Niblock Site Management-Machine Excavation Permit to Work

• Conducted on

  Date

• Prepared by

Guidance: Site Management must use this Permit to Dig when carrying out Machine Excavations in an environment where underground services may be present which could give rise to fire, explosions and electrocutions etc. A copy of this document should be used as a working document on site and kept on site for the duration of this project in the site safety file. Support documentation is contained in Part two of the Policy for further guidance.

• Project Name:

• Permit to Dig Safety Checklist: (Please tick the box upon reviewing the relevant service drawings)

• Electric

• Gas

• BT

• Water

• Cable TV

• National Grid

• Sewers

• Other

• Service route traced will be marked outside the line of dig (Please confirm)

• Service routes traced and marked will be located by hand (Please confirm)

• Personnel will be suitably instructed in accordance with safety procedures and adequate equipment is available (Please confirm)

• Is a Banksman required?

  Yes

  No

  N/A