Excavation Checklist

P&S Excavation Checklist
Date*

MonthDayYear
Date
Supervisor*

Chris PettisCody ZimmermanEric OdonelJoe PerezJosh DiGulioKris GardnerMichael KovalPaul SchaiderSean SesherZach McCoyOther
Chris Pettis Projects
Cody Zimmerman Projects
Eric O' Donel Projects
Joe Perez Projects
Josh DiGulio Projects
Kris Gardner Projects
Michael Koval Projects
Paul Schaider Projects
Sean Sesher Projects
Zach McCoy Projects
Other Project (jobs that may not appear in the drop down menu above)
Select the employees that are on site:*
Other Employees on-site
Equipment On-site*
General Contractor/Customer*
Project Name *
Who is the Competent Person on site?*

First NameLast Name
Soil Type*
Protective Systems*
Weather Conditions*
Excavation Width*
Feet
Excavation Length*
Feet
Excavation Maximum Depth*
Feet
General Inspection
Excavation, adjacent areas, and protective system inspected by a competent person daily, prior to start of work.*

YesNo - Corrective Action Req'dN/A
Competent Person has the right to remove employees from the excavation immediately.*

YesNo - Corrective Action Req'dN/A
Surface obstacles and encumbrances removed or supported.*

YesNo - Corrective Action Req'dN/A
Employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation.*

YesNo - Corrective Action Req'dN/A
Shoring (or sloping) for excavations greater than 5 ft. deep?*

YesNo - Corrective Action Req'dN/A
Fall protection or guardrails for excavations greater than 6 ft. deep?*

YesNo - Corrective Action Req'dN/A
Hard hats worn by all employees.*

YesNo - Corrective Action Req'dN/A
Spoils, materials, and equipment set back from the edge by at least 2'.*

YesNo - Corrective Action Req'dN/A
Barriers, and signs present at all remotely located excavations.*

YesNo - Corrective Action Req'dN/A
Walkways and bridges over excavations 4 feet or more in depth are equipped with standard guardrails and toe boards?*

YesNo - Corrective Action Req'dN/A
Warning vest or other highly visible clothing provided and worn by all employees exposed to vehicular traffic?*

YesNo - Corrective Action Req'dN/A
Employees required to stand away from vehicles and equipment when being unloaded and loaded?*

YesNo - Corrective Action Req'dN/A
Warning system marked and utilized when equipment is operating near the edge of the excavation?*

YesNo - Corrective Action Req'dN/A
Employees prohibited from going under suspended loads?*

YesNo - Corrective Action Req'dN/A
Employees prohibited from working on the faces of sloped or benched excavation when above other employees?*

YesNo - Corrective Action Req'dN/A
Means of Access and Egress
Safe exits (ladders) for excavations greater than 4 ft. deep?*

YesNo - Corrective Action Req'dN/A
Ladder used in the trench secured and extending 3 feet above the edge of the trench?*

YesNo - Corrective Action Req'dN/A
Lateral travel to egress ladder/point no greater than 25 feet?*

YesNo - Corrective Action Req'dN/A
Employees protected from entering and exiting the trench?*

YesNo - Corrective Action Req'dN/A
Equipment
Does the excavation equipment have ROPS and seat belts in place?*

YesNo - Corrective Action Req'dN/A
Does the excavation equipment have the proper back up alarms?*

YesNo - Corrective Action Req'dN/A
Utilities
Excavation - Has a utility locate been called in?*

YesNo - Corrective Action Req'dN/A
What is the transmittal number?*
When was the locate called in?*

MonthDayYear
Date
Underground utilities are protected, supported, or removed from the excavation?*

YesNo - Corrective Action Req'dN/A
Are there any marked utility lines crossing or within 3' of the planned dig area?*

YesNo - Corrective Action Req'dN/A
Please take photos of the excavation area prior to digging. Please take images that show any utility line markings that are near intended excavation area. Please take images that show the white line markings.
Image #1*
Image #2*
Image #2
Image #2
Wet Conditions
Precautions taken to protect employees from the accumulation of water?*

YesNo - Corrective Action Req'dN/A
Water removal equipment is monitored by a competent person?*

YesNo - Corrective Action Req'dN/A
Surface water runoff is diverted or contrlled to prevent accumulation*

YesNo - Corrective Action Req'dN/A
Signatures
Foreman/Leadman*

First NameLast Name
Foreman/Leadman Signature*

Clear
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P&S Excavation Checklist

General Inspection

Means of Access and Egress

Equipment

Utilities

Wet Conditions

Signatures