Trenching and Excavation Safety Basic Training

Trenching and Excavation Safety Basic Training

A Three Year Awareness Certification
Date*

MonthDayYear
Date
Name*

First NameLast Name
Email*
example@example.com
Supervisor's Email*
example@example.com
Phone Number

Area CodePhone Number
YesNoNo entiendo
JMACWDWIHD LiquidsIHD SolidsConstructionTruckingShopMaterialsSouth TexasWest TexasNew MexicoWillistonBismarkIdahoWashingtonOregonOther
29 CFR 1926.650, Subpart P, "Excavation"29 CFR 1926.652 App. B, "Procedures for Atmospheric Testing"https://www.osha.gov/Publications/osha2226.pdfJMAC Resources Safety HandbookAll of the above
AirFireWaterWindNone of the above
3 feet4 feet8 feet20 feetNone of the above
3 feet4 feet5 feet20 feetNone of the above
Freeze/ThawSoil typeWaterVibrationAll of the above
TrueFalse
FlammableExplosiveToxicCorrosiveNone of the above
TrueFalse
TrueFalse
2 feet4 feet6 feet8 feetNone of the above
Lower Explosive Limit, Oxygen Level, ToxicityToxicity, Oxygen Level, Lower Explosive LimitOxygen Level, Lower Explosive Limit, ToxicityOxygen Level, Toxicity, Lower Explosive LimitNone of the above
Stable rockType AType BType CNone of the above
The depth of holeThe soil classificationThe size of the pipe going into the excavationThe original survey crewNone of the above
SandSiltGravelClayNone of the above
TrueFalse
Signature

Clear
A Score of 100% is required for training credit
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Trenching and Excavation Safety Basic Training

A Score of 100% is required for training credit