Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Inspectors Name:

  • Inspectors Signature:

  • Work location
  • Date

  • Permit No.

  • Work Description

Weather

  • Rain

  • Ice / Freezing / Other

Surface Conditions

  • No Surface Cracks

  • Equip / Materials away from edge

  • Spoil away from edges

  • Vibration sources

  • Barricading in place ( Humans, animals, Vegetation )

  • Lighting in place

  • Walkways and bridges

Sloping, Benching or Shoring

  • Compliance with Design

  • In place and functioning

  • Movement or deflection

Excavation

  • Adequate Access / Egress for employees and fauna

  • Stairs, Ladders and ramps

  • Dewatering / No standing water

  • Build up of gasses

Compliance with Permits, Procedures and Job Requirements

  • Excavation and trench permit

  • Recorded on Excavation Permit Register

  • Task Risk Assesment

  • Isolation, Lock out / Tag out

  • PPE

Additional Information

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.