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Pre Task Plan - Stripping Formwork

This document is a pre-task plan for stripping formwork. [1] It identifies potential safety hazards including falls, energized equipment, chemicals, and sharp tools. [2] It requires workers to use personal protective equipment like fall arrest gear, hearing protection, and gloves. [3] The task involves manual handling risks that may require lifting equipment. Emergency equipment locations and sign-off by supervisors and crew are also included to ensure the work is performed safely.

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Mario Monge
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240 views3 pages

Pre Task Plan - Stripping Formwork

This document is a pre-task plan for stripping formwork. [1] It identifies potential safety hazards including falls, energized equipment, chemicals, and sharp tools. [2] It requires workers to use personal protective equipment like fall arrest gear, hearing protection, and gloves. [3] The task involves manual handling risks that may require lifting equipment. Emergency equipment locations and sign-off by supervisors and crew are also included to ensure the work is performed safely.

Uploaded by

Mario Monge
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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CONSTRUCTION CORP.

Pre - Task Plan

Job: Location: Date: ____/____/____

Description of work: Stripping Formwork.


A. Safety (Check all that apply. Please describe control measures on back of form for any safety item checked.)

□ Barricading and signage are required to protect personnel, facilities, or equipment.


□ Work involves live systems or energized equipment.
□ Lockout/tag out of energized systems is required.
□ Work involves exposure to falls of six feet or greater.
□ Ladders, personnel lifts, scaffolds, or work platforms are needed to perform task.

□ Task involves the use of chemicals.


□ Chemicals have been approved for use.
□ Safety data sheets have been provided to crew.
□ Containers are properly labeled (contents, hazards).

□ Potentially affected parties have been notified of chemical use.


□ Chemicals are stored properly.
□ Task requires the demolition of installed utilities or equipment.
□ Weather conditions affect the safe completion of this task.
□ Work involves using sharp tools or materials (for example: saws, knives, sheet metal, etc.).
□ Work takes place in an area where environmental cut hazards (sharp objects) exist.
□ Work involves employee exposure to high noise levels.
B. Required personal protective equipment (PPE) (Check all that are required to perform the task.)

□ Fall arrest □ Hearing protection □ Head □ Foot/toe □ Eye □ Reflective vest □ Face shield
□ Respirator □ other (note on back)

Glove type required: □ Kevlar □ Rubber □ Leather □ Cotton □ Latex □ Other (note on back)
C. MSD (Ergo) risk factors (Please describe any checked items on the back of this form.)

□ Material requiring manual handling exceeds 45 lbs. in weight.

□ Material handling equipment should be used to move or lift materials (for example, forklift, pallet jack, chain fall).

D. Emergency equipment and exit locations (Note the location of the following.)

Nearest exit ________________________________________________________

Fire extinguisher _____________________________________________________

Eye wash and shower _________________________________________________


CONSTRUCTION CORP.
Pre - Task Plan
First aid kit __________________________________________________________

E. Review by crew lead

By signing below, I certify the completion of following activities:

 Area is safe for working (for example, housekeeping, guarding, congestion, work surfaces, access).
 Work has been coordinated with others in the area.
 All tools and equipment are safe and in good condition (includes assured grounding, slings, hand tools, etc.)
 All necessary training for this task has been completed.
 All new employees have been familiarized with the work area.
 Sufficient personnel have been assigned to complete this task safely.
 Emergency exits and equipment have been identified (fire extinguishers, eyewashes, etc.).
 Contingency plans have been developed for unexpected events (medical emergency and equipment failure).

Supervisor__________________________________________ Supervisor _____________________________________


(Signature) (Print name)

Sequence of basic job steps Risks involved in completing steps Risk control method

Stripping Formwork. Pinch points Whenever you are working from an


Stored energy in braces, forms and elevated location that is 6’ or more
Burke bars. above the lower level you must be
protected by either a guardrail system
or a personal fall arrest system.
Workers must wear a full body harness
and lanyard secured to a safe
anchorage point. This may be a
bracket specifically designed for fall
protection or a structural member.
Lines shall be checked after each move
to ensure correct length.

Overhead loads Never allow material or tools to fall on


People working below. workers below.
Keep forms secured to prevent
collapsing.
Keep eye contact with operator when
working with equipment.
Always have a way out.
Wear proper PPE.
Wear gloves at all times.
CONSTRUCTION CORP.
Pre - Task Plan

Crew signatures
(By signing below, I certify that I have read and understood this document and I agree with the content.)

PRINT SIGN DATE

(Signatures continued on back.)

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