Safety Toolbox Discussion
Project: ______________________   Address: ________________________

Employer:_____________________  Supervisor: ______________________

Date:________________Time:_____________Shift:____________________

Number in crew:________________ Number attending:_________________

Other safety issues or suggestions made by crew members:
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Record of those attending:
Name: (please print)	Signature:	Company:	
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Manager’s remarks:______________________________________________
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Manager: ________________________   Supervisor:___________________