TRACK AUDIT

• Project Name & Number

• Conducted on

  Date

• Audit Team Member

• Audit Team Member

• Audit Team Member

• Audit Team Member

• Audit Team Member

Foreman / Crew audited

Location of work

Work Performed

Development

• Crew participated in TRACK development

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• All hazards / Probability vs Consequences - identified

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• All controls for hazards are identified

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• Overall plan reflects work being performed

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

Implementation

• TRACK plan is followed

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• Change in scope of work / hazards addressed

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• Controls for hazards are practiced

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• Visitor briefing conducted

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

• Work area inspection conducted by crew member

  Above Average - 4

  Acceptable - 3

  Needs Improve - 2

  Plan of Action - 1

  N/A

Signature

• Audited employees signature

  Sign