Job Start Safety Meeting (JSSM)

Job Start Safety Meeting

Use this form to document delivery of the JSSM Talking Points to site personnel.
Section 1 – Pre-Filled Job Information

This information has been pre-filled from the Pre-Job Safety Planning Tool, if completed.
Job Number*
Pre-filled from the Pre-Job Safety Planning Tool
Customer*
Pre-filled from the Pre-Job Safety Planning Tool
City / State*
Pre-filled from the Pre-Job Safety Planning Tool
Project Scope*
Pre-filled from the Pre-Job Safety Planning Tool
Section 2 – JSSM Details
FHG JSSM Meeting Leader*

First NameLast Name
Your Email*
You will receive a copy of this completed form.
Date of Job Start Safety Meeting*

MonthDayYear
Date
Please deliver the content in the JSSM Talking Points PDF for {JSSMJobNumber} – {JSSMCustomer} / {JSSMCityState} that was emailed to you.
Please attach the JSSM Talking Points for the job here:*

Cancelof
Were relevant JSSM talking points communicated to the crew?*

Yes, confirmed.NoOther
Section 3 – Individuals Present
FHG Employee #1*

First NameLast Name
FHG Employee #2

First NameLast Name
FHG Employee #3

First NameLast Name
FHG Employee #4

First NameLast Name
FHG Employee #5

First NameLast Name
FHG Employee #6

First NameLast Name
FHG Employee #7

First NameLast Name
FHG Employee #8

First NameLast Name
FHG Employee #9

First NameLast Name
FHG Employee #10

First NameLast Name
FHG Employee #11

First NameLast Name
FHG Employee #12

First NameLast Name
FHG Employee #13

First NameLast Name
FHG Employee #14

First NameLast Name
FHG Employee #15

First NameLast Name
Please list any customer personnel, subcontractor employees, or other contractors employees present for this meeting:
Please list the emails of any others who need to receive this completed form.
CC Email #1
CC Email #2
CC Email #3
Should be Empty:

Job Start Safety Meeting

Section 1 – Pre-Filled Job Information

Section 2 – JSSM Details

Section 3 – Individuals Present