DAILY TRENCHING & EXCAVATION SAFETY CHECKLIST
Trenching and Excavation Procedure HSEOP-05-04
Project Name
Please Select
9300011 Barrett Solar Project
Excavation Location
*
Depth:
D
*
Width:
W
*
Length:
L
*
Soil Type:
*
Stable Rock
Type A
Type B
Type C
Slope ratio is:
Type a label
*
to
Type a label
*
Slope ratio correct?
*
Yes
No
N/A
Comments
Shoring installed as 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 Check Results (if applicable)
Rows
Oxygen (%)
Explosimeter (%)
Toxins (PPM)
Time (AM/PM)
Initials
1
2
3
4
5
6
Competent Person Name
*
Competent Person Email
*
This form will be sent to you upon submission.
Competent Person Signature
*
Date
*
-
Month
-
Day
Year
Date
Time of Initial Inspection
Hour Minutes
AM
PM
AM/PM Option
Time of Subsequent Inspection
Hour Minutes
AM
PM
AM/PM Option
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