Daily Excavation Inspection Form

Daily Excavation Inspection Form - Surface encumbrances supported or removed. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Yes yes yes yes no no no no length: Employees protected from loose rock or soil. For each “inspection item,” indicate one of the following: Any items marked no on this form must be remediated prior to any employees entering the excavation. Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. Trenches over 4 feet in depth are considered excavations. Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time: Wednesday thursday friday saturday sunday date:

Web daily trench inspection form date: Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Trenches over 4 feet in depth are considered excavations. Any items marked no on this form must be remediated prior to any employees entering the excavation. Competent person has authority to remove workers from excavation immediately. For each “inspection item,” indicate one of the following: Web daily worksite checklist for trenching/excavation sites project: Web daily excavation inspection checklist job# ___________ location: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2

Trenches over 4 feet in depth are considered excavations. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Yes yes yes yes no no no no length: _________________________ foundation # ___________ date:_________________ competent person: Wednesday thursday friday saturday sunday date: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified Any items marked no on this form must be remediated prior to any employees entering the excavation. Employees protected from loose rock or soil. Excavations and protective systems inspected by competent person daily, before start of work.

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Employees Protected From Loose Rock Or Soil.

Web daily worksite checklist for trenching/excavation sites project: For each “inspection item,” indicate one of the following: Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time:

_________________________ Foundation # ___________ Date:_________________ Competent Person:

Hard hats worn by all employees. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Competent person has authority to remove workers from excavation immediately. Web download free template.

Web Excavator Daily Inspection Checklist To Be Completed Daily By The Operator Or Authorized Person Before Each Use.

Trenches over 4 feet in depth are considered excavations. Excavations and protective systems inspected by competent person daily, before start of work. Web daily inspection checklist for trenching/excavation sites competent person: Any items marked no on this form must be remediated prior to any employees entering the excavation.

Web Daily Excavation Inspection Checklist Job# ___________ Location:

Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 Surface encumbrances supported or removed. Web daily trench inspection form date: Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation.

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