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Concrete Pump Truck Pre-Task Plan

Archive Document – DO NOT DISCARD

Answer the following when evaluation your work area (circle YES, NO or N/A)

Yes

No

N/A

Are any of the following Required?

1. Have you walked your work area to identify live systems, overhead lines, utilities, underground conditions, public exposures, lighting, etc? PPE
2. If overhead powerlines are energized, is the rig set up a minimum of 17 feet away? Hard Hat
3. Are there any hazards created by any other workers in your area or does your work create hazards for others? Fall Protection
4. Have all equipment and tools been inspected prior to use? No steel hose ends, “S-Bend” device on hose, etc? Fall Protection
5. Have you reviewed applicable MSDSs to ensure proper work procedures are being utilized and to determine if additives or chemicals require additional PPE?
Hand / Arm PPE
Hearing PPE
6. Have you reviewed applicable MSDSs to ensure proper work procedures are being utilized and to determine if additives or chemicals require additional PPE? Foot PPE
7. Have you addressed any barricading, warning system or signage requirements appropriate to the task? Dust Mask/Respirator
8. Have you established a communication system for signaling and/or communication? LOCATE
9. Are outriggers fully extended with adequate pads? Emergency Telephones
10. Have you addressed lifting, bending, twisting or pinch point hazards?
11. Has a method/location been established for workers to clean up in case of concrete over exposure? Fire Extinguisher
12. Have you completed Stretch & Flex today? Emergency Exit Routes
13. Are enough people assigned to safely complete the task? (lifting, spotting, etc.) First Aid Equipment
14. Is there a new hire, or new team member on the project who will need support? Other
15. Do you have an injury to report or were you injured the prior working day? Other
Tasks:
Steps for Work   Tools   Hazards   Steps Taken to Address Hazards
     
     
     
     
     

*If you need more space, attach another PRE-TASK PLAN SHEET

Crew Members – list additional crew members on back or a separate page if necessary: