Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Job # if quoted

  • Select the operations to be performed

Excavation Check List

  • Has building permit been obtained?

  • Permits are confirmed (building, septic, demolition, sewer, water)?

  • Current versions of Plans are confirmed?

  • Are there any sunken areas in living space or other grade changes on plans?

  • Plot plan obtained?

  • Grade slip obtained and current?

  • Has the dig site been surveyed with off sets? If yes obtain off set sketch from surveyor

  • Have utility and services have been located with current documentation?

  • Underground / Overhead services clearly identified if present prior to work starting?

  • Has the dig site been surveyed with off sets? If yes obtain off set sketch from surveyor

  • Is the site clear and ready for the operation (out buildings, trees, power poles,equipment etc)? If no describe:

  • Are there any major pipelines or other dangers noted?

Service installation

  • Is the site to include site utility installation?

  • Is quick trenching required? Describe materials needed with sizes

  • Well installation needed? Size and material of casing.

  • Water lines and well wire to be installed? Describe with distance

  • Pitless adaptor installation?

  • Power trenching required? Describe with distance

  • Gas line to be trenched?

Acreage Excavation Check List

  • Is the site clear and ready for the operation (out buildings, trees, power poles, etc)? If no describe:

  • Is road construction required? Describe width, length, height.

  • Is erosion control needed on driveway? If yes describe:

  • Is an approach needed? Describe width, depth and length of ditch, culvert needed?

  • Is septic system needed? Determine possible location, preferred type, set back obsticals.

  • Plot plan for septic system

  • Is the land suited to type of building (walkout)? If No what is needed to complete...

  • Will material need to be hauled on or off site, or site hauled to creat grade? If Yes describe spoil pile location

  • Are there any specific backfilling instructions (gravel, compaction, grading issues)? If yes describe:

  • If other considerations describe....

General Excavation

  • Will parts be needed? Describe

  • If other special considerations describe...

  • Entrance photo

  • General area photo

  • Other photo

  • Describe directions to project site

  • Draw directions to site including major road ways and entrance to project

Safety - Environmental

  • Signature of person inspecting

  • Signature of supervisor on site

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.