Title Page
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FORMWORK STRIPPING FLOOR
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Jobsite:
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Performed By:
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Floor #:
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Inspection Date & Time
INSPECTION ITEMS
INSPECTION INFORMATION
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Properly Barricaded (Orange Netting, Cones and Cone Poles, Red Pennant Flagging)
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Danger Formwork Stripping Signs in Place
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Ground Spotter in Place with Audible Device (whistle, horn, etc.)
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Stairs Leading into Stripping Area Sealed off to Prevent Entry and Signs in Place
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Fall Protection being used on Outrigger with Proper Anchor Points and Signage
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Permanent Protection Above the Formed Deck
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Holes Labeled and Covered
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Guardrails Installed Properly around Holes and Elevator Shafts
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Condition of Ladders
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Employees Using Proper Length Pull Down Bar
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Clear Glasses Being Worn
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Employee's Aware of Metal Inserts for Boots
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Gloves of the Proper Type Used
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Pre-Task Plan Completed Correctly
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Scissor Lift Being Used
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Operator Trained (Verify Certificate on Dropbox)
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Employees Aware of how to Lower Platform in Case of Emergency
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Tables Being Flown
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Controlled Access Zone Set Up on Ground Level
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Employees Involved in the Flying Operation Tied off to Permanent Structure
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Proper Sized Step Ladder Used (two-foot rule)
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Rope Tied to Table, Wrapped Around Structure with a Minimum of Two Wraps Around
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Truss Chords Shall be Inspected and Cleaned Prior to Flying
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Tag Lines 20 Feet Minimum and 30 Feet Maximum
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Rollers Tied Back to Structure with Tag Line Rope (small snap hook)
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Material not being Flown on top of Table
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Qualified Person Flying Table
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Name of Rigger / Signal Person
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Qualified Person Landing Table Above
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Name of Rigger / Signal Person
