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Pre-Task Planning

Date:* Company:*
Description of Activity:
Supervisor:* Location of Task:*
Supervisor Email:

Safety and Health Considerations

Hierarchy of Controls 1. Elimination Systems Approach Environment (E): Engineering Controls, Working Conditions Permits Hot Work: Yes: No:
2. Substitution Energized Systems/LOTO: Yes: No:
3. Engineering Capability (C): Training, Education, Age, Fitness Ladders Last Permit: Yes: No:
4. Isolation Ground Penetration: Yes: No:
5. Administration Behavior (B): Worker Actions, Factors driving motivation Confined Space Yes: No:
6. Personal Protective Equip. Roof Access Yes: No:
Sequence of Basic Job Steps Hazards Associated with Each Step E,C,B Eliminate or Control the Hazard
List Materials, Tools, Other to be Handled or Moved List Mechanical Aids to be Used for This Or for Each Manual Handling Task List Safety Controls

PTP - Documentation of Worker Review
Review PTP (and revise if necessary) with all workers before performing the tasks. Submit PTP with signature sheet to Turner. I acknowledge I attended this PTP meeting, was properly equipped and trained for my assignment, and was not injured on site the previous workday without reporting it to Turner Const. Me firma debaja de la linea sen infica que yo estaba presente en la junta. Y que yo estaba equipado e entreno para ta tarea, y tambien indica que yo no me lastime ayer.

Print name Signature