TOOLBOX TALK RECORD

Company Name: [ENTER COMPANY NAME] Project/Site Address: [ENTER SITE ADDRESS] Date of Talk: [DD/MM/YYYY] Time of Talk: [e.g. 7:00 AM] Location: [e.g. Site Shed] Presenter Name: [ENTER NAME]

TOPIC DETAILS

Topic Title: [ENTER TOPIC, e.g. Working at Heights] Reason for Talk: [e.g. New regulation, recent near miss, weekly schedule] Hazard(s) Identified: [DESCRIBE THE HAZARD, e.g. Falling from ladders] Control Measures Discussed: [LIST CONTROLS, e.g. Use harness, secure ladder base, maintain 3 points of contact]

ATTENDANCE REGISTER

I confirm that I attended this toolbox talk, understood the information provided, and agree to follow the safe work procedures discussed.

Worker Name	Signature	Time
[WORKER 1 NAME]	[SIGN]	[TIME]
[WORKER 2 NAME]	[SIGN]	[TIME]
[WORKER 3 NAME]	[SIGN]	[TIME]
[WORKER 4 NAME]	[SIGN]	[TIME]
[WORKER 5 NAME]	[SIGN]	[TIME]
[WORKER 6 NAME]	[SIGN]	[TIME]
[WORKER 7 NAME]	[SIGN]	[TIME]
[WORKER 8 NAME]	[SIGN]	[TIME]
[WORKER 9 NAME]	[SIGN]	[TIME]
[WORKER 10 NAME]	[SIGN]	[TIME]

NOTES / QUESTIONS RAISED

[Record any questions asked by workers and the answers provided. Also record any specific concerns raised during the discussion.]

Presenter Signature: __________________________ Date: __________________________

File this record in the Site Safety Register.