Daily Trenching and Excavating Safety Checklist
Excavation Location
*
Please Select
Burnaby Hospital Phase 2
Depth
*
Width
*
Length
*
Soil Type
*
Stable Rock
Type A
Type B
Type C
*
Rows
Yes
No
N/A
Slope ratio correct?
Shoring installed as per design?
Shielding in place?
Access/ Egress provided?
Barricades erected?
Water removed/ seepage controlled?
Traffic control in place?
Soil pile 3 feet (1 m) from edge?
Any cracks in walls?
Signs of caving or sloughing?
Areas of unusually weak soil?
Weather threatening?
Comments on any of the items from the table above?
Atmospheric Check Results (if applicable):
Rows
Oxygen %
Explosimeter %
Toxics PPM
Time
Initials
#1
#2
#3
#4
#5
#6
Competent Person:
*
Competent Person Signature:
*
Date
*
/
Month
/
Day
Year
Date
Time of Initial / Subsequent Inspection (circle one)
*
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Should be Empty: