The supervisor and crew will create this plan establishing safe work practices
and common hazard control measures for preventing the occurrence of injuries.
Work Task & Environment Evaluation
Personal Protective Equipment
By signing below, I acknowledge that I participated in the creation of this pre-task plan and understand the steps of the task, associated hazards, and hazard control methods.
Use the + icon next to a crew member name to add additional crew members.
Pre-Task Plan Revisions
Describe the deviations from the original pre-task plan and detail the revised hazard control methods.
If work conditions change, work MUST STOP and the Pre-Task Plan must be revised.