R & M (Ric-Malen) Construction, Inc.

Macaria Ave., Pacita Complex 1, Biñan City, Laguna

Date : ______________________ Project : ___________________________

Time : ______________________ Safety Officer : ______________________

Attendance Record of Daily Tool Box Meeting

Printed Name Time IN Time OUT Signature

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Prepared by Safety Officer:

_____________________ __________________
(Printed Name) (Signature)

Noted by Project Engineer/Project Manager:

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 R & M (RIC-MALEN) Construction, Inc.
Macaria Avenue, Pacita Complex 1, Biñan City, Laguna

Date : ______________________ Project : ___________________________

Time : ______________________ Safety Officer : ______________________

Minutes of the Tool Box Meeting

Activities for the Day: 1._______________________ 2. _________________________

3._______________________ 4. _________________________

Time Started: _______________________ Time Adjourned : _____________________

Meeting Checklist:
□ Complete Attendance. _____ out of _____.
□ None of the crew members that are present is sick/injured/not physically fit.
□ None of the crew members that are present is under the influence of drugs.
□ None of the crew members that are present is under the influence of liquor.
□ Hazards in the workplace are discussed and the workers are aware of them.
□ Mobile/Heavy equipment □ Combustibles/Flammables
□ Sharp/Pointed materials □ Others: ________________
□ The crew has complete PPE that are suitable for their job:
□ Company ID and Uniform □ Ear Plugs/Ear Muffs
□ Hard Hats □ Spectacles/Goggles/ Mask
□ Safety Shoes □ Respirators/Dust Mask
□ Safety Visibility Vests □ Others:
□ Hand Gloves __________________
□ Recent/Previous accidents that are related to the job are discussed.
□ The crew knows how to segregate their trashes/waste materials to the
different trash containers.
□ The crew is aware of the procedures during emergency cases.
□ Location of nearest Fire Alarm Switches and Fire Exits
□ Location of nearest Fire Fighting Equipment: Fire Extinguisher/Hose
□ Location of nearest First Aid Station and/or Medical Clinic

Other topics and reminders discussed:

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Prepared by Noted By
Safety Officer : __________________ Proj. Engineer : ________________
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