Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Select date
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Is this a new job task, procedure, or process?
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Is the work area clean?
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Will the activities of other crews or trades interfere with the safe operation of your task?
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Have the proper tools and equipment been provided?
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Are tools and equipment in safe operating condition?
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Is there training for the tools and equipment that will be used?
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Is the crew knowledgeable on how to properly use all PPE required?
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Can the crew communicate effectively with each other or are there restrictions due to high noise, restricted vision, or language barriers?
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Have workers been encouraged to make suggestions to assist in the development of the pre-task plan?
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Is the crew aware that reason you are completing this pre-task plan is to allow them to safely complete the task?
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Do all crew members understand the pre-task plan?
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Has every crew member signed the pre-task plan at the end of shift?
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Has every crew member signed off at the end of the shift?
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