Daily Excavation Inspection Form

Daily Excavation Inspection Form - [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Web daily worksite checklist for trenching/excavation sites project: Any items marked no on this form must be remediated prior to any employees entering the excavation. Competent person has authority to remove workers from excavation immediately. _________________________ foundation # ___________ date:_________________ competent person: Hard hats worn by all employees. Web daily excavation inspection checklist job# ___________ location: Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. Wednesday thursday friday saturday sunday date: Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified

[ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Trenches over 4 feet in depth are considered excavations. Excavations and protective systems inspected by competent person daily, before start of work. Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time: Web daily trench inspection form date: Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified Wednesday thursday friday saturday sunday date: Competent person has authority to remove workers from excavation immediately. Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation. Hard hats worn by all employees.

Web daily worksite checklist for trenching/excavation sites project: Web daily excavation inspection checklist job# ___________ location: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation. Yes yes yes yes no no no no length: Employees protected from loose rock or soil. Excavations and protective systems inspected by competent person daily, before start of work. Any items marked no on this form must be remediated prior to any employees entering the excavation. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Wednesday thursday friday saturday sunday date:

(DOC) EXCAVATION INSPECTION CHECKLIST & PERMISSION TO ENTER THE
Excavation and Trenching Permit
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Excavations And Protective Systems Inspected By Competent Person Daily, Before Start Of Work.

Web daily trench inspection form date: Employees protected from loose rock or soil. _________________________ foundation # ___________ date:_________________ competent person: Yes yes yes yes no no no no length:

Web Daily Excavation Inspection Checklist Job# ___________ Location:

[ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Web daily worksite checklist for trenching/excavation sites project: For each “inspection item,” indicate one of the following: Any items marked no on this form must be remediated prior to any employees entering the excavation.

Hard Hats Worn By All Employees.

Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time: Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. Surface encumbrances supported or removed.

Trenches Over 4 Feet In Depth Are Considered Excavations.

Wednesday thursday friday saturday sunday date: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 Web daily inspection checklist for trenching/excavation sites competent person: Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation.

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