Permit to Dig V2

• Site conducted

  Select

• Customer Name

• Job Name

• Location
  Address

• Add plan if relevant

  Media

• Permit To Dig No.

• Site and extent / length of excavation this permit covers

• Permit to Dig valid from (date)

  Date

• Permit to Dig valid to (date)

  Date

• Project Manager of Contract

• Brief description of work

Permit Closure on Completion

• I confirm the works are complete and that the work area has been left protected or reinstated and tidy

• Signed:

  Sign

• Name:

• Position:

  Select Project Manager Contracts Manager Site Manager Section Manager Supervisor Foreman Plant Operator Groundworker/Banksman Site Operative

  • Project Manager
  • Contracts Manager
  • Site Manager
  • Section Manager
  • Supervisor
  • Foreman
  • Plant Operator
  • Groundworker/Banksman
  • Site Operative

• Date:

  Date

• Are all the relevant task plans / drawings and specifications available and have these been fully communicated to operatives

  Yes

  No

  N/A

• Are the RAMS specific to this task, communicated to and signed on by all operatives

  Yes

  No

  N/A

• Are Service Searches completed, the underground service plans for the site available and these reviewed and checked

  Yes

  No

  N/A

• State any known Services within Dig Area

  Select Land Drainage Foul Drainage Sewer Storm Drainage Overhead Electricity Overhead Telecoms Underground Cable Telecoms Gas Main Water Main Fibre Optic Ducting Ground Source Heating Irrigation CCTV

  • Land Drainage
  • Foul Drainage
  • Sewer
  • Storm Drainage
  • Overhead Electricity
  • Overhead Telecoms
  • Underground Cable
  • Telecoms
  • Gas Main
  • Water Main
  • Fibre Optic
  • Ducting
  • Ground Source Heating
  • Irrigation
  • CCTV

• Has the site been visually inspected for any above ground indicators of services?

  Yes

  No

  N/A

• If working / excavating within 6m of an overhead utility, is GS6 Protection in place?

  Yes

  No

  N/A

• Based on the evaluation of this job / site are there any utilities or services that require physical location by hand or air excavation prior to main excavations to confirm depth and position?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Details

• Has service location been completed on this job?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Is GPR service location required for this job?

  Yes

  No

  N/A

• Do you have an approved Traffic Management Plan for this site and has the traffic management been set up in accordance with it?

  Yes

  No

  N/A

• State what provision has been made for the environmental impacted (e.g. spoil disposal, sediment control, archaeology etc.) and stakeholder impacts (e.g. disruption)

• State any special requirements in relation to unique services (e.g. easements or restrictions to power lines, major gas or water mains or fibre optic cables, power cables etc.

• Have all underground services been marked on the site by the utility company(s)?

  Yes

  No

  N/A

• Has the location and outline of the proposed trench been set and marked out?

  Yes

  No

  N/A

• Has a scan of the area within the area of the proposed excavation been completed? This check should be completed with a cable detector (with genny) and GPR (if required) by either trained members of the Team or by an approved external party.

  Yes

  No

  N/A

• Is a CAT & Genny present during all works and a trained person to use

  Yes

  No

  N/A

• Details of model ID, Calibration dates and person to use

• CAT Scanning should be undertaken regularly through the dig to confirm the location or presence of any Service

• Has all service location or checking by the chosen method been completed?

  Yes

  No

  N/A

• Have all known (and indicated) services been identified and located?<br>If not, then stop work until they have been found. If yes, then proceed with excavation.

  Yes

  No

  N/A

• Do all operatives fully understand the brief for the works in this section and the specific requirements due to service location

  Yes

  No

  N/A

• This Permit To Dig is valid from:

  Date

• Until:

  Date

• This Permit to Dig can only be provided by a Senior Manager, Supervisor or Engineer only

  Sign
Each person receiving the Permit To Dig

• I fully understand the limits of this Permit To Dig and will comply with any requirements of this or the RAMS accordingly.

  Sign

• Position on Team

  Select Project Manager Contracts Manager Site Manager Section Manager Supervisor Foreman Plant Operator Groundworker/Banksman Site Operative

  • Project Manager
  • Contracts Manager
  • Site Manager
  • Section Manager
  • Supervisor
  • Foreman
  • Plant Operator
  • Groundworker/Banksman
  • Site Operative