Concrete Pour Site Pre-Task Safety Review
Date
Project Name/Location
Supervisor/Foreman
Crew Members
Task Description
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
Emergency Contact Info
First Aid Kit Location
Nearest Hospital/Clinic
Additional Emergency Notes
Additional Comments / Notes
Crew Member Name
Signature
Time