Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Trench details

  • Location

  • Personnel

SERVICES, PIPELINES & DRAINAGE

  • Has the trench Location, Line & Depth been set out to Plans

  • For Drainage are Inverts and Falls confirmed

  • Have Plans been assessed to locate any services and drainage within the work area

  • STOP. Do not proceed until Service Plans have been assessed

  • Has a visual assessment of the work area been made to check for presence of undocumented services or pipelines

  • STOP. Do not proceed until a visual assessment is made

  • Have all utilities and drainage been located prior to beginning trenching operations?

  • STOP. Do not proceed until Service Plans have been assessed & CAT Scan has located all utilities.

  • Has a CAT Scan been undertaken

  • STOP. Do not proceed until a CAT Scan has been undertaken

  • Do Services require physical location to check position and depth

  • Confirm Location & Depth

  • Show evidence

  • Provide details of CAT Calibration dates

  • Add media

  • Are adjacent structures affected by the works and do they require stabilisation or protection to prevent collapse?

  • Show Notes

  • STOP trenching operation immediately. Inform MJA Management and Cimolai Rimond Managers, make the area safe and await further instruction.

  • Are other Features or Trees protected and identified?

  • Show Notes

  • STOP trenching operation immediately. Inform MJA Management and Cimolai Rimond Managers, make the area safe and await further instruction

SOIL TESTING

  • Has a VISUAL test been performed or will test be performed to classify the soil type?

  • What type(s) of test?

  • STOP. For Deep Excavations over 600mm at least one visual and one manual test is required to be documented.

  • Has a MANUAL test been performed or will test be performed to classify the soil type?

  • What type(s) of test?

  • STOP. For Deep Excavations at least one visual and one manual test is required to be documented.

  • What is the soil classification?

EMPLOYEE PROTECTION

  • Are Barriers in place for the works

  • Are all spoils and equipment to be kept at least 1m from the edge of the trench?

  • Add media

  • STOP trenching operation and inform Supervisor. Do not continue until materials or equipment are moved back from trench.

  • Is the trench more than 300mm deep?

  • A means of safe egress must be provided. What type(s) of egress are available?

  • Is the trench 600mm deep or more NOTE: For trenches deeper than 600mm, protective system use must be assessed and agreed. For deep trenching or poor soils Temporary Works must be designed by a registered professional engineer.

  • What type of protective system is being used? NOTE: if no protective system is being used, STOP operation immediately, inform Supervisor and Site Manager.

  • Are employees protected from cave-in hazards when entering or exiting the trench box

  • Add media

  • STOP trenching operation. Inform Site Management and establish proper means of egress from trench box.

  • Is the distance between the bottom of the trench box and the bottom of the trench no more than 450mm?

  • Add media

  • STOP trenching operation. Inform Site Management and make necessary adjustments prior to continuing work.

  • Provide information on System employed

  • Is the trench exposed to vehicular traffic or mobile equipment?

  • IF the operator does not have a clear and direct view of the edge, is a warning system in place?

  • Define

  • Is the trench free of operations which would make it a permit required confined space such as hazardous equipment, toxic chemicals in the work processes, exposure to nearby roads?

  • Add media

  • STOP trenching operation. Inform Supervisor and Safety Manager.

GENERAL

  • Is there a competent person present to oversee trenching operations?

  • Name of competent person?

  • STOP. Work is not allowed without a competent person present.

  • Are trench inspections documented?

  • Provide excavation checklist to foreman.

  • How many times per day?

  • Is this excavation safe to proceed

  • Signed:

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.