Concrete pump truck is a kind of mobile construction machinery, with the characteristic of complex structure, poor working condition and difficult to maintenance. Therefore, adopting appropriate health monitoring methods, and accurate grasping the running status information of the pump truck is significant to the pump truck’s safety use and pre-judgment maintenance plan arrangement. In this paper, the traditional structural health monitoring methods was studied. And the structure, load and work environment characteristics of concrete pump truck were analyzed. Taking into account the economy and reliability of the structural health monitoring system, the technical route of the concrete pump truck structural health monitoring system and health evaluation criteria were proposed. The evaluation criteria takes into account both the cumulative health effect and timely health status of concrete pump truck structure.