Title Page
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Conducted on
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Prepared by
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Location
Pumping Inspection
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Operator Name and Unit Number
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Operator is using ACPA approved hand signals to communicate with the Hose Man (Placing Crew)
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Unfolded boom avoiding hazards
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Used acceptable method for priming
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Kept all personnel a reasonable and prudent distance from the hose end while priming, on restarts, or when there has been a potential for air to have been introduced into the system.
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Instructed mixer driver/superintendent/oiler to keep hopper full.
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Kept all personnel a reasonable and prudent distance from the hose end if the system is opened to remove a plug/to remove system/when restarting after a delay.
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Monitored outriggers for sinking
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Use of a spotter if boom was within 20'/50' of danger zones
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Kept tip hose at or above hoseman's knees.
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Monitored hose for kinking.
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Operated the boom smoothly and accurately - proficient with controls.
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Maintained contact with the hoseman (Not Distracted)
