SAFETY, HEALTH AND WELFARE ON CONSTRUCTION SITE:

CHECKLIST FOR CONCRETING

The following pages list the main points to consider when you are checking the safety of your site. If a statement cannot be
informed, for example that all excavations are properly shored then you Should state whether you propose action and what
priority you have given to the action.
(CHECK LIST TO BE FILLED BEFORE STARTING THE ACTIVITY)

Frequency: each activity /day basis

Location : _____________________
Pit Number : _____________________
Date : _____________________

Concreting
1 Hard barricading is completed before pouring at height / depth. No Yes N/A
  
Remarks__________________
2 Checked the vibrator hoses, pumping concrete Accessories in healthy condition No Yes N/A
and mechanically locked.   
Remarks__________________
No Yes N/A
3 Checked the Access is cleared from all obstructions   
Remarks__________________
No Yes N/A
4 Checked the working area free from Electrical hazards   
Remarks__________________
Checked and found ok that pipelines in concrete pumping system shall not be No Yes N/A
5 attached to temporary structures such as scaffolds and formwork support as the   
forces and movements may affect their integrity. Remarks__________________
Checked and found ok about safety cages & guards around moving parts No Yes N/A
6 /motors etc providing in concreting mixtures.   
Remarks__________________
Checked and found ok in use of PPEs like gloves, Gumboot, Safety shoes, eye No Yes N/A
7 protection, nose mask, helmets and Full body Harness etc while dealing with   
concrete. Remarks__________________
Checked and found ok regarding earthing of electrical mixers, vibrators etc No Yes N/A
8   
Remarks__________________
Checked and found the procedure of cleaning the rotating drums of concrete No Yes N/A
9 mixers shall be done from outside. Lockout devises is provided where workers   
need to enter. Remarks__________________
No Yes N/A
10 Checked and found ok regarding working platform before pouring at height.   

Remarks__________________
11 Checked adequate numbers of lights provided for carrying out concrete work No Yes N/A
during night.   
Remarks__________________

12 During pouring, shuttering and its supports are continuously watched for No Yes N/A
defects.   
Remarks__________________

Signature of the Discipline Engineer (Contractor) : ___________________

Signature of the Safety Manager/Engineer (Contractor) : ___________________

Signature of the Safety Manager/Engineer (MMoser) : ___________________

Signature of the Discipline Engineer (MMoser) : ___________________