TBM Attendance Sheet
Company DATE . .
Location
Work
Description
Supervisor (Sign)
□ Topic of Toolbox Meeting (Must educate to workers while TBM)
Fasten Safe Prevent Do not use No Greater
Wear Double Gas
Seat Lifting Dropped Unauthorize PTW LOTO Alcohol than 75
PPE Lanyard Testing
Belts Plan Objects d Scaffolding No Drug Lux
□ Inspection of PPE (Check(O/X) the applicable)
Helmet Harness Shoes Vest Ear Plug Gloves Mask Goggle
PPE
Check
□ Risk Assessment (Level of Risk: Low, Med, High)
Today Work Details Potential Hazard Lev Control Measures
□ Other Notices (Observation, Cascading of Accident Cases, etc)
TBM Attendance Sheet
No Job Title Name Sign No Job Title Name Sign
1 21
2 22
3 23
4 24
5 25
6 26
7 27
8 28
9 29
10 30
11 31
12 32
13 33
14 34
15 35
16 36
17 37
18 38
19 39
20 40
TBM Attendance Sheet
No Job Title Name Sign No Job Title Name Sign
41 61
42 62
43 63
44 64
45 65
46 66
47 67
48 68
49 69
50 70
51 71
52 72
53 73
54 74
55 75
56 76
57 77
58 78
59 79
60 80
TBM Attendance Sheet
No Job Title Name Sign No Job Title Name Sign
81 101
82 102
83 103
84 104
85 105
86 106
87 107
88 108
89 109
90 110
91 111
92 112
93 113
94 114
95 115
96 116
97 117
98 118
99 119
100 120