Title Page

  • Who is conducting the audit?

  • Project Number/Name

  • Conducted on

  • Are all employees signed onto the Pre Task Plan?

  • Is the Task for the Day stated?

  • Sequence of Job Steps:

  • Hazard Identification:

  • Have materials, supplies, tools or safety equipment needed for today's task been listed?

  • PPE Required for Task:

  • Documented Control Measures:

  • Are Inspections Performed assigned to crew members?

  • Has the Pre Task Plan been closed out properly if this audit is not in the field? (Issues listed if any, injury boxes marked, and foreman signature)

Photo of JSA

  • Front of Pre Task Plan

  • Back of Pre Task Plan

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.