Title Page
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Conducted on
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Prepared by
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Location
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Number of stories:
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Registration Number:
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Job Number:
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1.1 Monitor that required fall protection systems in place. BC3301.1
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1.1.1. Verify embedded fall-arresting systems have been inspected as it relates to use for concrete installation. BC 3301.1
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1.2. Monitor workers using required fall protection systems. BC 3301.1
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1.3. Monitor hoisting operations performed in a safe manner. BC 3316
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1.4. Verify that concrete safety log book is maintained which activity shall be conducted in coordination with the site safety manager or coordinator. BC3310.9
Installation of Formwork
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2.1 Verify formwork drawings are available. BC 1906.3
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2.1.1 Verify formwork drawings are signed and sealed when required by code. BC 1906.3/ BC 3301.7
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2.2. Verify existing structure adjacent to concrete placement has been inspected by a registered design professional for single sided forms. Buildings Bulletin 2009-011
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2.3. Verify formwork inspected by competent person and shores are installed as per shop drawings. BC1906.2
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2.4. Monitor the required guardrail systems are in place on the forming and placement floors. BC 3307.8
Placement of Reinforcement
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3.1. Verify required shop drawings are available on site. BC 106.7/ BC 1901.4
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3.2. Monitor that the workers performing reinforcement bending, cutting, and welding operations and reinforcement placement operations on the working deck are working in a safe manner. BC3301.1
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3.3. Verify reinforcement placement operations are performed in a safe manner. BC 3303.1
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3.4. Verify concrete special inspector inspected and signed-off on final reinforcement placement. 1 RCNY ยง101-06
Placement of Concrete
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4.1. Verify concrete special inspector is present for concrete placement. BC 1704.4/ Table 1704.4 - Item #6 / ACI-315 5.6.1
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4.2. Verify licensed concrete testing lab is present to sample and test. BC 1905.6
Pumping Operations
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4.3. Verify pump operator and placement crew have participated in a preplanning meeting for pumping operations. Verify preplanning meeting for concrete pump operations occur at initial startup of concrete pumping operations. BC 3301.2/ ACI 304R Sec. 9.5/ ACI 304.2R Sec. 5.1
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4.3.1. Verify pump equipment has been inspected. BC 3301.5
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4.3.2. Verify hoses and connections have been inspected. BC 3301.5
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4.3.3. Monitor pumping pumping operations performed in a safe manner. BC 3301.1
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4.4. Monitor concrete buckets, hopper's, chutes and buggies are inspected, cleaned and in proper working order. BC 1905.7/ BC3301.5
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4.5. Monitor concrete placement is performed in a safe manner. BC 3301.1
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4.6. Monitor power buggies operated in a safe manner. BC 3301.1/ BC 3315.3
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4.7. Monitor formwork is inspected during concrete placement for potential problems. BC 1906.2
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4.8. Verify the designated signalmen are in place when a crane is being used for lifting. BC 3316.7
Stripping Operations
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5.1. Monitor that horizontal netting conforms to code before commencing stripping operations. BC 3308.1
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5.2. Verify formwork removal procedure. BC 1906.5.1
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5.3. Monitor that in place concrete strength has been evaluated and accepted in accordance with removal schedule. BC 1906.5.1.3
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5.4. Monitor stripping operations are performed in a safe manner. BC 1906.5.1.2/ BC 1906.5.4
Reshoring Operations
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6.1. Verify reshoring plan is available. BC 1906.5.1
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6.2. Monitor reshores within 10 feet of building edge are secured, banded, and tied to the structure. BC 1906.6.1.2
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6.3. Monitor wedges are not being used for reshores within 10 feet of building edge. BC 1906.6.1.3
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6.4. Monitor appropriate number of floors have been reshored. BC 1906.5/ BC1906.6
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6.5. Verify reshores were inspected by competent person designated by the contractor. BC 1906.2
Material Handling
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7.1. Monitor safe handling of shores, reshores, formwork and reinforcement. BC 3301.1.1
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7.2. Monitor proper storage of shores, reshores, formwork, and reinforcement on working floors. BC 3303.4.5
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7.3. Monitor fall protection methods employed at edges left exposed for hoisting are in place. BC 3301.1
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PSI:
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Pour location:
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Total yards poured:
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Notes:
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