Daily Trenching & Excavating Safety Checklist (SK)
HSEOP -05-04
Project
*
Please Select
2800048-PAVH
2800050-RCMP La Ronge
2800051-RCMP Southend
2800052-Virtual Health Hub
2820099-St. Pauls Power Plant
2820107-MN Learning-PA
2820113-SRC SXU TdDy Concrete and Steel
2820114-BourgaultMachineHQ
2820116-Cameco McArther River
2820118-St Johns Cathedral Repointing
2820119-Saskatoon City Hospital Acute Care Project
2820121-AAFC Roof Replacement
2820122-Innovation Sask Tenant Decanting
2820123-AAFC Seed Storage Building Expansion
2820125-YXE Arrivals Renewal
2840037-Theodore Spillway Upgrades
Excavation Location
*
Depth
*
Width
*
Length
*
Date
*
/
Month
/
Day
Year
Date
Soil Type:
*
Stable Rock
Type 1
Type 2
Type 3
Type 4
Slope Ratio:
*
TO
Slope ratio correct?
*
Yes
No
N/A
Comments
Shoring installed per design?
*
Yes
No
N/A
Comments
Shielding in place?
*
Yes
No
N/A
Comments
Access/Egress provided?
*
Yes
No
N/A
Comments
Barricades erected?
*
Yes
No
N/A
Comments
Water removed/Seepage controlled?
*
Yes
No
N/A
Comments
Traffic control in place?
*
Yes
No
N/A
Comments
Spoil pile 3 feet (1m) from edge?
*
Yes
No
N/A
Comments
Any cracks in walls
*
Yes
No
N/A
Comments
Signs of caving or sloughing
*
Yes
No
N/A
Comments
Areas of unusually weak soil?
*
Yes
No
N/A
Comments
Weather threatening?
*
Yes
No
N/A
Comments
Atmospheric Checks Required?
If so, please work with the PCL Superintendent to have this form completed.
Competent Person
*
Full Name
Signature
*
Inspection Type?
*
Initial
Subsequent
Time of Inspection
*
Hour Minutes
AM
PM
AM/PM Option
Company
*
Email (copy of checklist will be sent here)
*
example@example.com
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