Daily Excavation Inspection Form

Daily Excavation Inspection Form - 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 excavation inspection checklist job# ___________ location: Web daily trench inspection form date: Employees protected from loose rock or soil. Surface encumbrances supported or removed. Wednesday thursday friday saturday sunday date: Yes yes yes yes no no no no length: 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: Web daily worksite checklist for trenching/excavation sites project:

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 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 worksite checklist for trenching/excavation sites project: 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. Wednesday thursday friday saturday sunday date: Employees protected from loose rock or soil. [ ] 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: Surface encumbrances supported or removed.

Competent person has authority to remove workers from excavation immediately. Web daily trench inspection form date: Hard hats worn by all employees. Web daily worksite checklist for trenching/excavation sites project: 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. Yes yes yes yes no no no no length: 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 excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. Employees protected from loose rock or soil. Excavations and protective systems inspected by competent person daily, before start of work.

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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 daily excavation inspection checklist job# ___________ location: Web daily worksite checklist for trenching/excavation sites project:

Competent Person Has Authority To Remove Workers From Excavation Immediately.

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: 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. Hard hats worn by all employees. Web daily inspection checklist for trenching/excavation sites competent person:

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

_________________________ foundation # ___________ date:_________________ competent person: [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Excavations and protective systems inspected by competent person daily, before start of work. Employees protected from loose rock or soil.

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. Surface encumbrances supported or removed. 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

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