Daily Excavation Inspection Form

Daily Excavation Inspection Form - Wednesday thursday friday saturday sunday date: Hard hats worn by all employees. Web daily worksite checklist for trenching/excavation sites project: Web daily excavation inspection checklist job# ___________ location: 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 Competent person has authority to remove workers from excavation immediately. Trenches over 4 feet in depth are considered excavations. Surface encumbrances supported or removed. Any items marked no on this form must be remediated prior to any employees entering the excavation. 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 Web daily trench inspection form date: Web daily inspection checklist for trenching/excavation sites competent person: Web daily worksite checklist for trenching/excavation sites project: Trenches over 4 feet in depth are considered excavations. Web download free template. Excavations and protective systems inspected by competent person daily, before start of work. For each “inspection item,” indicate one of the following: _________________________ foundation # ___________ date:_________________ competent person: 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:

Yes yes yes yes no no no no length: Excavations and protective systems inspected by competent person daily, before start of work. Web download free template. Employees protected from loose rock or soil. Web daily inspection checklist for trenching/excavation sites competent person: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 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. Web daily trench inspection form date: _________________________ foundation # ___________ date:_________________ competent person: 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:

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Competent Person Has Authority To Remove Workers From Excavation Immediately.

Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 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. _________________________ foundation # ___________ date:_________________ competent person: Employees protected from loose rock or soil.

Any Items Marked No On This Form Must Be Remediated Prior To Any Employees Entering The Excavation.

Web daily excavation inspection checklist job# ___________ location: Web daily trench inspection form date: Surface encumbrances supported or removed. Web download free template.

Excavations And Protective Systems Inspected By Competent Person Daily, Before Start Of Work.

Hard hats worn by all employees. 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: [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Wednesday thursday friday saturday sunday date:

Yes Yes Yes Yes No No No No Length:

Trenches over 4 feet in depth are considered excavations. For each “inspection item,” indicate one of the following: Web daily inspection checklist for trenching/excavation sites competent person: Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use.

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