Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Nature of work
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Have site-specific hazards introduced by these operations been identified and mitigated?
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Has a lift plan been communicated to all workers involved in the operation, and appropriate hose-hands briefed?
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Has pedestrian and traffic flow around operations been controlled?
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Has an acceptable area been set up for safe receiving of concrete delivery vehicles?
Set-up stability
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Is the boom arc free from obstacles including overhead hazards?
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Are outriggers (if needed) used to level the machine correctly, fully extended and used on firm footings?
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Is the machine operated on level ground?
Operator competency
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Is there evidence of company or manufacturer’s training?
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Is the operator familiar with machine?
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Are hose-hand operators knowledgeable about safe practices and have a predetermined method of communication with the operator?
Onboard documentation
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Are there operator/manufacturer’s instructions?
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Are logbooks available?
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Are pre-start checks in line with the above?
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Are operator instruction labels (decals) legible on all controls?
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Are there records of inspection?
Pipeline set-up
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Unnecessary bends are avoided
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Quick release pipe clamps, and connections have locking pins and safety chain/wire in case of blowout.
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Clamps are marked with operating pressure, and are compatible with the pipeline set up.
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The correct concrete pump mix is being used.
Safe operation
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Is the decontamination of soil undertaken by a person with CoC?
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Is the operator able to safely control the pump and boom, while maintaining contact with hose-hands?
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Are there emergency procedures that have been communicated to the workers before pumping begins?
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Can the operator identify demonstrate the emergency stop/ cut-out devices?
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Are hopper guards, that prevent access to moving parts, installed?
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Are they connected with an interlock cut-out switch that stops the moving parts when lifted (usually for cleaning)?
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Are there any evidence of excessive leaks?
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Are hoses and protective coverings intact?
Machine warning devices
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Are movement-limiting devices/limit switches present and active? (Ask for a demonstration.)
Signature
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