Document 6Md3R0G2nLgp47j0mnNnXQe3
EMPLOYEE SAFETY MEETING
Area f~/&-
______ Shift
\ Date
.1 Employees Present: f!'T&'J
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Employees Absent:
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Reason: i/a
____________________________________
.2 Review of Accidents and Near Misses:
(See attached Summary) Since Last Meeting
_____ Plant
Days Since Time-Losing Accident
Area
This Group
Comments: /
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3. Review Unsafe Conditions:
A. Peview Area Work Order LogB. New Hazards Reported
No. Unsafe Conditions
Recommendation
4. Review Unsafe Acts Observed: Unsafe Act
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Recommendation
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5. Status of Safety Work Orders:
AREA
RE PORTED AB C
COMPLETED ABC
6. Housekeeping Evaluation:
AREA S7T
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Good 1
BR 1271
RATING Pair
Poor
,______
REMARKS
tt?tC 1X 3063 E-01277
COMMENTS
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(over, please)
EMPLOYEE SAFETY MEETING
7. Monthly Theme Review: iJ/______ ^
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8. New and Transferred Employees' Orientation:
Employee --
Safety Rules
Safe Work Procedures
Safety Equipment
9. Job Safety Instructions: Job
'
Procedure Reviewed
Safety Committee Activities:
Employees
11. Additional Comments:
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(Signature - Foreman anchor :Supervisor)
ETC 15064
C-01278