ZFOD HSE TOOL BOX TALK
TOPICS DISCUSSED PTW
Critical Activities Hazardous Agents Hazardous consequences □ HPTW □ CPTW □ SPTW
□ Working at height □ Oil □ Ignition PTW N°
□ Mechanical lifting □ Flammable Gas □ Fire/Explosion ……………………………………………
□ Manual Handling □ Toxic Chemicals □ Electric shock Complementary permit
□ Welding / Cutting □ Oxygen □ Damage to equipment
□ Power tools □ Nitrogen/ Inert Gas □ Hearing Loss □ Excavation
□ Hand tools □ Noise □ Eye Injury
□ Confined space entry
□ Pressure/leak testing □ Vibration □ Leaks and Spills
□ Process Isolation □ Electrical Energy □ Asphyxiation □ Electrical isolation
□ SIMOPS □ Pressure □ Toxic effects
□ Electrical isolation □ Heat Stress □ Other: ………………… □ Process-Mech-inst isolation
□ Stacking / Storage □ Falling objects Preventive Measures □ Scaffold
□ Confined space entry □ Wind/rain/Sandstorm □ Proper PPE
□ Chemical cleaning □ Lack of competency □ Housekeeping □ Logic & Safety device by-pass
□ Excavation □ Contaminated water □ Fall Protection Complementary permit N°
□ Painting / sand blasting □ Lubrication Oil □ Barricading
□ Machinery □ Ionizing Radiation □ Fire prevention ……………………………………..
□ Concrete pouring □ Hazardous chemicals □ Gas detection
□ Other: ………………… □ Other: ………………. □ PTW
…………………………… …………………………. □ Other: ………………….
D1 D2 D3 D4 D5 D6 D7
ATTENDEES NAMES TRADE BADGE N° SIGNATURE
1
2
3
4
5
6
7
8
9
10
16
17
18
19
To be filled by ZFOD HSE representative ( Tick √ to confirm continuation ) Tick P for attendee present
Tick A for attendee absent
NAME POSITION WORK AREA
Date
Time
Signature
