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Date:______________ Department:_______________________________
Supervisor/Instructor:_________________________________________
Safety Training Topic:__________________________________________
Training: Read and discuss the Toolbox Training chosen for this months Safety meeting along with the department employees. If provided, discuss the questions or discussion topics together as group. Use the material to verify your responses.
Discussion: Have you had an incident/accident or near miss in your department in the past month? If so provide pertinent training, discuss, and list how a reoccurrence can be avoided in the future.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Discuss and list any Health, Safety & Wellness issues in your department and the plan to mitigate them:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Discuss and list any Health, Safety & Wellness suggestions for the Safety Committee:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
List any departmental Health, Safety & Wellness needs the Safety Committee might help with financially:
_________________________________________________________________
__________________________________________________________________
_________________________________________________________________
Date:______________ Department:_______________________________
Supervisor/Instructor:_________________________________________
Safety Training Topic:__________________________________________
Training: Read and discuss the Toolbox Training chosen for this months Safety meeting along with the department employees. If provided, discuss the questions or discussion topics together as group. Use the material to verify your responses.
Discussion: Have you had an incident/accident or near miss in your department in the past month? If so provide pertinent training, discuss, and list how a reoccurrence can be avoided in the future.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Discuss and list any Health, Safety & Wellness issues in your department and the plan to mitigate them:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Discuss and list any Health, Safety & Wellness suggestions for the Safety Committee:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
List any departmental Health, Safety & Wellness needs the Safety Committee might help with financially:
_________________________________________________________________
__________________________________________________________________
_________________________________________________________________