General Excavating

• Client / Site

• Location
  Address

• Superintendent

• Conducted on

  Date

• Current weather conditions:

• Is The competent person on site?

  Yes

  No

  N/A

• Were all known trenches and/or excavations inspected?

  Yes

  No

  N/A

• Was utility location Service called prior to digging?

  Yes

  No

  N/A

• Is the trench more than 4 feet deep?

  Yes

  No

• Is the spoil pile more than 2 feet from the edge of the trench?

  Yes

  No

  N/A

• Are ladders or slopes placed so that no more than 25 feet of travel is required to enter or exit the trench?

  Yes

  No

  N/A

• Is traffic in area adequately kept away from trenching operations with barricades?

  Yes

  No

  N/A

• Are employees wearing the appropriate PPE?

  Yes

  No

  N/A

• Is the sloping or benching done according to OSHA specifications?

  Yes

  No

  N/A

• Is the trench box appropriate for the depth of trench?

  Yes

  No

  N/A

• Is the type of shoring used appropriate for the trench?

  Yes

  No

  N/A

• Was the shoring installed according to manufacturer specifications?

  Yes

  No

  N/A

• According to the foreman, or shoring jacks pumped to design pressure?

  Yes

  No

  N/A

• Is there evidence of caving or sloughing of soil since last inspection?

  Yes

  No

• Is there evidence of shrinkage cracks in trench walls?

  Yes

  No

• Was any water seepage noted trench walls or trench bottom?

  Yes

  No

• Where any tension cracks observed along the top of any slope?

  Yes

  No

• Is there evidence of significant fracture planes in soil or rock?

  Yes

  No

• Trees, boulders, overhead power lines, or other hazards in area?

  Yes

  No

• Vibrations from equipment or traffic too close to trench?

  Yes

  No

• At the time of inspection, where there any liability issues?

  Yes

  No

• Two methods for soil identification:

  Select Visual Penetrometer Thumb Penetration Plasticity Dry Strength Other (lab analysis, etc.)

  • Visual
  • Penetrometer
  • Thumb Penetration
  • Plasticity
  • Dry Strength
  • Other (lab analysis, etc.)

• Soil classification:

  Select Type A Type B Type C

  • Type A
  • Type B
  • Type C

• Recommended slope:

  1 to 3/4

  1 to 1

  1 to 1 1/2

  N/A

• Observations/comments:

Signature

• Disclaimer-All hazards and site conditions listed in this report are for the conditions of the site at the time of inspection only. Consultant assumes no liability for hazardous conditions that may or may not have been seen at the time of inspection. Consultant assumes no liability for any corrective actions taken by the employer to abate hazardous conditions.

• GE Superintendent Signature

  Sign