Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Top Deck Inspection

  • Has ALL WORK been completed and ready for the pour (formwork, rebar, post-tension, embeds, plumbers, electricians)? If not, please describe.

  • Is the formwork deck finished 100% and ready for pour (bulkheads done, edgeforms done, openings installed, etc.) ?

  • Is all rebar installed per the approved shop drawings?

  • Is all rebar supported properly on chairs?

  • Is rebar installed properly to provide proper concrete coverage on all sides?

  • Is post-tensioning laid out and installed correctly per approved shop drawings?

  • Are all embeds laid out and installed per approved shop drawings? If not, please describe.

  • Are all edgeforms kicked off properly and plumb?

  • Are all safety rails and toe boards installed properly at slab edge and any interior openings?

  • Is deck free and clear of all debris and ready for concrete pour?

Shoring Frames

  • Do you have a stamped shoring drawing onsite for this pour?

  • Is the shoring installed per the stamped drawing? If not, contact PC, OM or Area Lead.

  • Are shoring frames visually plumb?

  • Is all scaffold bracing installed per the drawing?

  • Does scaffold screwjack extension match the drawing? Maximum extension is 24" in most cases.

  • Are all scaffold frames sitting on baseplate?

Stringer & Joists

  • Is scaffold layout and stringer spans installed per the drawing?

  • Is the stringer used the same as shown on the drawing? (ex. 7.5" Aluma, 6.5" Aluma, 5" steel)

  • Do the stringers meet one of these two options (as shown on the shoring drawing):<br>1) Stringers butt in the head of the scaffold frame<br>2) Stringers bypass each other in the head of scaffold frame

  • Is joist spacing installed per the drawing?

  • Are the joists being used the same material as shown on the drawing? (ex. 6.5" Aluma, 4x4 pine)

  • Do all joists have full bearing on the stringers?

  • Is there any scaffold lacing required per the shoring drawing? If so, is it installed per the drawing?

Reshoring

  • Does this pour require reshores?

  • Is there a stamped reshore drawing onsite?

  • How many floors of reshore are required?

  • Are the correct type of reshores used and installed snug and plumb?

  • Is reshoring required to be leg-to-leg?

  • Are reshore spring clips in place at top of shore?

  • On steel shores, are the reshore pins completely inserted and the shore snug?

  • Are reshores installed visually plumb?

  • Are perimeter reshores tied with a rope to prevent falling from the building?

  • Do all the floors engaged in shoring and reshoring meet the specified strength requirement per the reshore drawing?

  • Are all hole covers installed 100% to prevent fall hazard and NO reshores installed on hole covers?

  • Is the outrigger reshored at least two levels?

Subgrade Information

  • Is the slab on grade in place?

  • If slab on grade is not in place, is compaction and bearing capacity enough for the leg load?

  • Are the mud sills the proper material and size per the stamped drawing?

  • Have efforts been made to prevent runoff from washing under mud sills during heavy rains?

  • Are all mud sills level, completely bearing on dirt/gravel, and centered underneath the frame base plate?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.