9.0 PUMPING SAFETY TAKE 5 - PRE-START CHECKLIST

• Concretus job number

• Site Address

• Pump Contractor

• Conducted by

• Conducted on

  Date

Think about the task.

• All site personnel wearing the appropriate PPE for this task?

  Yes

  No

• Instruct all site personnel to wear the appropriate PPE for this task before continuing.

• Hard Hat, Hearing Protection, Eye Protection, Hi Vis, Protective Gloves, Safety Boots .

• Myself and my offsiders are trained, competent and fit to do this task?

  Yes

  No

• Cease all works on site and contact Concretus area supervisor.

• Do I have a current SWMS (Safe Work Method Statement) with me, that myself and offsiders are signed on to?

  Yes

  No

• Cease all works. Your current SWMS must be carried with you to all ABN sites.

Think about the hazards!

• Do I need to create an exclusion zone to prevent people being caught between the pump and reversing agi truck?

  Yes

  No

• Create required exclusion zone before continuing. If unable to please cease all works.

High Risk Work.

• Clear path of communications between pump operator, agi driver and other site personel in case of emergency?

  Yes

  No

• Ensure there is a clear path of communication prior to proceeding with works. Failure to do so puts yourself and others at risk.

• Have I checked for underground services in outrigger locations by probing the ground?

  Yes

  No

• Ensure that all outrigger locations have been inspected and deemed suitable to support the intended load before proceeding.

• Have I taken into consideration the safety of the public?<br>

  Yes

  No

• Ensure adequate warning signs and/or exclusion zones are in place to protect the public prior to proceeding with your works.

• Placed traffic cones where required, warning signs, exclusion zones in place or a spotter required

• Are all warning devices operational and in use?

  Yes

  No

• Do not commence works until all warning devices are operational and in use.

• Are all outriggers appropriately extended and set up on stable and level ground?

  Yes

  No

• Ensure that all outrigger locations have been inspected and deemed stable and safe to support the load before proceeding.

• Have I checked for overhead power and other obstructions/hazards and can carry out this task in a safe manner?

  Yes

  No

• You must be able to carry out the task without endangering yourself or others. If you cannot safely proceed please cease all works and notify Concretus site supervisor.

• Have all prestart checks been completed including connections/clamps/safety clips, hopper cover in place, emergency stop button accessible and within reach?

  Yes

  No

• You must carry out all required checks & inspections prior to commencement of works. If this cannot be achieved please cease works and contact Concretus area supervisor.

• Has a suitable area for excess concrete and washout been agreed upon with Concretus supervisor?

  Yes

  No

• Please discuss with Concretus supervisor prior to commencing.

  Yes

  No

  N/A

• I have read and understand the requirements set out in the ABN Group's trade Induction Pack and SWMS.

Contractor

• Name, Date and Signature

  Sign