Audit

Excavation and Penetration Permit review.
Have the "Above the Line Controls" been implemented and live service(s), have been visually verified.

Is there a valid Work Permit and approved SWMS in place for the work being performed?

Take Photo of Permit

Has the Permit been registered by the Permit Issuer and is it valid within the time frame?

What services have been identified in the Excavation or Penetration Permit ?

Has a Dial Before you Dig & As built (GIS) Drawings identified for Electrical services and are clearly marked in the location?

Has a Dial Before you Dig & As built (GIS) Drawings identified for Gas services and are clearly marked in the location?

Has a Dial Before you Dig & As built (GIS) Drawings identified for Communications services and are clearly marked in the location?

Has a Dial Before you Dig & As built (GIS) Drawings identified for Water services and are clearly marked in the location?

Has a Dial Before you Dig & As built (GIS) Drawings identified for Sewer services and are clearly marked in the location?

Has a Dial Before you Dig & As built (GIS) Drawings identified the other services?

Are the Dial Before You Dig Drawings or As built, clear and identify the services or do then need expanded?

New drawings must be reproduced that identify the services clearly.

Live services (underground, embedded, concealed or overhead) are to be eliminated by relocating or diverting services away from the work zone. If this cannot be done, one or more of the following controls must be used:

Potholing and Safe Approach Distances for Underground Services

Potholing SAD-US.PNG
Prior to any surface disturbance, have all services been located by
What controls are in place prior to the removal of hard surfaces?

Have the services locations and their depth or height (as applicable) also been identified on plans and drawings ?

Have all redundant Services been marked?

Have all associated nearby pits been opened, and checked to identify services?

Prior to commencement of mechanical excavation or penetration the Permit has been approved and issued?

Has a daily inspection been completed by the Permit Holder for this work and activity?

What controls were verified at the work front?
Permit Holder to sign to say they have completed an inspection.

Are personnel aware of the how the Safe Approach Distances relevant to the voltage of the service are selected?

Action required?

Action

Allocated to

Action due
Lead Inspector to sign

Add other members of the inspection team.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.