EXCAVATION PRE-DIG INSPECTION

• EXCAVATION PRE-DIG INSPECTION

• Job #

  Select

• Date of Inspection:

  Date

• Weather - Select all that apply

  Select

• Superintendent (s):

  Select

• Competent Person:

• Prepared by

GENERAL SITE CONDTIONS

• A pre-task plan must be completed and reviewed with supervision prior to start of work

  Yes

  No

• Soft dig required for all existing utilities

  Yes

  No

  N/A

• Excavation, adjacent areas, and protective systems inspected by the competent person daily prior to start of work and as conditions change.

  Yes

  No

• Competent person has the authority to remove employees from the excavation immediately and stop work.

  Yes

  No

• Employees protected from loose rock/soil that could pose a hazard by falling or rolling into the excavation.

  Pass

  Fail

• Spoils, materials, and equipment set back as least 2’ from the edge of the excavation.

  Yes

  No

  N/A

• Barriers provided at all remotely located excavations, wells, pits, shafts, etc.

  Pass

  Fail

• Walkways and bridges over excavations 6’ or greater in depth are equipped with standard guardrails and toeboards.

  Yes

  No

  N/A

• Warning vests or other highly visible clothing provided and worn by all employees exposed to vehicular traffic.

  Safe

  At Risk

• Employees are required to stand away from vehicles/equipment being loaded or unloaded.

  Yes

  No

• Employees are prohibited from going or working under suspended loads.

  Yes

  No

  N/A

• Employees are prohibited from working on the faces of sloped or benched excavations above others.

  Safe

  At Risk

  N/A

• Walkways or bridges with standard guardrails are provided where personnel or equipment are required or permitted to cross over any exaction 6 feet or more in depth.

  Yes

  No

  N/A

• Fall protection provisions are implemented where workers are expected to work within 6’ of an excavation that is 6 feet or more in depth.

  Yes

  No

  N/A

UTILITIES

• Utility company or private locator service contacted and/or utilities located.

  Yes

  No

• Locations of utilities marked and markings maintained visible for duration of work.

  Yes

  No

• Underground installations protected, supported or removed when excavation is open.

  Yes

  No

  N/A

MEANS OF ACCESS AND EGRESS

• Unobstructed lateral travel to access point no greater than 25’ in excavations and 4’ in depth.

  Yes

  No

  N/A

• Ladders used in excavations secured and extended 3’ above the edge of the trench.

  Yes

  No

  N/A

• Structural ramps used by employees designed by a competent person.

  Yes

  No

  N/A

• Ramps constructed of materials of uniform thickness, cleated together on the bottom and equipped with a no-slip surface.

  Yes

  No

  N/A

• Employees are protected from cave-ins when entering or exiting excavations.

  Yes

  No

  N/A

• Yes

  No

  N/A

WET CONDITIONS

• Precautions taken to protect employees from the accumulation of water.

  Yes

  No

  N/A

• Water removal equipment and conditions monitored by the competent person.

  Yes

  No

  N/A

• Surface water or runoff diverted or controlled to prevent accumulation in the excavation.

  Yes

  No

  N/A

• Inspections made after any adverse weather event or other hazard increasing occurrence.

  Yes

  No

PROTECTIVE AND SUPPORT SYSTEMS

• Materials and/or equipment for support systems selected based on soil analysis, depth, width and expected loads.

  Yes

  No

  N/A

• Materials and equipment used for protective systems inspected and in good condition.

  Yes

  No

  N/A

• Materials and equipment not in good condition have been tagged and removed from service.

  Yes

  No

  N/A

• Protective systems installed without exposing employees to the hazards of cave-ins, collapse or threat of being struck by materials or equipment.

  Yes

  No

  N/A

• Members of support system securely fastened to prevent failure.

  Yes

  No

  N/A

• Support systems provided to ensure stability of adjacent structures, buildings, roadways, sidewalks, walls, etc.

  Yes

  No

  N/A

• Backfilling progresses with removal of the support system.

  Yes

  No

  N/A

• Excavate material to a level no greater than 2’ below the bottom of the support system and only if the system is designed to support the loads calculated for the full depth.

  Yes

  No

  N/A