4 Brothers Limited
Operational Management System · Tauranga, Bay of Plenty NZ
4B.FRM.002
Version 1.0
Field Form

Toolbox Talk Record

Complete at start of every shift. All workers must attend and sign. File with Daily Job Sheet. | Basis: HSWA 2015 worker engagement obligations; WorkSafe NZ guidance on worker participation.

1 — Session Details
2 — Topics Covered Today (tick all that apply)
HSWA 2015 s45: Workers must be informed of hazards and risks relevant to their work. Toolbox talks are the primary daily mechanism for this.
Site-specific hazards for today
Weather conditions and work safety
PPE requirements for today's tasks
Machinery / equipment to be used today
KVH biosecurity — hygiene requirements
Emergency procedure / assembly point
Manual handling / lifting technique
Ladder and working at height rules
Heat / fatigue management
Right to refuse unsafe work reminder
Incident and near miss reporting
Spraying / agrichemical precautions
Client site rules and grower requirements
Other (detail below)
3 — Worker Attendance — Sign to Confirm You Attended
Worker Full Name Role Signature (confirms attendance and understanding)
Workers absent from toolbox talk must be briefed individually by supervisor before commencing work. Note any absent workers and the briefing time.
4 — Supervisor Confirmation
Conducting Supervisor
Full name
Sign here
Date
Any issues to escalate?