Excavations

• Location / Site

• Prepared by

• Conducted on

  Date

Excavations

• Safe access and egress provided ie adequate ramps

  Yes

  No

  N/A

• Rigid guardrails, barricading or paraweb around all excavations.

  Yes

  No

  N/A

• Spoil distance from excavation to be equal to depth

  Yes

  No

  N/A

• Valid clearance in place.

  Yes

  No

  N/A

• Excavations deeper than 1.5m – side benches / battered / trench shields. Mines Dept. notifed

  Yes

  No

  N/A

• Fumes from Plant / Equipment not entering excavation.

  Yes

  No

  N/A

• SWMS in place and specific to task undertaken

  Yes

  No

  N/A

• Flashing lights / reflective tape on barricading erected on roadways and access ways.

  Yes

  No

  N/A

• Barricading maintained and in good condition.

  Yes

  No

  N/A

• Correct PPE being used for the task.

  Yes

  No

  N/A

• Prestart inspection of excavation been conducted.

  Yes

  No

  N/A

• Operator competencies verified

  Yes

  No

  N/A

• Other findings:

• Name:

• Select date

  Date

• Signature:

  Sign