Daily Excavation Inspection Form

Daily Excavation Inspection Form - Hard hats worn by all employees. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Employees protected from loose rock or soil. _________________________ foundation # ___________ date:_________________ competent person: Excavations and protective systems inspected by competent person daily, before start of work. Yes yes yes yes no no no no length: Web daily inspection checklist for trenching/excavation sites competent person: Web daily trench inspection form date: Surface encumbrances supported or removed. Web daily excavation inspection checklist job# ___________ location:

Hard hats worn by all employees. Competent person has authority to remove workers from excavation immediately. Wednesday thursday friday saturday sunday date: Excavations and protective systems inspected by competent person daily, before start of work. Web daily trench inspection form date: Web daily inspection checklist for trenching/excavation sites competent person: 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. _________________________ foundation # ___________ date:_________________ competent person: Surface encumbrances supported or removed.

For each “inspection item,” indicate one of the following: Hard hats worn by all employees. _________________________ foundation # ___________ date:_________________ competent person: Web daily excavation inspection checklist job# ___________ location: Surface encumbrances supported or removed. 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 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 Trenches over 4 feet in depth are considered excavations.

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For Each “Inspection Item,” Indicate One Of The Following:

Yes yes yes yes no no no no length: Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2 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 Daily Inspection Checklist For Trenching/Excavation Sites Competent Person:

Excavations and protective systems inspected by competent person daily, before start of work. 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. _________________________ 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

Web daily worksite checklist for trenching/excavation sites project: Web download free template. [ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Wednesday thursday friday saturday sunday date:

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

Surface encumbrances supported or removed. Web daily excavation inspection checklist job# ___________ location: Hard hats worn by all employees. 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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