Title Page

  • Conducted on

  • Prepared by

  • Location
  • Has risk assessment been prepared

  • Is area ready for excavations - existing services identified

  • Are levels and excavations accurate

  • Is formation suitable

  • Is necessary shoring in place

  • Has pipe bedding been properly laid

  • Is pipe correct size and properly aligned

  • Are all branches installed

  • Are manholes correctly positioned and formed

  • Have pipe runs been pressure tested

  • Is pipe surround correct

  • Has backfill been correctly compacted

  • Is surface properly reinstated

  • Has surplus excavated material been removed

  • Is area left clean for following trade

  • Are manholes safely covered

  • Have any open drain ends been temporarily sealed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.