BUILDER ASCENT
Build Higher. Learn More. Earn More.
Daily Pre-Task Safety Plan
Plan it. Work it. Build it. Safely.
Project Information
Project Name:
Location:
Date:
Time:
Superintendent:
Foreman:
Trade / Subcontractor:
Crew Members:
Scope of Work
Describe the work being performed today.
Identified Hazards
Check all that apply.
Falls
Excavation
Struck-by
Ladders / Scaffolds
Caught-between
Weather / Temp
Electrical
Tools / Equip
Heavy Equip
Other:
Control Measures
How are hazards being controlled? (be specific)
Required PPE
Check all that apply.
Hard Hat
Safety Glasses
High-Vis Vest
Steel Toe Boots
Hearing Protection
Fall Protection
Gloves
Tools & Equipment
List tools/equipment being used.
Stop Work Conditions
Stop work immediately if:
Safety Discussion Notes / Additional Comments
Crew Acknowledgment
By signing below, all crew members confirm understanding of today's plan and hazards.
Name (Print)
Signature
Foreman Signature:
Date: