ACG
TOOL BOX MEETING
TBM INFORMATION
DIGITAL TBM SAFETY CHECKLIST
Select YES or NO for every item.
All checklist items are mandatory.
SECTION SAFETY ISSUE YES NO
HAZARDS Fall from height
Falling into pit
Slipping / Tripping
Material falling from height
Exposed to Chemicals
Earth collapse
Contact with rough edges / sharp objects
Electric shock / Flash
Injury from tools / machines
Poor Illumination
Inclement weather
Unauthorized Entry
Snake bite
Lifting excessive wt
Fumes / dust
Unsafe Behaviour
Confined Space
RISKS Major injury
Minor injury
Burn from heat / arc flash
Heat stroke
Eye injuries
Crash
Equipment Damage
Fatality
Environmental Impact
CONTROL
MEASURES 		Helmet / Safety belt / Safety shoes
Barricading / isolation
Authorised Persons
Skilled Workmen
Eye Guard / Hand Gloves / Nose Mask
Earthing / short circuiting
Caution board / Flag / signage / Taging
MSDS and restricted access.
Face shield
Work Permit
LOTO
Fall arrester & Life Line
Supervision
Crowd / Traffic control
GENERAL ISSUES YES NO
Visual health check of staff
Health hazards (Cholera, Malaria, diahoerrea etc)
Availability of SWP
Health check of PPE's
Briefing of Safety Alert / Lesson Learnt
Availability of Sw. Chit
Health check of tools & tackles
Briefing of First Aid / CPR
COVID-19 Contamination - Symptom or Possibility
Briefing of safety rules
Job break ups and assigning responsibility.
Fire Load - Unnecessary stacking of materials
REMARKS
39-POINT CHECKLIST
TBM PHOTO = 39-point checklist photo
Complete the original 39-point checklist manually and attach a clear photograph here.
39-point checklist preview
DIGITAL SIGNATURE
Sign inside the box using your finger or stylus.