Document No :- TRENG / SHE/12

Document Title:-
Rev:-0
Management Review Date :-
Meeting Page 1of 1

PROJECT NAME:

Name Title Here Name Title Here

DATE, TIME, PLACE: Date Time Place

MEETING OBJECTIVE:

REVIEW AGENDA: 1. Minutes / actions of previous meeting

2. HSE policy, HSE Objectives and Targets status
3.

4.

6.

7.

8.

9.

10
MINUTES:

ACTIONS TO BE TAKEN,
AGENDA ITEM OUTCOMES / DECISIONS COMMUNICATIONS REQUIRED
1. MINUTES/
ACTIONS FROM
PREVIOUS
MEETING

Concern person:
Target Date:
2. HSE POLICY,
HSE OBJECTIVES
AND TARGETS
STATUS

Concern person:
Target Date:
3.

Concern person:
Target Date:
4.

Concern person:
Target Date:
5.

Concern person:
Target Date:
6.

Concern person:
Target Date:
 ACTIONS TO BE TAKEN,
AGENDA ITEM OUTCOMES / DECISIONS COMMUNICATIONS REQUIRED
7.

Concern person:
Target Date:
8.

Concern person:
Target Date:
9.

Concern person:
Target Date:
10.

Concern person:
Target Date:
Summary of Review Outputs

Signed: ………………………………………. Signed: ……………………………………………

MD Management Representative

Date: ……………………….. Date: ………………………….