Title Page
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Project Number
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Project Name
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Conducted on
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Prepared by
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Location
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Our Contract is with:
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Contact Name:
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Contact Number:
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General Contractor Superintendent
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GC Superintendents Mobile Number
Section 1
Safety
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Is there an onsite safety orientation?
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Is there a guardrail (provided by others) in place?
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What type of fall protection system will be used?
- Controlled Access Zone
- Guardrail
- 100% Tie-off
- None Required
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Will the top rail be at an acceptable height after we perform our scope of work?
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What type of fall protection system will be used?
- Controlled Access Zone
- Guardrail
- 100% Tie-off
- None Required
Project Information
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How many trips will this project take to complete?
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What type of project is this?
- LDIC
- Tectum
- Loadmaster
- Floor
- Door
- Metal Deck
Site Conditions
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Where will the pump be set up?
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Will tarps/plastic be needed to protect asphalt/concrete?
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Picture of Setup Area
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Setup area description
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Will we need to bring a water tank/pump?
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Picture of Water Supply
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Water supply description
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Do we need to bring pump-out barrels?
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Pump out area description
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Picture of pump out area
Roof Deck Conditions
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What structural substrate will we be pouring on?
- Metal Deck
- Concrete
- Tectum
- Wood/Other
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Is the metal deck galvanized?
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Is the metal deck vented?
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Take a picture of the vented deck
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Is it a structural slab or precast double T's?
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Do the joints need to be filled by WFP?
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Are all the curbs and penetrations installed?
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Are the curbs and penetrations in the correct location?
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Are all the roof drains/scuppers installed?
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Are the roof drains/suppers at the correct elevation?
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Is the gutter edge detail complete?
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Are the parapet walls framed?
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Are the parapet walls sheathed?
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Picture of Roof Access
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Roof Access description
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What is the structural framing material?
- Structural Steel
- Steel/Bulb Tees
- Light Gauge
- Wood
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Is the structural framing complete?
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Is the perimeter angle installed?
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Are the ridge/valley plates installed?
Building Condition
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What substrate will we be pouring on?
- Wood
- Concrete
- Other
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Is the substrate tight and penetrations sealed?
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Will WFP be installing sound mat on this project?
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Are there bulkheads at the transitions?
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Is WFP installing the bulkheads?
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The GC has be notified about cleanliness, ventilation, and cure times.
Building Condition
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What type of project is this?
- Standard Track/Panels
- Accordian
- Electric
- Glass
- Service/Repair
- Other
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Has electrician has been notified about WFP's requirements/expectations?
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Has the area/room been reserved for the scheduled date of repairs?
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Do we have work above ground floor?
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How are we getting materials to elevated floors?
- Elevator
- Stairs
- Hoisting
- Other
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Who is providing the hoisting?
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Describe access
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Picture of access
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Describe access
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Picture of access
Project Pictures
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Other pictures
Signature
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Completed by