Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Project Details
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Select date
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Describe the project details and operations to be performed
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Project Address
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Front of lot
General Excavation
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Is General excavating required?
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Describe the excavation to take place (trenching, well hook ups, etc)
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Will parts be needed? Describe
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Is a third party involved? Describe with name and phone
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Draw directions to site including major road ways and entrance to project
City Excavation Check List
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Is Residencial or commercial building excavating needed?
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Current versions of Plans are on site and confirmed?
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Grade slip obtained and current?
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Permits are confirmed (building, septic, demolition, sewer, water)?
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Have locates been completed?
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Has the dig site been surveyed with off sets? If yes obtain off set sketch from surveyor
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Are there any sunken areas in living space, complete with tar and weeping tile?
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Underground / Overhead services clearly identified if present prior to work starting?
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Will material need to be hauled off site do to lack of site storage conditions? If Yes describe spoil pile location
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Is the land suited to type of building (walkout)? If No what is needed to complete...
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Are there obstacles impeding excavation or storing materials?
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Has the dig site been surveyed with off sets? If yes obtain off set sketch from surveyor
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Is erosion control needed on driveway? If yes describe:
Demolition
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Is any demolition required (if yes fill out demolition assessment)
Service installation and Trenching
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Is NEW utility installation required? Describe:
Service description
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Quick trench installation?
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Describe if water, sewer and storm is needed? Include distances to property line
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What is distance from house to property line for services
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Are there any obstructions to the installation? (If yes take a picture)
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Picture of work area?
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Is gas trenching required?
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Describe trench needed (depth and length and bedding)
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Are there any obstructions to the installation? (If yes take a picture)
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Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?
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Are there any obstructions to the installation? (If yes take a picture)
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Picture of work area?
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Are Power and Telus trenching required?
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Are there any obstructions to the installation? (If yes take a picture)
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Describe trench needed (depth and length and bedding)
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Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?
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Are there any obstructions to the installation? (If yes take a picture)
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Picture of work area?
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City of Calgary commercial utility installation
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Have permits for inspections have been obtained through City site Servicing department?
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Have a current complete set of plans been obtained?
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Briefly describe scope of work?
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Are there any obstructions to the installation? (If yes take a picture)
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Utility installation - city/town/municipality has been notified of installation and all documentations and permits obtained with any testing that may be required?
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Are there any obstructions to the installation? (If yes take a picture)
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Picture of work area?
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Will material need to be hauled off site do to lack of site storage conditions? If Yes, describe spoil pile location
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Will traffic control be needed?
Site Pictures
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Front
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Left Side
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Right Side
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Rear
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Gas, power, water/Sewer
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Alley, Street, Services, Other
Safety/Utilities/Environmental
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If utilities are in work area describe each.
Utility
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Type of utility
- gas
- power
- water
- sewer
- storm
- other
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Describe location and any issue with excavation
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Describe any hazards present
Hazard
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Has a hazard assessment been performed? If No, complete
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Hazardous substances and dangerous goods clearly identified (labels) and correctly stored?
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Are there any special Environmental / Cultural Heritage considerations for this project?
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PPE review - all personnel including subcontractors wearing the minimum and appropriate PPE for the job?
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Safety issues raised at daily Pre-starts or toolbox meetings have been noted and addressed?
Sign Off
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Signature of person inspecting
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Signature of supervisor on site