6630204 - Daily Trenching and Excavation Checklist

  • Trenching and Excavation Procedure HSEOP-05-04

    Competent person to complete this checklist daily before start of trench/excavation work.

  • Date:*
     - -
  • Soil Type:*

  • DAILY TRENCHING & EXCAVATION SAFETY CHECKLIST

  • Maximum Allowable Slopes:

    Type A: 3/4 : 1

    Type B: 1 : 1

    Type C: 1-1/2 : 1

  • Is the trench slope ratio correct? (Refer to slope info above)*
  • Is shoring installed per design?*
  • Is shielding in place?*
  • Is access/egress provided?*
  • Are barricades erected?*
  • Is water removed and seepage controlled?*
  • Is traffic control in place?*
  • Are spoil piles placed 3 feet or more from edge of excavation?*
  • Are any wall cracks present?*
  • Are there signs of caving or sloughing?*
  • Are there areas of unusally weak soil?*
  • Is threatening weather present?*

  • Atmospheric Check Results (if applicable)

  • Date of Daily Inspection:*
     / /
  •  
  • Should be Empty: