Title Page

  • Date & Time of inspection:

  • Location:

  • Pump Truck Size:

  • Structure:

  • Concrete washouts for ready mix trucks and pump trucks in location?

  • Environmental measures in place for pump truck & washouts?

  • Ready mix trucks have room to back up to pump truck / washouts & turn around?

  • Plan B is in place if pump truck breaks down?

  • PUMP TRUCK COMPONENTS:

  • Safety pins are installed in all clamps?

  • Truck visually inspected for leaks (I.E Oil & Hydraulic)?

  • Safety lanyards are installed on all working connections?

  • Tremie hose is the correct size and type for pour (if in use)?

  • Boom inspected for damage, missing clamps,ice,dirt,concrete, and falling debris?

  • Outriggers are fully extended?

  • Outriggers welds inspected for cracks?

  • Outrigger pads are on firm level ground?

  • Coordination:

  • Pump operator have reviewed and signed JHA?

  • Pump operators are aware of the sup't & crew safety expectations?

  • Boom radius has been checked? No interference with nearby cranes or power lines?

  • Plan has been communicated with other crews in area?

  • Plan addresses the safety of the public and 3rd parties?

  • Pictures

  • Inspector

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