Daily Excavation Inspection Form

Daily Excavation Inspection Form - [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no 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: 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 Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 For each “inspection item,” indicate one of the following: Web daily excavation inspection checklist job# ___________ location: Web download free template. Hard hats worn by all employees. Web daily inspection checklist for trenching/excavation sites competent person:

Hard hats worn by all employees. 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 Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. 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 Trenches over 4 feet in depth are considered excavations. Web daily inspection checklist for trenching/excavation sites competent person: Competent person has authority to remove workers from excavation immediately. Web daily trench inspection form date: Excavations and protective systems inspected by competent person daily, before start of work.

For each “inspection item,” indicate one of the following: Web daily trench inspection form date: Trenches over 4 feet in depth are considered excavations. Excavations and protective systems inspected by competent person daily, before start of work. Hard hats worn by all employees. _________________________ foundation # ___________ date:_________________ competent person: Employees protected from loose rock or soil. Web daily excavation inspection checklist job# ___________ location: 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. Any items marked no on this form must be remediated prior to any employees entering the excavation.

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EXCAVATOR INSPECTION CHECKLIST

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

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

Yes yes yes yes no no no no length: Web daily trench inspection form date: Surface encumbrances supported or removed. _________________________ foundation # ___________ date:_________________ competent person:

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

For each “inspection item,” indicate one of the following: Trenches over 4 feet in depth are considered excavations. 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:

Yes No N/A Excavation Trench Box Extends At Least 18 Inches Above The Vertical Wall Of The Excavation And To Within 2

Web daily inspection checklist for trenching/excavation sites 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: Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. Competent person has authority to remove workers from excavation immediately.

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