Deck Penetration Pre-Drill Checklist
Deck Pre Penetration Checklist
This form will be used to verify the correct steps are taken before penetrating any poured deck
Name
*
First Name
Last Name
Company Name
*
Level of Deck to be Penetrated
*
Explain Reason for Deck Penetration
*
Location of Penetration
*
Pre Penetration Checklist
Reviewed PCL Policy for Drilling into PT Deck
*
Yes
No
Reviewed JHA; All workers aware of risk and hazards
*
Yes
No
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Reviewed Drone Footage for Accurate Layout
Scanned Deck Prior to Drilling / Anchoring
Created Markup of Planned Drill Points
Print Name of Worker Performing Work
*
First Name
Last Name
Printed Foreman Name
*
First Name
Last Name
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