IJM CORPORATION BERHAD

(104131-A)

TOOL-BOX MEETING FORM

Workplace :
Sub-Con :
Supervisor :

Date :
Time :
No. of Workers/Operators :

Today's activity (First tool-box will discuss the content of HIRADC / Env. Aspects Impacts)
a. ____________________________________________________________________
b. ____________________________________________________________________
c. ____________________________________________________________________

What are the potential OHS hazards and Env. Aspects Impacts
a. ____________________________________________________________________
b. ____________________________________________________________________
c. ____________________________________________________________________

How to prevent the potential OHS hazards and Env. Aspects Impacts
a. ____________________________________________________________________
b. ____________________________________________________________________
c. ____________________________________________________________________

Other Information
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

ATTENDANCE
No.
1
2
3
4
5
6
7
8
9
10

Name

Initial

No.
11
12
13
14
15
16
17
18
19
20

Name

Initial

(Please provide in separate sheet if necessary)

Safety Guide' Booklet can be used as reference

Facilitated By
Signature

HSEF-CDF-006
REV 0

: ________________________
: ________________________

SHO/EO In Attendance : _______________