Pre-Task Planning Form
Start Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
End Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Company Name
Project Name
Planner Name
First Name
Last Name
Supervisor Name
First Name
Last Name
Task to be accomplished
Location of Work
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
A good pre-task plan can be effective with its safety, productivity and morality. If everyone understands what the task needs to be done, it will likely be done safe and quick. So, please check the all the elements that you will need for pre-task plan.
Rows
Done
Undone
N/A
Task definition
1
2
3
Safety analysis
4
5
6
Time estimate
7
8
9
PPE required (eye protection,
hard hat, hearing protection,
hand&foot protection)
10
11
12
Fire protection
13
14
15
Emergency plans
16
17
18
Several weather plan
19
20
21
Necessary equipment identified
22
23
24
Tools needed identified
25
26
27
Personel (correct skills,
sufficient number, equipment)
28
29
30
Additional Notes
Supervisor's Signature
Planner's Signature
Submit
Should be Empty: