EXCAVATION INSPECTION

• EXCAVATION INSPECTION

• Jobsite:

  Select

• Date of Inspection:

  Date

• Weather (Take Screenshot from Heat Index App)

  Media

• Superintendent: (Competent Person)

  Select

• Prepared by

1. GENERAL INSPECTION OF JOBSITE:

• 1.1 Excavations, Adjacent areas, and Protective Systems Inspected by Competent Person Daily Before the Start of Work

  Yes

  No

• 1.2 Competent Person has the Authority to Remove Employees from the Excavation Immediately

  Yes

  No

• 1.3 Employees Protected from Loose Rock or Soil that Could Pose a Hazard by Falling or Rolling into the Excavation

  Yes

  No

• 1.4 Hard Hats Worn by All Employees

  Yes

  No

• 1.5 Is Excavated Material Stored Two Feet or More from Edge of Excavation

  Yes

  No

• 1.6 Barriers Provided Around the Perimeter of all Excavations, Wells, Pits, Shafts, etc.

  Yes

  No

• 1.7 Walkways and Bridges over Excavations Four Feet or More in Depth are Equipped with Standard Guardrails

  Yes

  No

  N/A

• 1.8 Warning Vests or other Highly Visible Clothing Provided and Worn by all Employees Exposed to Machinery

  Yes

  No

• 1.9 Employees Required to Stand Away from Vehicles Being Loaded or Unloaded

  Yes

  No

  N/A

• 1.10 Employees Prohibited from Going Under Suspended Loads

  Yes

  No

• 1.11 Is the Excavation More than 4 Feet in Depth

  Yes

  No

• Employees Protected from Cave-ins when Entering or Exiting the Excavation

  Yes

  No

• Are There Structures/Utilities/Nearby Objects that Might Become Unstable

  Yes

  No

• Soil has a Maximum Allowable Slope of 1-1/2:1 (34 degrees)

  Yes

  No

2. UTILITIES

• 2.1 Was Sunshine 811 One Call System Contacted

  Yes

  No

  N/A

• 2.2 Exact Location of Utilities Marked

  Yes

  No

  N/A

• 2.3 Underground Installations Protected, Supported, or Removed when Excavation is Open

  Yes

  No

  N/A

3. MEANS OF ACCESS AND EGRESS:

• Access to and exit from the trench require the following conditions:

• 3.1 Is a Ladder within 25 Feet of all Workers

  Yes

  No

  N/A

• 3.2 Ladders Used in Excavations Secured and Extend Three Feet Above the Edge of Excavation

  Yes

  No

  N/A

• 3.1 Employees Protected from Cave-ins When Entering or Exiting the Excavation

  Yes

  No

  N/A

4. WET CONDITIONS:

• 4.1 Water Conditions of Excavation

  Wet

  Dry

  Submerged

• 4.2 Employees are Protected from the Accumulation of Water (surface water diversion, well-point system, water pumps, etc.)

  Yes

  No

  N/A

• 4.3 Water Removal Equipment and Conditions Monitored by the Competent Person

  Yes

  No

  N/A

• 4.4 Surface Water or Runoff Diverted or Controlled to Prevent Accumulation in the Excavation

  Yes

  No

  N/A

• 4.5 Inspections Made After Rainstorm or other Hazard-Increasing Occurrence

  Yes

  No

  N/A

5. HAZARDOUS ATMOSPHERES & CONFINED SPACES:

• Testing should be conducted before employees enter the trench and should be done regularly to ensure that the trench remains safe.

• 5.1 Hazardous Atmosphere Exist

  Yes

  No

• 5.2 Where a Hazardous Atmosphere Exists or is Expected to Exist, the Atmosphere has been Tested Before Employees Enter the Excavation

  Yes

  No

  N/A

• 5.3 Adequate Precautions Taken to Protect Employees from Exposure to an Atmosphere Containing Less than 19.5% Oxygen

  Yes

  No

  N/A

• 5.4 Is Excavation Exposed to Public Vehicular Traffic (Exhaust Emission)

  Yes

  No

• 5.5 Testing Conducted Often to Ensure that the Atmosphere Remains Safe

  Yes

  No

  N/A

6. EXPOSURE TO VEHICLES:

• Procedures to protect employees from being injured or killed by vehicle traffic include:

• 3.1 Public Exposure to Workers

  Yes

  No

• 3.3 Designated, Trained Flagperson Along with Signs, Signals, and Barricades when Necessary

  Yes

  No

  N/A

• 3.4 Does Mobile Equipment Have a Warning System

  Yes

  No

  N/A

7. TRAINING:

• Did Employees Receive Training in Excavation (Video on Dropbox)

  Yes

  No