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 daily worksite checklist for trenching/excavation sites project: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 Web download free template. Web daily excavation inspection checklist job# ___________ location: 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: Employees protected from loose rock or soil. Yes yes yes yes no no no no length: Hard hats worn by all employees. _________________________ foundation # ___________ date:_________________ 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 Hard hats worn by all employees. Web daily trench inspection form date: Web daily excavation inspection checklist job# ___________ location: [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Surface encumbrances supported or removed. _________________________ foundation # ___________ date:_________________ competent person: For each “inspection item,” indicate one of the following: 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.

_________________________ foundation # ___________ date:_________________ competent person: Web excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. For each “inspection item,” indicate one of the following: Web daily worksite checklist for trenching/excavation sites project: Excavations and protective systems inspected by competent person daily, before start of work. 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. Web daily excavation inspection checklist job# ___________ location: Web daily trench inspection form date: Wednesday thursday friday saturday sunday date:

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

_________________________ foundation # ___________ date:_________________ 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 excavator daily inspection checklist to be completed daily by the operator or authorized person before each use. 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:

Competent Person Has Authority To Remove Workers From Excavation Immediately.

Web download free template. Excavations and protective systems inspected by competent person daily, before start of work. Hard hats worn by all employees. Trenches over 4 feet in depth are considered excavations.

Web Daily Excavation Inspection Checklist Job# ___________ Location:

Web daily worksite checklist for trenching/excavation sites project: 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 daily inspection checklist for trenching/excavation sites competent person:

Surface Encumbrances Supported Or Removed.

For each “inspection item,” indicate one of the following: [ ] 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. Web daily trench inspection form date:

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