Highbury Concrete Safety Manager General Inspection Checklist - (2020)

• Conducted on

  Date

• Prepared by

• Location
  Address

• Number of stories:

• Registration Number:

• Job Number:

1: General Tasks

• 1.1 Verify embedded fall-arresting systems have been inspected as it relates to use for concrete installation. Shop drawings. Contractor maintenance log.

  Yes

  No

  N/A

• 1.2 Maintain a concrete safety log book which lists activities that shall be conducted in coordination with the site safety manager or coordinator

  Yes

  No

  N/A

• 1.3 Adequate lighting

  Yes

  No

  N/A

• 1.4 Adequate ventilation

  Yes

  No

  N/A

• 1.5 Housekeeping

  Yes

  No

  N/A

• 1.6 Pre-Storm planning, high winds

  Yes

  No

  N/A

• 1.7 Concrete washout water, collection, containment, disposal

  Yes

  No

  N/A

• 1.8 Underpinning sequence/detail drawings on site

  Yes

  No

  N/A

2: Site Safety Provisions

• 2.1 Monitor that required fall protection systems in place

  Yes

  No

  N/A

• 2.2 Monitor workers using required fall protection systems

  Yes

  No

  N/A

• 2.3 Monitor hoisting and rigging operations performedin a safe manner

  Yes

  No

  N/A

• 2.4 Extra shores or other material and equipment are available in the event of an emergency

  Yes

  No

  N/A

• 2.5 Building materials properly piled and tied or contained

  Yes

  No

  N/A

• 2.6 Emergency egress maintained

  Yes

  No

  N/A

• 2.7 Escape hatches

  Yes

  No

  N/A

• 2.8 Handrails, mid-rails and kickboards in place and secure

  Yes

  No

  N/A

• 2.9 Formwork erection and stripping signage clearly displayed

  Yes

  No

  N/A

• 2.10 Rebar ends capped to prevent impaling.

  Yes

  No

  N/A

3: Installation of Formwork

• 3.1 Verify formwork drawings are available. Including shores, re-shores, foundations

  Yes

  No

  N/A

• 3.2 Verify formwork drawings are signed and sealed when required by Code

  Yes

  No

  N/A

• 3.3 Verify existing structure adjacent to concrete placement has been inspected and evaluated by a registered design professional prior to use as a form. Design drawings prepared

  Yes

  No

  N/A

• 3.4 Verify formwork inspected by a competent person and shores are installed as per shop drawings

  Yes

  No

  N/A

• 3.5 Verify visual observations of formwork were conducted by formwork designer at the minimum intervals

  Yes

  No

  N/A

• 3.6 Verify any formwork discrepancies have been resolved

  Yes

  No

  N/A

• 3.7 Unsafe conditions; notify contractor; contact DOB if required

  Safe

  At Risk

  N/A

• 3.8 Monitor the required guardrail systems are in place on the forming and placement floors

  Yes

  No

  N/A

• 3.9 Ramps, runways and platforms comply with 3315. Designed by qualified person when buggies used

  Yes

  No

  N/A

• 3.10 Inspection of concrete formwork by Concrete Safety Manager

  Yes

  No

  N/A

4: Placement of Reinforcement

• 4.1 Verify required shop drawings are available on site

  Yes

  No

  N/A

• 4.2 Monitor that the workers performing reinforcement bending, cutting, welding and reinforcement placement operations on the working deck are working in a safe manner

  Yes

  No

  N/A

• 4.3 Verify reinforcement placement operations are performed in a safe manner

  Yes

  No

  N/A

• 4.4 Verify concrete special inspector inspected and signed-off on final reinforcement placement

  Yes

  No

  N/A

5: Placement of Concrete

• 5.1 Verify concrete special inspector is present for concrete placement.

  Yes

  No

  N/A

• 5.2 Verify DOB licensed concrete testing lab is present to sample and test.

  Yes

  No

  N/A

• 5.3 Pumping operations.

  Yes

  No

  N/A

• 5.4 Verify pump operator and placement crew have participated in a pre-planning meeting for pumping operations. Verify pre-planning meeting for concrete pump operations occur at initial start-up of concrete pumping operations.

  Yes

  No

  N/A

• 5.4.1 For concrete pumping operations which involve lubricating grout (e.g. concrete pumped though a placement boom).

  Yes

  No

  N/A

• 5.4.1.2 Verify the contractor supplied sufficient grout discharge boxes on-site to receive 100% of the volume of the lubricating grout actually placed in the boom (and hoses, etc.), regardless of the volume indicated on delivery ticket(s).

  Yes

  No

  N/A

• 5.4.1.3 Verify the contractor provided the special inspector of the concrete pour with sufficient notice

  Yes

  No

  N/A

• 5.4.1.4 Confirm the special inspector is on site to perform the required special inspections

  Yes

  No

  N/A

• 5.4.1.5 Confirm that the special inspector has observed the concrete exiting the hose and that he has identified it as concrete exhibiting a uniform matrix of aggregate before commencement of placement of the structure

  Yes

  No

  N/A

• 5.5 Verify pump equipment has been inspected

  Yes

  No

  N/A

• 5.6 Verify hoses and connections have been inspected

  Yes

  No

  N/A

• 5.7 Monitor pumping operations performed in a safe manner

  Yes

  No

  N/A

• 5.8 Monitor concrete buckets, hoppers, chutes and buggies are inspected, cleaned and in proper working order

  Yes

  No

  N/A

• 5.9 Monitor concrete placement is performed in a safe manner

  Yes

  No

  N/A

• 5.10 Monitor power buggies operated in a safe manner

  Yes

  No

  N/A

• 5.11 Monitor formwork is inspected during concrete placement for potential problems

  Yes

  No

  N/A

• 5.12 Verify the designated signalmen are in place when a crane is being used for lifting

  Yes

  No

  N/A

• 5.13 Cold weather requirements

  Yes

  No

  N/A

• 5.14 Hot weather requirements

  Yes

  No

  N/A

• 5.15 Verify rate of placement not exceeded per drawings

  Yes

  No

  N/A

6: Stripping Operations

• 6.1 Monitor that the horizontal netting conforms to Code before commencing stripping operations

  Yes

  No

  N/A

• 6.2 Verify formwork removal procedure

  Yes

  No

  N/A

• 6.3 Monitor that in-place concrete strength has been evaluated and accepted in accordance with removal schedule

  Yes

  No

  N/A

• 6.4 Verify structural members have acquired sufficient strength to safely support their own weight and external loads

  Yes

  No

  N/A

• 6.5 Monitor stripping operations are performed in a safe manner

  Yes

  No

  N/A

• 6.6 Debris contained and removed at reasonable intervals

  Yes

  No

  N/A

• 6.7 Stripping not performed more than three stories below the story being formed

  Yes

  No

  N/A

• 6.8 Special considerations for pre-stressed members

  Yes

  No

  N/A

7: Reshoring Operations

• 7.1 Verify reshoring plan is available

  Yes

  No

  N/A

• 7.2 Monitor re-shores within 10 feet of building edge are secured, banded and tied to the structure

  Yes

  No

  N/A

• 7.3 Monitor wedges are not used for reshores within 10 feetof building edge

  Yes

  No

  N/A

• 7.4 Monitor appropriate number of floors have been reshored.

  Yes

  No

  N/A

• 7.5 Verify reshores were inspected by competent person designated by the contractor

  Yes

  No

  N/A

• 7.6 Verify visual observations of formwork were conducted by formwork designer at the minimum intervals

  Yes

  No

  N/A

• 7.7 Stresses. Ensure shores not located improperly causing stress reversals or inducing tension at unreinforced portion of structural member(s)

  Yes

  No

  N/A

• 7.8 Reshores perpendicular to surface they are supporting

  Yes

  No

  N/A

• 7.9 Reshores braced and plumb

  Yes

  No

  N/A

• 7.9.1 Were any re-shores removed from the building that were reinforcing structural member(s) throughout the day

  Yes

  No

  N/A

8: Material Handling

• 8.1 Monitor safe handling of shores, reshores, formwork and reinforcement

  Yes

  No

  N/A

• 8.2 Monitor proper storage of shores, reshores, formwork and reinforcement on working floors

  Yes

  No

  N/A

• 8.3 Monitor floors not overloaded by excessive storage

  Yes

  No

  N/A

• 8.4 Monitor fall protection methods employed at edges left exposed for hoisting are in place

  Yes

  No

  N/A

Miscellaneous

• PSI:

• Pour Location:

• Total Yards Poured:

• Weather Conditions:

• Manpower on site:

• Has the Pre-Lift Load insection been Verified?

  Yes

  No

  N/A

• Has the Daily Pre-Shift Meetings been completed in accordance with 3301.12.1?

  Yes

  No

  N/A

• Has the Covid-19 Pretask Plan/JHA/Daily Sign In check sheet been reviewed and signed with all workers?

  Yes

  No

  N/A

• Any additional issues

  Yes

  No

  N/A

• Comments:

Signature

• Concrete Safety Manager

  Sign