Excavation Checklist

• Document No.

• Audit Title

• Client

• Site:

• Conducted on

  Date

• Time:

  Date

• Location

  Select Main House Curtilage River Lake Wetland Cascades Tip Area Helipad Field Stables Area Estate Workers Cottage 1 Gate 3 Estate Workers Cottage 2 Service Yard Marquee Area Road

  • Main House Curtilage
  • River
  • Lake
  • Wetland
  • Cascades
  • Tip Area
  • Helipad Field
  • Stables Area
  • Estate Workers Cottage 1
  • Gate 3
  • Estate Workers Cottage 2
  • Service Yard
  • Marquee Area
  • Road

• Define

• Excavation Description

  Select Trenching <600mm Trenching >600mm Bulk Excavation Reduce Dig to Formation Key or Bench forming Cut & Filling Formation Trim Foundations Stockpile

  • Trenching <600mm
  • Trenching >600mm
  • Bulk Excavation
  • Reduce Dig to Formation
  • Key or Bench forming
  • Cut & Filling
  • Formation Trim
  • Foundations
  • Stockpile

• Prepared by

• Personnel in attendance

Inspection Certification

• Plan Location

  Media

• Excavation Permit Available?

  Yes

  No

  N/A

• Scan/Picture of Permit

  Media

• Excavation Permit Number:

Inspection Purpose

• Daily required inspection prior to begining

• Routine inspection during work

• After storm *rain, snow, etc

• After hazardous condition

• Other

• Please Describe

Current Conditions

• Terrain

• Ground Conditions

• Weather

• Water accumulation

  Yes

  No

  N/A

• Please define

• Is Pumping required

  Yes

  No

  N/A

• Traffic conditions

  Good

  Fair

  Poor

  N/A

• Heavy equipment location

  Good

  Fair

  Poor

  N/A

• Heavy materials location

  Good

  Fair

  Poor

  N/A

• Spoils location

  Good

  Fair

  Poor

  N/A

• Building proximity to spoils

  Yes

  No

  N/A

• Possible vibration sources

  Yes

  No

  N/A

• Previously disturbed soil

  Yes

  No

  N/A

• Excavation Type

  Select Trenching <600mm Trenching >600mm Bulk Excavation Reduce Dig to Formation Key or Bench forming Cut & Filling Formation Trim Foundations Stockpile

  • Trenching <600mm
  • Trenching >600mm
  • Bulk Excavation
  • Reduce Dig to Formation
  • Key or Bench forming
  • Cut & Filling
  • Formation Trim
  • Foundations
  • Stockpile

• Excavation length

• Excavation width

• Excavation depth

• Other trench characteristics

• Access/egress conditions

  Good

  Fair

  Poor

  N/A

• Toxic or hazardous atmosphere source

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Changing Conditions/change of plan:

Site Survey

• The excavation is within the original scope of the excavation permit

  Yes

  No

  N/A

• Excavation permit conditions for disposal, shielding, & training are being adhered to

  Yes

  No

  N/A

• Utility survey markings are complete, accurate, & legible

  Yes

  No

  N/A

• Storm drains are adequately protected from sediment

  Yes

  No

  N/A

• Excavated materials are at least 1m from the edge of excavation

  Yes

  No

  N/A

• Shoring equipment is damaged<br>(If yes please describe below)

  Yes

  No

  N/A

• Nature of damage:

Protective Systems

• Check one of the following

• No System Required

• Sheet Pile

• Trench Box

• Slope is 1.5:1

• Slope is __________ based on soil type (Please fill in below)

• Degree of slope:

• Stepped Excavation minimum 1m by 1m

• Stepped Excavation is ___________based on soil type (Please fill in below)

• Steps formed to:

Soils Analysis/Classification

• Note: soil does not need to be reclassified every inspection but should be reviewed & updated if conditions change - Describe Soil as found

• SOIL CLASSIFICATION AND IDENTIFICATION Visual soil classification

  Select Stable Rock Loose, Fragmented, Layered or Shale Rock Firm Clays Loams, Silty Clays Soft Wet Clays Gravels Sands Running Sand Hardcore or other buried material Granular Sub-bases, Foundations or Surfaces Previously Disturbed Ground Organic Material or Peat Topsoil

  • Stable Rock
  • Loose, Fragmented, Layered or Shale Rock
  • Firm Clays
  • Loams, Silty Clays
  • Soft Wet Clays
  • Gravels
  • Sands
  • Running Sand
  • Hardcore or other buried material
  • Granular Sub-bases, Foundations or Surfaces
  • Previously Disturbed Ground
  • Organic Material or Peat
  • Topsoil

Soil Characteristics (check all that apply)

• Describe Soil Characteristics

  Select Cemented Firm Hard Soft Cohesive Layered Dry Damp Wet Saturated Granular Submerged Undisturbed Disturbed

  • Cemented
  • Firm
  • Hard
  • Soft
  • Cohesive
  • Layered
  • Dry
  • Damp
  • Wet
  • Saturated
  • Granular
  • Submerged
  • Undisturbed
  • Disturbed

Soils Analysis Method(s)

• Visual

• Manual

Excavation Sign Off

• Is the Protective System safe and all barriers in place

  Yes

  No

  N/A

• Cease works immediately and make the work area safe as appropriate, prevent any access or further works until appropriate action is agreed

• Comments:

• Are there any signs of wall or slope failure, slippage, shearing , trench collapse, water ingress or unstable ground that require attention or change in method

  Yes

  No

  N/A

• Cease works immediately and make the work area safe if appropriate, prevent any access or further works until appropriate action is agreed

• Comments:

• Are the Excavations sound and safe for works to continue

  Safe

  At Risk

  N/A

• Signed:

  Sign

• Name:

  Select Barry Pace Colin Henley Graham Humphries Jim Price Jamie Ormerod Jack O'Leary Ton Van Vuuren

  • Barry Pace
  • Colin Henley
  • Graham Humphries
  • Jim Price
  • Jamie Ormerod
  • Jack O'Leary
  • Ton Van Vuuren

• Date:

  Date