Safety Meeting Form

A safety meeting must be held before work activity begins each workday and as needed throughout the workday. One employee must complete a safety meeting form during every safety meeting.

Job Details

During Every Safety Meeting

• Review all client and site-specific notes.
• Remind participants of their responsibility to use STOP WORK AUTHORITY.
• Consider energy sources.

Energy Sources to Be Considered

Job Site Concerns and Mitigation Steps

Choose five topics that pertain to your site. Discuss and note the concerns and mitigation steps for each. *

JSA’s Reviewed

Enter the number of each JSA reviewed.

NO SMOKING WITHIN 25 FEET OF WORK ZONE

A designated smoking area is identified and posted: *

Attendance

Select names of all safety meeting attendees. *