Walkaround Checklist PDF

SAFETY WALKAROUND CHECKLIST
CEMENT & CONCRETE

1994
Date Prepared: By:
Project Name/No: Location:
Check the box if the statement is true.
Fill in the blanks where the appears.
NOTES
HAZARD IDENTIFICATION AND AIR MONITORING
The company has a written Injury and Illness Prevention Program
(IIPP) that meets all Cal/OSHA requirements. It includes
identification of hazards on the site related to cement and concrete,
as well as regular inspections, accident investigation, and correction
of hazardous conditions. [1509]
Air monitoring has been done in work areas where exposure to dust
may exceed the Cal/OSHA permissible exposure limit (PEL). [5155(e)]
If using a new cement product, check the MSDS for the PEL.
If working with existing concrete, the PEL is 10 mg/m for total
dust, and 5 mg/m for respirable dust. [5155]
Workers have been informed of the results of air monitoring
performed on themselves, in their work area, and/or for their trade.
[3204(e)(2)(A)]
If air monitoring found any exposure exceeding the PEL, engineering,

administrative, and work practice changes are used to reduce
exposure where possible. Personal protective equipment is used only
if other measures are insufficient. [1528, 5141(a), and 5155(e)(2)]
(Examples: stop work practices that generate dust; use water to
suppress dust.)
HAZARD COMMUNICATION AND TRAINING

The company has a written Hazard Communication Program. [5194]
All workers have received basic Hazard Communication training.

[5194]
Tailgate Meetings That WorkChecklist Cement and ConcretePage 1

NOTES
Everyone potentially exposed to cement or related products has
received specific training in health effects, safe use, minimizing
exposure, personal protective equipment, proper disposal, and
emergency procedures. [1510 and 5194]
All product containers are properly labeled. [5194(b)(1) and 5417(a)]
Material Safety Data Sheets (MSDSs) are available on the site for all
cement and related products used. [5194]
Workers know where to find MSDSs and how to understand them.
[5194]
Personnel working in adjoining areas of the job site, including

subcontractors, are aware of the work and the hazards. [1509]
WORK PRACTICES
No dry cutting of concrete is done. [5145 and 5155]
No dry sweeping of cement dust is done. [5145 and 5155]
Workers dispensing flammable chemicals such as curing agents, bond

breakers, and retardants use proper grounding and bonding
procedures. [1934]
Workers using epoxy sealants and bonding agents take care to keep
them off their skin. [1509 and 5155]
PERSONAL PROTECTIVE EQUIPMENT

If necessary, personal protective equipment (PPE) is provided by the
company and worn by workers to prevent exposure to cement dust,
wet cement, form oils, curing compounds, bond breakers, retarders,
sealers, and other hazardous chemicals. [1516, 1520, 1522, 1531, and 5155].
The types of PPE used are appropriate for the work and give
adequate protection. [1514]
Respirators with HEPA cartridges are worn when dust levels may be
above the Cal/OSHA permissible exposure limit (PEL). [1531]
Are respirators required when working around cement or concrete

dust on this site? Yes No
Type of respirator:
Available at:
Respirators are properly stored and maintained. [1531(d)]

NOTES
The proper types of respirators and cartridges for the work are used.
[1531(b)]
Respirators, cartridges, and replacement parts have been approved

by the Mine Safety and Health Administration (MSHA) or the
National Institute for Occupational Safety and Health (NIOSH).
[1531(b)]
Workers who wear respirators have been medically evaluated, fit-

tested, and trained. [1531(c) and (h)]
If respirators are used on the site, the company has a written
Respiratory Protection Program. [1531(f)]
Impermeable gloves of the correct type are worn if necessary to
prevent skin contact with cement, concrete, and related substances,
except where gloves might become caught in moving parts or
machinery. [1520] (To determine the appropriate glove for the
substance, consult the MSDS for the product, or contact the glove
supplier or manufacturer.)
Full protective clothing (coveralls, etc.) is used to minimize skin
contact where necessary. [1522]
Workers use chemical goggles (or equivalent eye and face protection)
where there is risk of splashing or spraying into eyes. Eye and face
protection meets the requirements of American National Standards
Institute (ANSI) Z 87.1 1979, American National Standard Practice
for Occupational and Educational Eye and Face Protection. [1516]
Workers always wear goggles or other face and eye protection when
using form oils, curing agents, bond breakers, and retardants. [1516]

SAFETY WALKAROUND CHECKLIST
GENERAL INSPECTION
Other Hazards Noted Action
Near Miss Reports:
Other:

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SAFETY WALKAROUND CHECKLIST

CEMENT & CONCRETE

Date Prepared: By:

Project Name/No: Location:

Check the box if the statement is true.

Fill in the blanks where the appears.

If air monitoring found any exposure exceeding the PEL, engineering,

HAZARD COMMUNICATION AND TRAINING

All workers have received basic Hazard Communication training.

Tailgate Meetings That WorkChecklist Cement and ConcretePage 1

Personnel working in adjoining areas of the job site, including

No dry sweeping of cement dust is done. [5145 and 5155]

Workers dispensing flammable chemicals such as curing agents, bond

PERSONAL PROTECTIVE EQUIPMENT

Are respirators required when working around cement or concrete

Respirators are properly stored and maintained. [1531(d)]

Tailgate Meetings That WorkChecklist Cement and ConcretePage 2

Respirators, cartridges, and replacement parts have been approved

Workers who wear respirators have been medically evaluated, fit-

Tailgate Meetings That WorkChecklist Cement and ConcretePage 3

Near Miss Reports:

Tailgate Meetings That WorkChecklist Cement and ConcretePage 4

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