BAKER CONCRETE Shaft Platform Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Step -1-

• Carefully read all notes on the Doka Drawings.

• Once the concrete has reached 3,000 psf. you may prepare to jump the platform.

• All fall protection has been inspected.

• Inspect the platform for damaged wood or unsafe conditions.

• Remove any loose item or secure them firmly.

Step -2-

• Remove ties.

• Remove all nails from openings.

• Cut all bolts on embeds.

• Prep upper safety hand rails.

• Strike the formwork (strip the formwork)

• Make sure all stripping corners are fully engaged.

• Make sure formwork is secured.

• Make sure the correct signage is in place ( red tape, fall protection sign, scaffold tags, ext).

Step -3-

• Inspect all lifting points and rigging before you use it.

• Attach the lifting chains or rigging

• No ones is permitted to "ride" on the platform.

Step -4-

• Reposition the unit (platform and formwork).

• Once the platform is repositioned, before the rigging is cut loose, make sure the pawls are positioned correctly into position.

• Release rigging.

• Correct safety hand rail and safety net.

• Baker Concrete, Competent Person signature.

  Sign