Construction Site Communication Protocol

Acknowledgement Form

Employee Name Position Supervisor/Manager Site/Project Name Date

Communication Protocol Briefing

Communication devices (radios, phones) usage reviewed Emergency communication process explained Reporting incidents or hazards clarified Attendance at daily toolbox talks acknowledged Chain of command for communication discussed

I confirm that I have been briefed and fully understand the Construction Site Communication Protocol. I acknowledge my responsibility to follow site communication procedures as instructed.

Employee Signature

Supervisor/Manager Signature