Information
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Site conducted
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Audit Title
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PIC
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Conducted on
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Prepared by
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Location
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Location of trench on job site
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Excavation Competent Person
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Utilities - Are underground utilities marked and Georgia 811 - One Call ticket current?
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Have utilities been exposed if excavation is being completed within the tolerance zone (18" from either edge of utility - pipe, cable, etc.)?
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Soil Classification
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Are employees working in excavations protected from "Cave-ins"
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Type of Protective System in use
- Sloping
- Trench Box
- Shoring
- N/A - Trench is less than 5' in depth and deemed safe to enter by the GDP designated Competent Person
- Other
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Are the slopes of the excavation at least 1.5 to 1 angle/34 degrees?
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If a trench box is being used is the tabulated data on site?
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Are employees working in excavation deeper than 4' provided with ladder or ramp for access/egress?
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Is the ladder or ramp at least 25' from employees working in trench?
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Other Excavation hazards present (spoil piles, materials, tools, etc., back at least 2', etc)?
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Is there accumulated water in trench?
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Are equipment operators aware of existing and operating equipment a safe distance from overhead power lines?
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Are any other construction activities near the trench?
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Have boulders, signs, utility poles, trees, etc. in the area been removed or supported?
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Is there any vehicular traffic near the trench?
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Can the trench be classified as a Confined Space?
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Other
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Other
