April TASC Card Review

• Company

• Prepared by

APRIL 2017

WEEK NUMBER:

• Week Ending:

  Date

• How many TASC Cards were completed?

• How many TASC Cards are missing information?

• Enter in the number of cards missing information in the following sections:

• Foreman Name

• Job Location

• Date

• Emergency Number

• Wind Direction

• Emergency Assembly Location

• Permit Number

• Location of Nearest Eyewash Station

• Site Rep. for Emergency Reporting

• Worker Name(s)

• Description of the Work Task

• Job Steps

• Housekeeping / Permit Sign-Off Checks

• Total Number of Hazards Identified

• Total Number of Controls Identified

• Picture of one TASC Card

  Media

• Indicate the % of completed TASC Cards on a scale from 1 to 10:

• Auditor Comments:

• Completion Date

  Date

• Signature

  Sign