STRUCTURAL- Post Tensioning (New- Repair)

Title Page

Project Name/ Number
Project Location
Project Manager
Project Engineer
Supervisor/ Foreman
Number of Employees
Conducted on
Prepared by

General Assessment

Frontline Safety

Safety Committee that will meet once per week
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Weekly "All Hands Toolbox" meeting
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Date Due:
Action Completed:
Person Assigned:
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Weekly Frontline Safety Meeting (telephone call)
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Date Due:
Action Completed:
Person Assigned:
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Established Safety Observation process
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Date Due:
Action Completed:
Person Assigned:
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Weekly Walk-Downs by Craft program
Have action items from previous assessment been completed?
Comments:
Date Due:
Action Completed:
Person Assigned:
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Date Due:
Action Completed:
Person Assigned:
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Hazard Communication

SDS andChemical lists maintained on site
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Date Due:
Action Completed:
Person Assigned:
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Has SDS and Chemical list been updated for new products?
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Date Due:
Action Completed:
Person Assigned:
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Employees trained on HAZCOM and specific chemicals in use
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Date Due:
Action Completed:
Person Assigned:
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Proper identification labels on cans/ portable containers
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Date Due:
Action Completed:
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Housekeeping

Proper rebar caps used to eliminate impalement
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Date Due:
Action Completed:
Person Assigned:
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Work areas clean of excess construction debris
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Date Due:
Action Completed:
Person Assigned:
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Nails pulled from wood before handling
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Date Due:
Action Completed:
Person Assigned:
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Proper storage of materials, supplies, and equipment
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Date Due:
Action Completed:
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Proper walkway maintained (ice, oil, chords, airlines, etc.)
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Date Due:
Action Completed:
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Tools and equipment stored properly
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Date Due:
Action Completed:
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Public/ Other Worker Protection

Pedestrian signs; barriers; fences; gates; flagging
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Date Due:
Action Completed:
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Dust curtains are taped W/ doors and access areas
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Date Due:
Action Completed:
Person Assigned:
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Noise controls are in place (monitoring; barriers; distance)
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Date Due:
Action Completed:
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Life rings, 90 feet of rope and air horn near water hazards
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Date Due:
Action Completed:
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Open holes covered or barricaded with fencing or guardrails
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Date Due:
Action Completed:
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Overhead protection (falling; flying debris; tool and equipment)
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Date Due:
Action Completed:
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Pedestrian walkways protected from trip and slip hazards
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Date Due:
Action Completed:
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Property's glass; tile; flooring and vehicles protected
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Action Completed:
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Public protected from construction exposures
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Public warning and hazard signs clearly posted
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Date Due:
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Traffic controls maintained (signs, direction, barricades)
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Date Due:
Action Completed:
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Safety Culture

Buddy System (Mentor) being utilized for new employees
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Date Due:
Action Completed:
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Commitment to Safety Board is signed and displayed
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Date Due:
Action Completed:
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Follow-up on action items from weekly safety team meeting
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Date Due:
Action Completed:
Person Assigned:
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Employees have completed new hire training
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Date Due:
Action Completed:
Person Assigned:
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Project pre-plan onsite and reviewed with employees
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Date Due:
Action Completed:
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Pre Task Planning completed for new tasks
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Date Due:
Action Completed:
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Project team dedicated time to safety meetings/ action items
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Date Due:
Action Completed:
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Sanitation

Drinking water containers cleaned and sanitized daily
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Date Due:
Action Completed:
Person Assigned:
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Drinking water with disposable cups and trash receptacle
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Date Due:
Action Completed:
Person Assigned:
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Proper means of disposal (dumpsters, trash cans)
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Date Due:
Action Completed:
Person Assigned:
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Proper number of toilets and wash-up facility provided
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Date Due:
Action Completed:
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Company Vehicle Requirement

Load is stable/ secured properly (not overload)
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Date Due:
Action Required:
Person Assigned:
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Required safety equipment on vehicle (fire extinguisher, first aid kit, etc.)
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Date Due:
Action Required:
Person Assigned:
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Tow hitches and ball hitch connections maintained
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Date Due:
Action Required:
Person Assigned:
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Towing equipment properly connected (safety chains, brakes)
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Date Due:
Action Required:
Person Assigned:
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QA/QC Assessment

Frontline Quality

Is there a written Project Quality Plan, completed and signed off? (Review plan, check for updates and completeness)
Comments:
Date Due:
Action Completed:
Person Assigned:
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Has a frontline Quality team been established with regular meetings? (Review recent agendas, action items, SORs)
Comments:
Date Due:
Action Completed:
Person Assigned:
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Procedures developed for tasks identified in risk analysis? (Project Risk Analysis, current activities evaluated?)
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Date Due:
Action Completed:
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Has crew received training on identified tasks with training verified? (Review records and interview crew)
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Date Due:
Action Completed:
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Mock up plan establish?
List mock ups recently completed and upcoming (Review Mock Up report form)
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Date Due:
Action Completed:
Person Assigned:
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Are hold points established?
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Date Due:
Action Completed:
Person Assigned:
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QC testing and inspections ongoing and documented? (Review QC testing and inspection documents)
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Date Due:
Action Completed:
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Material receiving inspection plan established and implemented?
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Date Due:
Action Completed:
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Subcontractor Quality Plan established and implemented? (Review Sub's plan)
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Date Due:
Action Completed:
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NCR and CAs reviewed and status noted?
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Date Due:
Action Completed:
Person Assigned:
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Post Tensioning- New Repair

Aerial Lifts: (Articulated, Scissor)

Area around swing radius is properly barricaded
Comments:
Date Due:
Action Completed:
Person Assigned:
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Workplace hazards identified before use
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Date Due:
Action Completed:
Person Assigned:
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Employees maintaining fall protection attachment(s)
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Date Due:
Action Completed:
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Railings not used for work access
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Date Due:
Action Completed:
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Stable, level drive area
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Date Due:
Action Completed:
Person Assigned:
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Equipment not used as a crane to lift materials
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Date Due:
Action Completed:
Person Assigned:
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Compressed Air and Gas Cylinder Safety

Air compressors properly maintained and used
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Date Due:
Action Completed:
Person Assigned:
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All connections are double pinned with whip check installed
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Date Due:
Action Completed:
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Compressed air receiver tanks equipped with blow off valve
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Date Due:
Action Completed:
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Compressed gas cylinders stored and secured vertically
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Date Due:
Action Completed:
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Threaded connection for airlines (2" or greater)
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Date Due:
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Cylinders have caps installed when not in use
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Date Due:
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Flash back arresters installed at cylinder regulator
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Oxygen and fuel gases stored 20' apart or separated by fire proof wall
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Date Due:
Action Completed:
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OSHA valves installed on 3/4" or greater lines (pneumatic tools)
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Confined Space Entry

Natural/ mechanical ventilation in place
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Date Due:
Action Completed:
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Atmospheric gas testing completed (pre-entry/ continuous)
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Date Due:
Action Completed:
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Gas detection equipment is calibrated and used properly
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Action Completed:
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Required permits current and available at entry point
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Date Due:
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Attendant available at entry point (comm. equip. and permits)
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Date Due:
Action Completed:
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Has emergency services been identified for confined space rescue
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Date Due:
Action Completed:
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Emergency evacuation procedure in place
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Date Due:
Action Completed:
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Electrical Safety

Adequate lighting for work areas (guarded lenses)
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Date Due:
Action Completed:
Person Assigned:
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Assured grounding inspection and taping done correctly
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Date Due:
Action Completed:
Person Assigned:
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Elec. tools unplugged if repairing or changing bits; blade; etc.
Comments:
Date Due:
Action Completed:
Person Assigned:
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Electric panel boxes have proper covers
Comments:
Date Due:
Action Completed:
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GFCI provided for cords and equipment
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Date Due:
Action Completed:
Person Assigned:
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Extension cords are 12 gauge/ 3 wire minimum
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Due Date:
Action Completed:
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Fall Protection

Anchor point of 5000 lbs. per employee or engineered anchorage
Comments:
Date Due:
Action Completed:
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Person Assigned:
Floor and walkway openings protected
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Date Due:
Action Completed:
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Person Assigned:
Fall equipment inspections are completed
Comments:
Date Due:
Action Completed:
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Person Assigned:
Employees are maintaining 100% fall protection program
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Date Due:
Action Completed:
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Person Assigned:
Floor openings covered, clearly marked and secured
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Date Due:
Action Completed:
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Person Assigned:
Vertical and horizontal life lines properly used and inspected
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Date Due:
Action Completed:
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Person Assigned:
Handrails are properly constructed- top middle and toe board
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Date Due:
Action Completed:
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Fire Safety

Equipment turned off while fueling
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Date Due:
Action Completed:
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Person Assigned:
Exit, stairs, and walkways are clear (36" minimum walkway)
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Date Due:
Action Completed:
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Person Assigned:
Fire extinguishers are of adequate size and placement (10 lb. min.)
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Date Due:
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Person Assigned:
Flammable storage area is 20' from buildings
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Date Due:
Action Completed:
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Flammables and combustibles stored separately
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Date Due:
Action Completed:
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Person Assigned:
Fuels cans no larger than 5 gallon with flash arrestor/ spring locks
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Date Due:
Action Completed:
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Person Assigned:
Fuel storage area: signs/ containment/ >20 lbs. extinguisher
Comments:
Date Due:
Action Completed:
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Person Assigned:
No smoking signs posted (smoking areas clearly marked)
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Date Due:
Action Completed:
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Person Assigned:
Oily rags stored in proper container W/ self closing lid
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Date Due:
Action Completed:
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Person Assigned:
Welding/ burning: No combustibles/ fire extinguisher present
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Date Due:
Action Completed:
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Person Assigned:
Hot work permit in use (when required)
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Date Due:
Action Completed:
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Hand Tools and Power Equipment

Power equipment clean and free of damage
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Date Due:
Action Completed:
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Person Assigned:
Grinders used with guards and handles at all times
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Date Due:
Action Completed:
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Person Assigned:
Hand tools clean and free of damage
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Date Due:
Action Completed:
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Person Assigned:
Hand tools secured from falling (working at heights)
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Date Due:
Action Completed:
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Person Assigned:
Power tools are double insulated with proper grounding connection
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Date Due:
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Person Assigned:
Running equipment not left unattended
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Date Due:
Action Completed:
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Person Assigned:
Sand pots: properly used, clean, and free of damage
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Date Due:
Action Completed:
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Person Assigned:
Pressure washers: properly used, clean, and free of damage
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Date Due:
Action Completed:
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Person Assigned:
Saws: properly used, clean and free of damage
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Date Due:
Action Completed:
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Person Assigned:

Motorized Equip. (Forklift; Con. Buggie; Skid Steer)

Employee qualified to operate equipment
Comments:
Date Due:
Action Completed:
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Person Assigned:
Equipment inspection completed before use (daily)
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Date Due:
Action Completed:
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Lift is used within rated capacity
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Date Due:
Action Completed:
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Person Assigned:
Propane is shut off when not in use
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Date Due:
Action Completed:
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Attachments inspected and manufactured for intended use
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Date Due:
Action Completed:
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Mixing/ Grouting/ Gunite Equipment

Dust containments are established in public areas
Comments:
Date Due:
Action Completed:
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Person Assigned:
Employees are wearing correct PPE for identified tasks
Comments:
Date Due:
Action Completed:
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Person Assigned:
Equipment is shut down for cleaning (LO/TO where needed)
Comments:
Date Due:
Action Completed:
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Person Assigned:
Machines are maintained and greased daily
Comments:
Date Due:
Action Completed:
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Person Assigned:
Material placement does not create tripping hazards
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Date Due:
Action Completed:
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Person Assigned:
Team lifting practices for bags (50 lb. or greater)
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Date Due:
Action Completed:
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Person Assigned:
Safety devices are in place and operational
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Date Due:
Action Completed:
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Person Assigned:

Personal Protective Equipment

Chemical Protective Clothing (Tyvek, Rain Suits, Etc.)
Comments:
Date Due:
Action Completed:
Comments:
Person Assigned:
Company Issued Blue Hard Hats
Comments:
Date Due:
Action Completed:
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Person Assigned:
Eye protection (Z-87.1 and rated for Task)
Comments:
Date Due:
Action Completed:
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Person Assigned:
Flotation devices (PFD- Personal Flotation Device)
Comments:
Date Due:
Action Completed:
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Person Assigned:
Hand Protection/ Hand Injury Awareness
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Date Due:
Action Completed:
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Person Assigned:
Hearing Protection (Noise levels greater than 85 dB)
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Date Due:
Action Completed:
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Person Assigned:
Work Boots: Leather/ Die Electric/ Steel Toe/ Metatarsal/ Other
Comments:
Date Due:
Action Completed:
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Person Assigned:
Reflective Clothing/ Vests- As determined by project
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Date Due:
Action Completed:
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Person Assigned:

Post Tension Systems (Pushing Strand)

Pushing strand communication procedure is established
Comments:
Date Due:
Action Completed:
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Person Assigned:
High pressure hydraulic equipment in good working order
Comments:
Date Due:
Action Completed:
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Person Assigned:
Line of fire hazards identified before work starts
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Date Due:
Action Completed:
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Person Assigned:
Proper PPE used to remove packaging from coils (cut level)
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Date Due:
Action Completed:
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Person Assigned:
Steel banding materials are maintained after removal
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Date Due:
Action Completed:
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Person Assigned:
Strand is maintained in coil rack before use
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Date Due:
Action Completed:
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Person Assigned:

Post Tension Systems (Stressing Strand)

Concrete testing results verified before stressing operations
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Anchor, wedge cavities, and sheathing are clean and free of debris
Comments:
Date Due:
Action Completed:
Person Assigned:
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Safe zone is established and maintained during stressing
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Date Due:
Action Completed:
Person Assigned:
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12 hour "stay clear" zones established after stressing
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Date Due:
Action Completed:
Person Assigned:
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Hydraulic equipment (rams) are secured to prevent movement
Comments:
Date Due:
Action Completed:
Person Assigned:
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Hydraulic lines have threaded connection at the pump
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Date Due:
Action Completed:
Person Assigned:
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Hydraulic lines have quick disconnects at equipment ends
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Date Due:
Action Completed:
Person Assigned:
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Hydraulic remote is isolated from hazardous energy sources
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Date Due:
Action Completed:
Person Assigned:
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Ensure that gauges and ram are moving together during operation
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Date Due:
Action Completed:
Person Assigned:
Comments:
Circular saw with metal blade used for cutting stressed strand
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Plywood protection is (2 x 3/4") is installed behind ram
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Work deck is clean and free of strand tails
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:

Respiratory Protection

All airborne (respiratory hazards) have been identified
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Employees are clean shaven when using respiratory protection
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Fitted respirator users trained, provided physicals, and fit tested
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Proper respiratory protection has been selected for hazards
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Date Due:
Action Completed:
Person Assigned:
Comments:
Respiratory cleaning/ disinfection supplies provided
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Respirators are stored in protective bags when not in use
Comments:
Date Due:
Action Completed:
Person Assigned:
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Respirators are being worn properly
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Date Due:
Action Completed:
Person Assigned:
Comments:

Scaffold And Ladder Access

Ladder tip extends 36" beyond landing area
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Ladders are inspected daily and in good working condition
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Ladders are installed with 4:1 standard ratio
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Ladders are secured before employee work begins
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:
Ladders are non-conductive and have non-skid feet
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Date Due:
Action Completed:
Person Assigned:
Comments:
3 points of contact maintained on ladder
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Date Due:
Action Completed:
Person Assigned:
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Scaffold has adequate cross bracing with positive locking devices
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Date Due:
Action Completed:
Person Assigned:
Comments:
Scaffold modifications made by competent person only
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Date Due:
Action Completed:
Person Assigned:
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Scaffolding system is properly tagged and inspected
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Date Due:
Action Completed:
Person Assigned:
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Work decks are secured to scaffolding and free of debris
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Date Due:
Action Completed:
Person Assigned:
Comments:
Work decks are complete without spacing/ openings
Comments:
Date Due:
Action Completed:
Person Assigned:
Comments:

STRUCTURAL- Post Tensioning (New- Repair)

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Convert your paper checklists into digital forms

Frontline Safety

Hazard Communication

Housekeeping

Job Site Requirements

Public/ Other Worker Protection

Safety Culture

Sanitation

Company Vehicle Requirement

Frontline Quality

Aerial Lifts: (Articulated, Scissor)

Compressed Air and Gas Cylinder Safety

Confined Space Entry

Electrical Safety

Fall Protection

Fire Safety

Hand Tools and Power Equipment

Lock-Out/ Tag-Out Program

Motorized Equip. (Forklift; Con. Buggie; Skid Steer)

Mixing/ Grouting/ Gunite Equipment

Personal Protective Equipment

Post Tension Systems (Pushing Strand)

Post Tension Systems (Stressing Strand)

Respiratory Protection

Scaffold And Ladder Access

Related checklists

STRUCTURAL- Post Tensioning (New- Repair)

Free STRUCTURAL- Post Tensioning (New- Repair) Checklist

Go digital today!

Convert your paper checklists into digital forms

Frontline Safety

Hazard Communication

Housekeeping

Job Site Requirements

Public/ Other Worker Protection

Safety Culture

Sanitation

Company Vehicle Requirement

Frontline Quality

Aerial Lifts: (Articulated, Scissor)

Compressed Air and Gas Cylinder Safety

Confined Space Entry

Electrical Safety

Fall Protection

Fire Safety

Hand Tools and Power Equipment

Lock-Out/ Tag-Out Program

Motorized Equip. (Forklift; Con. Buggie; Skid Steer)

Mixing/ Grouting/ Gunite Equipment

Personal Protective Equipment

Post Tension Systems (Pushing Strand)

Post Tension Systems (Stressing Strand)

Respiratory Protection

Scaffold And Ladder Access

Related checklists