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Safety Committee/Safety Meeting Documentation Form: Use With WAC 296-800-130 Safety Committees and Safety Meetings

This document provides a template for documenting the minutes of workplace safety committee meetings. It includes sections for reviewing previous meeting minutes, discussing unfinished business, reporting any hazards or accident investigations, evaluating the effectiveness of the accident prevention program, and other safety topics covered. Employers are required to keep meeting minutes for one year and address specific safety topics. The form collects information on the meeting date, attendees, minutes author, and planned date and location for the next meeting. It also includes optional questions to assess injury risk levels and worksite complexity.

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Jocel palgan
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21 views

Safety Committee/Safety Meeting Documentation Form: Use With WAC 296-800-130 Safety Committees and Safety Meetings

This document provides a template for documenting the minutes of workplace safety committee meetings. It includes sections for reviewing previous meeting minutes, discussing unfinished business, reporting any hazards or accident investigations, evaluating the effectiveness of the accident prevention program, and other safety topics covered. Employers are required to keep meeting minutes for one year and address specific safety topics. The form collects information on the meeting date, attendees, minutes author, and planned date and location for the next meeting. It also includes optional questions to assess injury risk levels and worksite complexity.

Uploaded by

Jocel palgan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Safety Committee/Safety Meeting Documentation Form

Use with WAC 296-800-130 Safety Committees and Safety Meetings


This form can help document the minutes of safety committees and safety meetings in
your workplace. This particular form isn’t required, but shows the kind of information
you need for your records. You can either copy this form or make your own.

Remember, you must:


 Keep meeting minutes for one year.
 Cover specific topics in your meetings.

Agenda:
Review of minutes of last meeting: Approved? Yes No
Corrections:      

1. Unfinished business from last meeting:


     

2. Any hazards reported during this time period?      

3. Describe any accident investigations conducted since last meeting. Did you
identify and correct the cause of the unsafe situation(s)?      

4. Is your accident and illness prevention program working? Yes No


If no, describe any recommendations to improve it.      

5. What other safety-related topics did you cover in this meeting?      

Employer:       Worksite location:      

Date:       Meeting Start Time:       Meeting End Time:      

Who attended this meeting?


     

Minutes written by:      


Meeting Leader:      

Next meeting will be on (date):      


Next meeting location:      

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How likely is an injury or illness to occur in your workplace?
(check the box that best applies)

Very likely
Likely
Somewhat likely
Unlikely, we haven’t had an on-the-job accident in years

How complex is your worksite? (check all boxes that apply)

Large or spread out worksite (for example, a logging area)


poorly planned building
medium sized worksite
small worksite
1 story building with plenty of exits and parking

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