Coastal Excavation Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Excavation Inspection form completed by Excavation CP prior to entry into excavation.

  Yes

  No

  N/A

• The Competent Person has been identified

  Safe

  At Risk

  N/A

• The CP has documentation of training in soil analysis, use of protective systems, and requirements of 29CFR1926 Subpart P?

  Safe

  At Risk

  N/A

• The soil has been analyzed by the CP

  Safe

  At Risk

  N/A

• Employees are not jumping over excavations - walkways provided or employees find alternate route

  Safe

  At Risk

  N/A

• Hard hats, safety glasses, gloves, safety boots, reflective vests worn

  Safe

  At Risk

  N/A

• Permit on the job site and complete

  Safe

  At Risk

  N/A

• All employees signed in on permit before starting work

  Safe

  At Risk

  N/A

• All permit requirements being followed

  Safe

  At Risk

  N/A

• Precautions taken to protect employees from water accumulation

  Safe

  At Risk

  N/A

• Spotter or other warning system (stop logs, audible alarm) in use while operating equipment near excavation edge

  Safe

  At Risk

  N/A

• No loads are lifted overhead over any employees working in/around the excavation

  Safe

  At Risk

  N/A

• Tag lines are in use while lifting/lowering material

  Safe

  At Risk

  N/A

Color codes RED - electric power lines, cables, conduit, & lighting cables YELLOW - gas, oil, steam ORANGE - communication, alarm, signal lines, cable, or conduit BLUE - water, irrigation, slurry lines GREEN - sewers, drain lines PINK - temporary survey markings WHITE - proposed excavation

Utilities

• One Call has been performed

  Safe

  At Risk

  N/A

• One Call tickets are received at least 48 hours prior to digging

  Safe

  At Risk

  N/A

• One Call tickets are updated at least every 14 days

  Safe

  At Risk

  N/A

• Positive responses from One Call received

  Safe

  At Risk

  N/A

• Line locations are exactly and clearly marked

  Safe

  At Risk

  N/A

• Probing performed safely to locate lines - probe 3' dig 1' - until lines located above grade

  Yes

  No

  N/A

• Probe bar is snub nosed or has rounded tip to prevent coating damage

  Safe

  At Risk

  N/A

• Hand digging or hydro-excavating within 18" of lines

  Safe

  At Risk

  N/A

• Spotter in use until all lines are located above grade

  Safe

  At Risk

  N/A

Access/Egress

• Approved means of access/egress in all excavations more than 4' deep

  Safe

  At Risk

  N/A

• All employees within 25' of access/egress

  Safe

  At Risk

  N/A

• Ladders anchored to prevent movement at top and bottom

  Safe

  At Risk

  N/A

• Ladders used in excavation extend at least 3' above access point

  Safe

  At Risk

  N/A

• Structural ramps used by employees designed by competent person

  Safe

  At Risk

  N/A

• Structural ramps used for equipment designed by registered professional engineer

  Safe

  At Risk

  N/A

• Structural ramps constructed of materials with uniform thickness, cleated together and equipped with non-slip surfaces

  Safe

  At Risk

  N/A

• No tools, material, equipment, etc. placed within 3' of access/egress points

  Yes

  No

  N/A

• Excavations protected if left open while unattended

  Safe

  At Risk

  N/A

• Barricades in place to restrict employee movement from bell hole to unprotected trench

  Safe

  At Risk

  N/A

Hazardous Atmosphere

• Verification provided that oxygen level is between 19.5% and 23.5%

  Safe

  At Risk

  N/A

• Verification provided that atmosphere is less than 10% of the LEL

  Safe

  At Risk

  N/A

• Emergency rescue available

  Safe

  At Risk

  N/A

Personnel Protection

• Employees are not working on the slope or benched walls above other employees

  Safe

  At Risk

  N/A

• Spoil piles, material, tools and equipment are kept 4' from edge of excavation

  Safe

  At Risk

  N/A

• Spoil pile is far enough away to not create extra pressure on excavation walls

  Safe

  At Risk

  N/A

• Spoil pile is sloped to prevent collapse back into excavation

  Safe

  At Risk

  N/A

• Support is provided to adjacent structures - buildings, utility poles, additional excavations, roadways, etc

  Safe

  At Risk

  N/A

• Spotter or audible alarm in use with heavy equipment

  Yes

  No

  N/A

Sloping/Benching

• Type of soil

  A

  B

  C

  Stable Rock

• Appropriate sloping/benching provided for soil type:<br>3/4:1 - A<br>1:1 - B<br>1 1/2: 1 - C

  Safe

  At Risk

  N/A

• If Type C soil, sides are not benched

  Safe

  At Risk

  N/A

Shielding/Shoring

• System is adequate protection for soil type, excavation depth and expected loads

  Safe

  At Risk

  N/A

• System is at least 18" above top of walls and no more than 2' from bottom of excavation

  Safe

  At Risk

  N/A

• The system was installed from the bottom up

  Safe

  At Risk

  N/A

• During removal, system was prevented from collapsing or other movement to protect workers performing removal

  Safe

  At Risk

  N/A

• Employees remain within the protective system at all times - including access/egress

  Safe

  At Risk

  N/A

• System equipment is inspected and in good condition

  Safe

  At Risk

  N/A

• Damaged equipment is immediately removed from service

  Safe

  At Risk

  N/A

• The system is securely set so as to prevent failure or movement

  Yes

  No

  N/A

• Employees are not in system during vertical movement

  Safe

  At Risk

  N/A

Comments

Signatures

• Supervisor

  Sign

• Auditor

  Sign

• Client Rep

  Sign