Self Safety Audit Check list No. 05
Reliance Industries Ltd. - Jamnagar TOOL BOX TALK REPORT
Frequency: Weekly Plant: __________
Dept. /Section: Mechanical / Electrical / Instrument / Process
Subject: _______________________________________________________________ Date of tool box talk given: ______________________ SN
Main Points Explained
Names of the persons present
Sign of Participant
Remarks
Tool box talk given by:
Name: ____________________
Designation: __________________
Signature: ________________
Date: _________
Reviewed by
Name: ____________________
Designation: __________________
Signature: ________________
Date: _________
Rev 08 Date: Aug 2014