Chemical Anchor installation checklist

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

PRE -ARRIVAL PREPARATIONS.

• 1/Are personnel carrying out the task competent and fit for duty

  Yes

  No

  N/A

• 2/ Is all required tooling and equipment to carry out the installation of anchors at hand

  Yes

  No

  N/A

• 3/ Are electrical tools test tagged and ready for use

  Yes

  No

  N/A

• 4/ SWMS read and signed by all workers involved

  Yes

  No

  N/A

• 5/ Drill locations marked out

  Yes

  No

  N/A

• 6/ Has the concrete been scanned for steel or electrical cabling

  Yes

  No

  N/A

• 7/ Has an exclusion zone been created and enforced

  Yes

  No

  N/A

• 8/ Product safety data and instructions for use are on hand for the chemical anchors

  Yes

  No

  N/A

• 9/ All appropriate PPE is on hand and in good condition

  Yes

  No

  N/A
Drilling and fixing

• 1/ has the hole been drilled to the correct depth and diameter?

  Yes

  No

  N/A

• 2/ Has the hole been cleared of dust/debris?

  Yes

  No

  N/A

• 3/ has the chemical fixing agent been inserted as per the manufacturers guidelines?

  Yes

  No

  N/A

• 4/ Has the anchor been inserted correctly to the correct depth

  Yes

  No

  N/A

• 5/ Return visit required to ensure anchor has set correctly

  Yes

  No

  N/A

• 6/ Pull test or Engineer sign off required prior to using the anchor

  Yes

  No

  N/A

• Has client been notified?

  Yes

  No

  N/A