JSA library / Construction

Concrete Pour & Finishing JSAJob Safety Analysis template

Placing, vibrating and finishing concrete from a truck or pump. Use it as-is or change it to fit your job, then walk the site and add what's different today.

Make this JSA on your phone →

Free · no account · the crew signs on the same phone · prints a professional record

Date

Location

Person in charge

Company

Nearest ER / address

Muster point · Emergency: 911

Job steps, hazards & controls

#	Job step	Hazards	Controls
01	Check forms and rebar	Forms blowing out under the load Impalement on exposed rebar	Inspect forms, bracing and stakes before the pour Rebar caps or covers on exposed ends
02	Position the truck or pump	Struck by backing trucks Pump boom or chute near power lines Outriggers sinking	Spotter for every backing truck Keep the boom clear of overhead lines Outrigger pads on firm ground; stay out from under the boom
03	Place and vibrate	Wet concrete burns (lime is caustic) Hose whip on pump lines Back strain from raking and pulling	Waterproof boots and gloves; wash concrete off skin right away Keep clear of the hose end; follow the pump operator's signals Rotate tasks; push concrete with the right tools
04	Finish the surface	Kneeling and repetitive strain Power trowel kickback or contact	Knee boards and pads; take breaks Trained operators only on power trowels; dead-man switch working
05	Wash out and clean up	Washout water on the ground or in drains Chemical burns from residue	Wash out only in the designated washout Eye protection while washing tools

Don’t forget to check

Chemicals & SDSTraffic & the PublicHeat StressOverhead Power Lines

Today’s site-specific hazards

Hazard	Control

Crew sign-in: I reviewed this JSA and I can stop work

Name	Company / role	Signature	Time

How it works on your phone

1 · Pick itTap the button above. This JSA loads with the checks crews most often forget already suggested.

2 · Walk the siteAdd where you are, who's in charge and the nearest ER. The first person on site adds today's hazards.

3 · Crew signsPass the phone. Each person reads every step and signs. Print or save the PDF.

This JSA is a starting point built from common field practice. Your job, your site and your company's procedures come first: change anything that doesn't fit, and follow your permits and regulations.