Nordic PCL HSE OPERATING PROCEDURES
Trenching and Excavation
Procedure HSEOP-05-04
DAILY TRENCHING & EXCAVATION SAFETY CHECKLIST
Competent Person Inspecting Trench & Excavation:
*
Excavation Location
*
Depth
*
Width
*
Length
*
Select the Soil Type
*
Stable Rock
Type A
Type B
Type C
Select the proper slope ratio for that soil type
*
Please Select
Stable Rock: Straight Cut
Type A: 3/4 to 1
Type B: 1 to 1
Type C: 1.5 to 1
Slope ratio correct?
*
Yes
No
N/A
Shoring installed as per design?
*
Yes
No
N/A
Shielding in place?
*
Yes
No
N/A
Access/Egress provided?
*
Yes
No
N/A
Barricades erected?
*
Yes
No
N/A
Water removed / seepage controlled?
*
Yes
No
N/A
Traffic control in place?
*
Yes
No
N/A
Spoil Pile 3 feet from edge?
*
Yes
No
N/A
Any cracks in walls?
*
Yes
No
N/A
Signs of caving or sloughing?
*
Yes
No
N/A
Areas of unusually weak soil?
*
Yes
No
N/A
Weather threatening?
*
Yes
No
N/A
Date
*
/
Year
/
Month
Day
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Signature
*
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