Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Project Details

  • Select date

  • Describe the project details and operations to be performed

  • Project Address

  • Front of lot

General Excavation

  • Is General excavating required?

  • Describe the excavation to take place (trenching, well hook ups, etc)

  • Will parts be needed? Describe

  • Is a third party involved? Describe with name and phone

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

City Excavation Check List

  • Is Residencial or commercial building excavating needed?

  • Current versions of Plans are on site and confirmed?

  • Grade slip obtained and current?

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

  • Have locates been completed?

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

  • Are there any sunken areas in living space, complete with tar and weeping tile?

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

  • Will material need to be hauled off site do to lack of site storage conditions? If Yes describe spoil pile location

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

  • Are there obstacles impeding excavation or storing materials?

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

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

Demolition

  • Is any demolition required (if yes fill out demolition assessment)

Service installation and Trenching

  • Is NEW utility installation required? Describe:

  • Service description
  • Quick trench installation?

  • Describe if water, sewer and storm is needed? Include distances to property line

  • What is distance from house to property line for services

  • Are there any obstructions to the installation? (If yes take a picture)

  • Picture of work area?

  • Is gas trenching required?

  • Describe trench needed (depth and length and bedding)

  • Are there any obstructions to the installation? (If yes take a picture)

  • Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?

  • Are there any obstructions to the installation? (If yes take a picture)

  • Picture of work area?

  • Are Power and Telus trenching required?

  • Are there any obstructions to the installation? (If yes take a picture)

  • Describe trench needed (depth and length and bedding)

  • Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?

  • Are there any obstructions to the installation? (If yes take a picture)

  • Picture of work area?

  • City of Calgary commercial utility installation

  • Have permits for inspections have been obtained through City site Servicing department?

  • Have a current complete set of plans been obtained?

  • Briefly describe scope of work?

  • Are there any obstructions to the installation? (If yes take a picture)

  • Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?

  • Are there any obstructions to the installation? (If yes take a picture)

  • Picture of work area?

  • Will material need to be hauled off site do to lack of site storage conditions? If Yes, describe spoil pile location

  • Will traffic control be needed?

Site Pictures

  • Front

  • Left Side

  • Right Side

  • Rear

  • Gas, power, water/Sewer

  • Alley, Street, Services, Other

Safety/Utilities/Environmental

  • If utilities are in work area describe each.

  • Utility
  • Type of utility

  • Describe location and any issue with excavation

  • Describe any hazards present

  • Hazard
  • Has a hazard assessment been performed? If No, complete

  • Hazardous substances and dangerous goods clearly identified (labels) and correctly stored?

  • Are there any special Environmental / Cultural Heritage considerations for this project?

  • PPE review - all personnel including subcontractors wearing the minimum and appropriate PPE for the job?

  • Safety issues raised at daily Pre-starts or toolbox meetings have been noted and addressed?

Sign Off

  • 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.