SHAW GLOBAL ENERGY SERVICES
SAFETY MEETING RECORD
CONDUCTING SUPERVISOR / FOREMAN
BEGIN TIME
LOCATION
DATE
END TIME
ATTENDANTS SIGNATURE (S):
MEETING CONTENT
TOPIC:
WHAT WENT WRONG?
Meeting Objective: To determine the cause and the circumstances surrounding an accident that has just
occurred; to decide what action should be taken to avoid a similar accident in the future.
I.
What happened (Stress to employees that the purpose of the meeting is to discover the facts
surrounding the accident, not to find fault or place the blame on any individual.)
A. Employee’s account (if not injured or if injuries do not require immediate medical attention)
B. Witnesses’ account (if any other than employees who saw the accident take place)
Participants in or witnesses to the accident should be allowed to speak freely, without interruption.
If there is a disagreement that can’t be resolved, make a note of it for further investigation.
II.
The key facts
A.
B.
C.
D.
E.
F.
Nature of injury
Part of body injured or affected by injury
Source of injury – object, substance, or bodily motion that produced injury
Type of accident or manner in which person was injured.
Hazardous condition or circumstances
Agency of accident – object, substance, or part of the premises in which hazardous condition
existed (Be specific.)
G. Unsafe act that caused or permitted the accident to occur.
WHAT WENT WRONG?
Page 2
III.
Why are these facts important? (Use the accident as an example for each of the following, if
applicable.)
A. They help us identify the source of the accident so that corrective action can be taken.
B. They make it easier for us to compile statistics that reveal patterns of accident occurrence
within the department.
C. They indicate the need for changes in methods, procedures, equipment, layout, etc.
D. They reveal the need for additional safety training.
E. They help us evaluate the progress of our accident prevention program.
F. They pinpoint the information needed to fill out the accident investigation/report form.
IV.
What can be done to ensure that an accident like this doesn’t happen again?
A. Open discussion (Let employees suggest solutions, preventative measures, etc.)
B. Summary (Try to reach a consensus on what concrete steps can be taken to eliminate the
hazard that caused the accident or correct the behavior that resulted in injury; write these
steps down on the blackboard and leave the board standing for a few days where employees
will be reminded of what is to be done.)