Concrete Pour Site Pre-Task Safety Review

Hazard Identification & Controls

Identified Hazard Control Measures Responsible Person

PPE Checklist

PPE Required Available Condition/Notes
Hard Hat
Safety Glasses
Gloves
High-Vis Vest
Boots

Equipment & Tools Inspection

Equipment/Tool Checked Condition/Notes

Emergency Preparedness

Additional Comments / Notes

Crew Member Name Signature Time