Title Page
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Job Name and Number
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Conducted on
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Prepared by
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Location
Pre-Tack Elevated Work Checklist for Vertical and Flat work
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Describe work to be done:
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How much of the pour is ready for placement?
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Estimated date range of work to be done:
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Formed deck completed?
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Handrails completed?
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Holes covered, secured and covered?
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Type of ladders, scaffold stairs access, man lift or ramp are in compliance with known regulations?
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Have you spoken with formwork foreman or GC to ensure the deck is ready for access by our manpower and preloading our reinforcing materials?
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Name of foreman's that you spoke with?
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Have you walked the deck above and below accessing with manpower or preloading materials in the area?
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Were all questions or concerns addressed by the GC & forming contractor?
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Rescue plan reviewed with GC? (man basket & crane, man lift, ramps or other)
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Is climbing rebar elements with fall protection required?
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Is vertical work near perimeter i.e. within 10' of deck edge- 100% tie-off required
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Are vertical work bracing plans required?
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Review plan with team
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If formwork is provided, have you reviewed with GC or formwork that it's been braced to handle rebar and manpower loads?
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Bracing and anchor points been inspected?
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Do you have vertical work plans completed, approved and signed off?
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If engineered tie-off points are requested and supplied have they been inspected and signed off?
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Does work described above require a Fall Protection Plan?
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Please review with team
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Harness and lanyard selection and inspections completed?
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Lifeline or horizontal retractable line plan complete, retractable selected and inspected?
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Anchor points planned, selected and inspected?
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Rated for one person 5,000 lbs and two person 10,000 lbs?
Reminders
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Fall Protection Plans are required for ALL vertical work, these are to be reviewed and signed off by a superintendent or Safety department. Site condition adjustments can and should be made by the foreman as necessary.
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***If you have questions or run into a scenario that you're unsure about, contact your Superintendent or Safety department to discuss before accessing Elevated deck or Vertical element.***
