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RIG #: 15011 DATE: 05 Desernber 1,3 STARTTIME: 05.30WITA HilISH TIME: O7.fi1WITA

ATTENDANCE TIST

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t. Review and discuss all ISA, l-lAzOBs or Safety Behavior Observation & Contact submitted since last meeting.

2. Review and discuss all incident reports submitted since the last meeting.

3. Review and discuss any safety alerts or other safety literature received since last meeting.

4. Discuss last shift and identify any unsafe work practices or areas for improvement.

5. What are the likely hazards to be encountered during this shift? [Complete JSA].

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APS-FHSE-Fo15 DATE OF ISSUE: 03i106108: Rev 00 REVISION DATE: 01101/2009 O\AINER: HSE Page.l of2