PTP Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Project

Company

Location

Supervisor

Crew Experience

• Select from range

• Select date

  Date

Form

• All items filled out and complete

  Yes

  No

  N/A

• All crew members signed and reviewed

  Yes

  No

  N/A

• All task specific hazards identified

  Yes

  No

  N/A

• All steps identified

  Yes

  No

  N/A

• All control measures identified

  Yes

  No

  N/A

• All tools and material identified

  Yes

  No

  N/A

• Form located in work area

  Yes

  No

  N/A

Task Observations

• Additional hazards observed

  Yes

  No

  N/A

• Additional tools and materials used

  Yes

  No

  N/A

• Supervisor walked area prior

  Yes

  No

  N/A

• Area clean

  Yes

  No

  N/A

• Proper lighting

  Yes

  No

  N/A

• Work activity

  Media

• Add signature

  Sign