECT MANAGEMENT Date :

FORM Rev :
TOOL BOX MEETING
Page :

Tool Box Meeting

Work Location Activity

Permit Number Permit Type

Check-list (ensure the following)

 Operation Type
 Method and operation adopted
 Lessons discussed in the previous days
 Intersection / over lap
 SIMOPS Hazard
 Security measures adopted
 Security equipments localization
 Responsibility and control
 Existing dangerous substances
 Risks related to human factors
 Work Equipment
 Waste Management
 Environmental Conditions
 Environmental Considerations
 Emergency Measures
 Work Permit Supervisor
 Required Isolation
 Working at height
 Gassing
 Excavation Requirements

Details of work and equipment mobilized

Other topics discussed

426 01/17
 ENGINEERING PROCUREMENT & PROJECT MANAGEMENT Date :
FORM Rev :
TOOL BOX MEETING
Page :

Confirm the following

 Is everyone aware of the risks of each task and the precautions to be taken?
 Are all employees acquainted with the work procedures?
 Are employees aware that they must report immediately any incident?
 Are employees aware of their responsibility to maintain the cleanliness of the work
area?
 Is everyone aware of its responsibility to keep access free and clean?
 Is everyone aware of the emergency measures?

 I have been informed by the initiator of the work

 I have to stop any unsafe conditions or behavior
 I have to ensure the education of team members about all unsafe behavior
 I ensure my security and that of others

Name Company Visa

Elaborated by

Name Visa Date

Documents joints
 Risk Assessment (n°………)  Other :……………………

426 01/17