Information

  • Document No.

  • Project Name/Number

  • Conducted on

  • Prepared by

  • Weather Conditions:

Section 1

Excavation Competent Person Daily Checklist

  • All excavations 4ft or greater must be protected. Is depth greater than 4ft? (Sloping back, trench box, shoring, etc. must be used)

  • Is engineering report being used (over 20 ft. in depth)?

  • Have all open trenches been inspected?

  • Has soil been classified? If not consider all soil to be type "C".

  • Is sloping of trench walls being used?

  • Are slopes at proper angles?

  • Is trench box in use?

  • Is shoring in use?

  • Have utility companies been notified?

  • Are ladders or ramps in use?

  • Spoil piles located at least two feet back from the edge?

  • Loads of materials, etc. on the edge of the trench?

  • Are cracks observed along the trench?

  • Has water accumulated in the trench?

  • Any soil sloughed or caved in since yesterday?

  • Photo

  • Is soil layered?

  • Are there any other construction activities near the trench?

  • Photo

  • Is there any vehicular traffic near the trench?

  • Photo

  • Are there any utility lines near the trench?

  • Photo

Fall Protection

  • What is the depth of the trench? Over 6ft fall protection is required.

  • Is required work within 6ft of edge?

  • Is barricade needed?

Any changed conditions that effect the soil classification must be addressed and corrective action taken to protect employee safety.

  • Corrective Action Taken:

  • Competent Person Signature

  • Select date

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