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Detecting a Stroke

A construction project can be hectic place with a high level of activity. Contractors and equipment move about, with everyone focused on the task at hand. In this environment, it’s easy to miss the signs and symptoms of a serious health situation, like a stroke. Early detection is critical to saving a life.

A stroke happens quickly. If a victim is treated within the first three hours of its onset, some effects of a stroke can be reversed.

The following are the most common symptoms of stroke. However, individuals may experience symptoms differently or at different times. Don’t ignore any of the symptoms, even if they go away.

  • Sudden weakness or numbness of the face, arms or legs, especially on one side of the body.
  • Sudden confusion or difficulty speaking or understanding.
  • Sudden problems with vision such as dimness or loss of vision in one or both eyes.
  • Sudden dizziness or problems with balance or coordination.
  • Sudden problems with movement or walking.
  • Sudden severe headaches with no other known cause.

The first three letters in the word stroke can help you determine if a person is having a stroke. Ask the individual to:

  • S – Smile.
  • T – Talk – Get them to speak a simple sentence, coherently, such as “It is sunny out today.”
  • R – Raise both arms.

Another method for remembering what symptoms to look for is the acronym FAST. The letters remind you to look for:

  • F – Facial weakness – Can the person smile? Are their mouth or eyes drooping?
  • A – Arm weakness – Can the person raise both arms and hold them parallel?
  • S – Speech problems – Can the person speak clearly and understand what you say?
  • T – Time is critical – Contact your supervisor immediately and consider calling 911.

Also, if you ask the person to stick out their tongue and, when they do, it is crooked or goes to one side or the other, there is a great likelihood that this person is having a stroke.

No matter the method you use to detect the signs and symptoms of a stroke, remember to seek immediate medical attention. Even if you are not sure, it is always best to err on the side of safety.

Download a printable PDF and recording form here.

Concrete Pumping Safety

Hose blowouts and hose whipping are serious hazards that can cause injuries while workers are pumping concrete.

Air trapped in a delivery line can cause hose blowouts and/or hose whipping. When the air is released, the end of the hose can whip and cause injury to workers in the area. Air in the delivery system itself is not the hazard. But when that air becomes compressed due to a blockage, it stores energy. The risk of a hose blowout or hose whipping happens when that energy discharges.

To minimize the risk during concrete pumping work, ALL personnel should be cautious and maintain a reasonable distance from the discharge hose when:

  • Restarting equipment after moving.
  • Priming the equipment.
  • There is air in the delivery line.
  • There is a blockage.

Establish a controlled-access zone around the pumping area to eliminate the potential of the hose striking a worker in case it gets away from the operator.

If you encounter a blockage, move the boom away from the pour to a safe location and re-establish flow before moving the boom back to the pour.

Additional safety measures include:

  • Ensure the pump operator has inspected the delivery pipe, and it isn’t cracked or worn.
  • Maintain visual contact with the operator or signal person.
  • Use a single-ended hose on the discharge.
  • Use guide/tag lines to guide the hose while pumping. Do not hug the hose.
  • Do not place yourself between the hose and a fixed object.
  • Maintain a 20-foot minimum approach distance from all overhead, energized, uninsulated powerlines with voltages of 0.1kV to 350kV.
  • For voltages exceeding 350kV, the minimum approach distance is 50 feet.

Download a printable PDF and recording form here. 

Concrete Paving & Bid-Well Safety

When working around Bid-Well, Gomaco or other types of concrete slip form pavers, workers need to follow basic safety measures to prevent injuries.

Emergency Stop Button

  • Workers must be familiar with the location of the emergency stop button.
  • Most emergency stop buttons are magnetic.
  • Test emergency stop buttons daily prior to use and position them near the hazard/point of operation.

Daily Inspection

A competent person must inspect the equipment daily before use to ensure it’s in good operating condition and all safety mechanisms are functioning properly.

Slips, Trips & Falls

  • Workers must be aware of slip, trip and fall hazards during concrete paving.
  • Watch for tools, materials and string lines that can cause trip hazards.
  • Walking on rebar mats with boots covered in wet concrete can create a slip and fall hazard. Watch your foot placement and avoid openings in the rebar mats. Walk where the rebar is joined or tied together.

Chemical Burns

  • Wet concrete can cause chemical burns.
  • Wear gloves and boots when working around wet concrete.
  • If your skin comes into contact with wet concrete, wash it as soon as possible.

360 Awareness

  • Maintain constant awareness of all moving equipment in the work area.
  • Be aware of incoming and outgoing dump trucks, concrete trucks and other vehicles.
  • Train operators and other employees to recognize the hazards of the concrete paving process.

Caught-In/Between – Rotating Augers

  • Properly guard all moving and rotating parts. Inspect equipment before use to ensure guards are in place and undamaged.
  • Workers should not wear loose clothing, jewelry or PPE that could be entangled in a rotating auger.
  • Walk around. Do not cross under a concrete paver when it’s in operation.
  • Stop the equipment and shut off the auger(s) during any cleaning operations.

Download a printable PDF and recording form here.

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Indiana Constructors, Inc.
Indiana Constructors, Inc.5 hours ago
As part of the 2025 Trench Safety Stand Down (June 16 - 20), ICI partnered with United Rentals Trench Safety to host a stand down event on June 20 at its facility on Indy's southside.

Thank you to the ICI member contractors who joined us, including Poindexter Excavating, HIS Constructors, Inc., and Rieth-Riley Construction, for taking the time to prioritize safety. 👷‍♂️🦺

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