The invention discloses a safe positioning and adjustment device used for a concrete pouring vehicle hose and belongs to the field of safe positioning and adjustment. The safe positioning and adjustment device used for the concrete pouring vehicle hose comprises a fixing locking ring, a positioning operation ring, a hose lantern ring and an all-directional safety belt. According to the safe positioning and adjustment device, the positioning operation ring can be located around the hose through the fixing locking ring and a connecting rod, an operator controls a winding wheel to pull the hose lantern ring through a corresponding traction line, a corresponding movable pulley and a corresponding fixed pulley, the fixed pulley is fixed to the positioning operation ring, the hose lantern ring drives the hose to move, labor is saved during operation, the misoperation and misstep situations are effectively prevented, personal safety of the operator is ensured, accidents are effectively prevented from occurring to the operator through the all-directional safety belt and a safety rope mounted on the fixing locking ring, meanwhile, the body of the operator can be conveniently stabilized under the effects of a first magnet on an operation rod and a second magnet on the all-directional safety belt, and the accidents are further prevented.