Information
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Superintendent or Foreman
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Job Site
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Conducted on
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Prepared by
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Location
Audit Narrative
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NA = The conditions were either not present or not reviewed the day of the safety observation.
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A brief summary of observations during the safety survey: (Activities in Excavation and Protective System Used)
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Excavation Width:
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Excavation Depth:
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Type of Soil Present:
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Notes on Soil Classification System:
No soil can be Type A if fissured, subjected to significant vibration, or has been previously disturbed.
Type B also includes previously disturbed soils except those which would otherwise be classed as Type C.
Soil from which water is freely seeping will always be Type C soil . Many contractors assume all soil is Type C and enlist protections accordingly.
Safety Observations
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Designated employee parking and/ or equipment parking? Work zone signing/traffic control measures in place?
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Employees are protected from cave-ins and/or loose rock or soil that could roll into the excavation (trench box, shoring, benching, or sloping), and the protective system is correct for the soil type?
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Soils, materials, & equipment set back at least 2 feet from the edge of the excavation?
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Are employees protected from cave-ins when entering or exiting the excavation?
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Ladders or ramps for Entry/Egress – for each excavation ≥ 4 ft. (within 25 feet of workers)?
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Precautions are taken to protect employees from water accumulation hazards?
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PPE (minimum requirements, others dictated by competent person)?
Other Obervations
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Hazardous Condition or Behavior.
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Hazardous Condition or Behavior.
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Hazardous Condition or Behavior.
Sign Off
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On site representative
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Auditor's signature
