IX Daily Excavation Inspection Form and Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

• Competent Person

• Weather Conditions

  Select Clear Overcast Rain Other

  • Clear
  • Overcast
  • Rain
  • Other

• Rain amount in last 24 hrs?

• Remember: The tolerance zone for marked lines is the WIDTH OF THE UTILITY PLUS 18" ON EACH SIDE.
  
  RED= Electric power lines, cables, conduit, and lighting cables.
  YELLOW= Gas, Oil, Steam, Petro, or Gaseous materials
  ORANGE= Communication, Alarm, or Signal lines, cable, or conduit
  BLUE= Water, Irrigation, and Slurry lines
  GREEN= Sewers and Drain lines
  PINK= Temporary Survey markings
  WHITE= Proposed excavations

Excavation Conditions

• Length:

• Width:

• Depth:

• Are all surface encumbrances removed or adequately supported?

  Yes

  No

  N/A

• Soil Conditions

  Dry

  Moist

  Partial Saturation

  Total Saturation

  Frost

Soil Testing

• Visual Test Key: Type A (Cohesive) Type B (Cohesion less) Type C (Granular)
  
  Observation of Soil Particles Rock, Clay Fine grain (Silt) Course grain (Sand, Gravel)
  Obs. of excavated soil for clumping Remains in clumps Breaks up
  Obs. of Exc. sides and adjacent areas No tension cracks, fissures, spalling Visible cracks, fissures, or spalling
  Obs. of layered soils Less than 4:1 Less than 4:1 More than 4:1
  Obs. of surface water ALWAYS TYPE C
  Obs. of vibrations (vehicular, blasting) ALWAYS TYPE C
  Evidence, knowledge of
  pre-disturbance ALWAYS TYPE C
  
  

• Visual Test used (check all that apply):

  Select Observation of soil particles Observation of soil clumping Observation of exc. sides and adj. areas Observation of layered soils Observation of surface water Observation of vibrations Evidence/knowledge of Pre-disturbance

  • Observation of soil particles
  • Observation of soil clumping
  • Observation of exc. sides and adj. areas
  • Observation of layered soils
  • Observation of surface water
  • Observation of vibrations
  • Evidence/knowledge of Pre-disturbance

• Manual Test Key: Type A (Cohesive) Type B (Cohesion less) Type C (Granular)
  
  Plasticity. Pick up more than 2". Pick up about 2". Pick up less than 2"
  Dry strength Hard to break. Less hard to break. Easy to break
  Thumb penetration 1/4" or less. 1/4"- 1". 1" or more
  Drying test (1" thick x 6" dia.). Dries w/o cracks, hard to break. Easy to break, hard to pulverize Easy to break, easy to pulverize
  Shear vane Comp. Strength >1.5 Comp. Strength <1.5, >.5 Comp. Strength <.5
  Pocket Penetrometer Comp. Strength >1.5 Comp. Strength >1.5 Comp. Strength <.5
  

• Manual Test used (check all that apply):

  Select Plasticity Dry Strength Thumb Penetration Drying Test Shear Vane Pocket Penetrometer

  • Plasticity
  • Dry Strength
  • Thumb Penetration
  • Drying Test
  • Shear Vane
  • Pocket Penetrometer

• Soil Type based on above tests

  Type A (solid rock, clay, cohesive soils)

  Type B (granular, cohesion less)

  Type C (gravel, sand, anything Pre-disturbed, anything seeping water)

Protective System

• Type being used:

  Select Slope or bench system Shoring (Timber or Metal) Shoring (Hydraulic) Trench Box Reg. Professionally Engineered

  • Slope or bench system
  • Shoring (Timber or Metal)
  • Shoring (Hydraulic)
  • Trench Box
  • Reg. Professionally Engineered

• Has the condition of the protective system changed since the initial observation?

  Yes

  No

  N/A

I acknowledge this information to be true and accurate to the best of my knowledge.

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