Title Page
-
Site conducted
EMPLOYEE INFORMATION
-
Employee Name
-
Location / Builder
-
Date
-
Type of Job
-
Unit Number
-
Pump Size
PPE Checklist
-
Long Sleeve Hi Vis Shirts, Long Pants, Hard Hat, Safety Glasses (Australian Standard), Steel Cap Boots, Gloves Available (Task Specific).
-
Comments & Corrective Actions Taken:
-
Photo Evidence
Paperwork Checklist
-
Truck Prestart and Job Prestart Checklist completed and signed by operator.
-
Signed by Customer.
-
Spill Kit, First Aid, Fire Extinguisher and Pump Documentation available and in working order.
-
Operation Manual in readily available
-
Comments & Corrective Actions Taken:
-
Photo of Paperwork and Equipment
Pump Setup Checklist
-
Concrete Pump Exclusion Zone Set up.
-
Correct cover set up over the rear of the Concrete Pump to prevent concrete splatter.
-
Outriggers fully extended or if One Side Support is required, set up within Manufacturers recommendations and relevant paperwork completed.
-
Correct Dunnage used under all outriggers.
-
Slurry/Water Box are full and clean.
-
Operator compliant with mobile phone policy – not permitted while operating equipment.
-
Comments & Corrective Actions Taken:
-
Photo of Pump Set up
Chains and R Pins
-
Correct R Pins used in all clips on the machine.
-
Correct Chains used on the rear of the pump and end of the boom.
-
Slurry Port is correct chained
-
Comments & Corrective Actions Taken:
-
Photo of R Pins and Chains
-
General Comments
-
**NOT MANDATORY** Customer Satisfaction and Feedback, is the customer happy with the Operators
