Daily Checklist for Pile Driving

• Daily Checklist for Pile Driving
  I-5 North Coast Corridor Project

• Prepared by

• Competent Person?

• Conducted on

  Date

• Segment:

  Select Segment 1 Segment 2 Segment 3 Segment 4 Segment 6 Segment 7

  • Segment 1
  • Segment 2
  • Segment 3
  • Segment 4
  • Segment 6
  • Segment 7
• Location Details:
  Address

CHECKLIST:

• Has the Daily Start Card been reviewed with the crew?

  Yes

  No

  N/A

• Is the Work Danger Zone clearly delineated around pile driving operation?

  Yes

  No

  N/A

• Crane is level and soil conditions are good under each out-rigger or track?

  Yes

  No

  N/A

• Crane swing protection radius is up?

  Yes

  No

  N/A

• Power lines, overhead obstructions and utilities (USA) are identified?

  Yes

  No

  N/A

• All fall protection, including what is attached to leads has been inspected?

  Yes

  No

• Inspected bolts, guides, welds, rigging on the hammer, primary & follower?

  Yes

  No

• An additional visual inspection for cracks has been made?<br>

  Yes

  No

  N/A

• Correct pins in place (8" for 32" leads or 10" for 26" leads)?

  Yes

  No

  N/A

• Daily inspections for support equipment have been completed?

  Yes

  No

  N/A

• A spill kit is on-site, housekeeping complete and obstructions removed?

  Yes

  No

  N/A

• All pinch points have been identified in the Daily Start Card?<br>

  Yes

  No

  N/A

• Holes are covered and uneven ground has been leveled out?

  Yes

  No

  N/A

• Rigging has been inspected and capacity tags are in place and legible?<br>

  Yes

  No

  N/A

• Unused rigging has been properly stored?

  Yes

  No

  N/A

• A fire extinguisher is present and in working order?<br>

  Yes

  No

  N/A

• All vehicles, company and personal, are safely parked?<br>

  Yes

  No

  N/A

• Rebar caps are on pile rebar dowels and extra caps are available?<br>

  Yes

  No

  N/A

• Is hearing protection being utilized?<br>

  Yes

  No

  N/A

CORRECTIVE MEASURES:

• Specify any corrective measures required related to this operation:

Photos

• Photos of Pile Driving Operation

Photos

• Description

• Photo

  Media

Sign Off

• Inspected by

Person

• Add signature

  Sign