DAILY TRENCHING & EXCAVATION SAFETY CHECKLIST
Project Name
*
Please Select
New Waterford Hub
Northside Health Complex
South Shore Regional Hospital
DCC Land Base
Ecole Halifax Peninsule
DCC 4ESR
DCC Ground Base
CRA Saint John Fit-up
Transition Centre
PEI Mental Health & Addictions
Excavation Location
*
Depth in feet
*
feet
Width in feet
*
feet
Length in feet
*
feet
Select Soil Type
*
Stable Rock
Type A
Type B
Type C
1
*
Prefill as 1
Slope Ratio 1 to:
*
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 (1 m) 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 usually weak soil?
*
Yes
No
N/A
Comments
Weather threatening?
*
Yes
No
N/A
Comments
Atmospheric Check Results (if applicable)
If atmospheric hazards detected STOP WORK and call PCL Superintendent
Rows
Oxygen (percentage)
Explosimeter
Toxics (PPM)
1
Time (If completing Atmospheric check results table above)
Hour Minutes
AM
PM
AM/PM Option
Initials (If completing Atmospheric check results table above)
Company
Company Name
*
Competent Person
*
Signature
*
Time
*
Hour Minutes
AM
PM
AM/PM Option
Date
*
/
Month
/
Day
Year
Date
What's your Email?
*
example@example.com (A copy of the final permit will be sent here.x)
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