Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Location
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Prepared by
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Personnel
Introduction
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Project / Site Name
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Excavation Depth, Width and Length (m)
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Has the Competent Person had training in excavation and trench safety?
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Name of Competent Person
Soil Analysis
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Is soil analysis and classification required prior to excavation?
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Has the Competent Person had training in, are knowledgable about soil analysis
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Soil analysis method used
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Soil classification
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Select soil characteristics (select all that apply)
- Cemented
- Layered
- Fissured
- Cohesive
- Plastic
- Granular
- Dry
- Moist
- Saturated
- Submerged
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Are any soil contaminants present?
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Detail soil contaminants and quantity
General
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Has a Risk Assessment been completed by a Competent Person?
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When are excavations, adjacent areas, and protective systems inspected by a competent person?
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Underground utilities located, marked and noted, with operator and relevant personnel informed?
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Is Traffic Control in place where required?
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Are hard hats and all other appropriate PPE worn by all employees?
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Are all employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation?
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Are barriers provided at all remotely located excavations, wells, pits, shafts, etc.?
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Are walkways and bridges over excavations equipped with standard guard rails and toe-boards?
Protective and Support Systems
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Type of protective system being used?
- Shoring
- Hydraulic Shoring
- Shielding
- Soldier Sets
- Battering / Sloping
- Benching
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Protective system appropriate for soil type, trench size and expected loads?
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Have materials and equipment used for protective / support systems been inspected by the Competent Person and found to be in good condition?
Access & Egress
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Are there safe means of egress regularly spaced across space of excavation?
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Walkways, bridges, ladders and ramps are in safe, secure positions?
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Are all personnel reasonably able to use access and egress?
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Are all personnel familiar with emergency, rescue and evacuation procedures?
Sign Off
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Name & Signature of Competent Person
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Name & Signature of Site Foreman / Supervisor