Hogan Excavation Checklist

• Document No.

• Project Name

• Project Number

• Conducted on

  Date

• Prepared by

• Weather Conditions:

• Soil Type:

• Trench Depth:

• Length:

• Width:

• Type of Protective System:

Excavation

• Excavations and Protective Systems inspected by Competent Person daily, before start of work.

  Yes

  No

  N/A

• Competent Persons has authority to remove workers from excavation immediately.

  Yes

  No

  N/A

• Surface encumbrances supported or removed.

  Yes

  No

  N/A

• Employees protected from loose rock or soil.

  Yes

  No

  N/A

• Hard hats worn by all employees.

  Yes

  No

  N/A

• Spoils, materials, and equipment set back a minimum of 2' from edge of excavation.

  Yes

  No

  N/A

• All excavations, wells, pits, shafts, barricaded.

  Yes

  No

  N/A

• Walkways & bridges over excavations 6' or more in depth equipped with guardrails.

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Employees prohibited from working or walking under suspended loads.

  Yes

  No

  N/A

• Employees prohibited from working on excavation slopes above other employees.

  Yes

  No

  N/A

• Excavations are protected from vehicular traffic.

  Yes

  No

  N/A

• Utility companies contacted and / or utilities located.

  Yes

  No

  N/A

• Exact location of utilities marked when near excavation, potholed first?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Precautions taken to protect employees from accumulation of water.

  Yes

  No

  N/A

• Water removal equipment monitored by Competent Person.

  Yes

  No

  N/A

• Surface water controlled or diverted.

  Yes

  No

  N/A

• Inspection made after each rainstorm.

  Yes

  No

  N/A

• Atmosphere tested when there is a possibility of oxygen deficiency or build-up of hazardous gases.

  Yes

  No

  N/A

• Oxygen content is between 19.5% and 21%.

  Yes

  No

  N/A

• Ventilation provided to prevent flammable gas build-up to 20% of lower explosive limit of the gas

  Yes

  No

  N/A

• Testing conducted to ensure that atmosphere remains safe.

  Yes

  No

  N/A

• Emergency Response Equipment readily available where a hazardous atmosphere could or does exist.

  Yes

  No

  N/A

• Employees trained in the use of PPE and Emergency Response Equipment.

  Yes

  No

  N/A

• Safety harness and life line individually attended when employees enter deep confined excavation

  Yes

  No

  N/A

• Signature of Competent Person

  Sign