Information
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Client / Site
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Conducted on
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Prepared by
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Location
SERVICES, PIPELINES & DRAINAGE
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Has the trench Location, Line & Depth been set out to Plans
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For Drainage are Inverts and Falls confirmed
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Have Plans / Council drawings been assessed to locate any services and drainage within the work area
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STOP. Do not proceed until Service Plans have been assessed
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Has a visual assessment of the work area been made to check for presence of undocumented services or pipelines / material
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STOP. Do not proceed until a visual assessment is made
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Have other services and drainage been located prior to beginning trenching operations? (Manual Digging)
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STOP. Do not proceed until the location is identified or conduct & a scan to locate all services.
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Are adjacent structures affected by the works and do they require stabilisation or protection to prevent collapse?
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Show Notes
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STOP trenching operation immediately. Inform the Client / Project manager, make the area safe and await further instruction.
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Are other Features or protected trees and habitats identified?
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Show Notes
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STOP trenching operation immediately. Inform Client or Project manager, make the area safe and await further instruction
EMPLOYEE PROTECTION
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Are Barriers or fencing in place for the works
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Are all spoils and equipment to be kept at least 1m from the edge of the trench? (applicable for trenches deeper than 1 meter)
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STOP trenching operation and inform Supervisor. Do not continue until materials or equipment are moved back from trench.
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Is the trench more than 900mm deep?
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A means of safe egress must be provided. What type(s) of egress are available?
- Ladder
- Ramp
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Is the trench 1000mm deep or more NOTE: For trenches deeper than 1000mm, protective system use must be assessed and agreed. For deep trenching or poor soils Temporary Works must be designed by a registered professional engineer.
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What type of protective system is being used? NOTE: if no protective system is being used, STOP operation immediately, inform Supervisor and Site Manager.
- Trench Box
- Shore
- Sheet Pile
- Rock (N/A)
- Slope
- Stepped Back Excavations (Min 1 m : 1 m)
- Trench Monitoring (<1 m deep only)
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Are employees protected from cave-in hazards when entering or exiting the trench box
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STOP trenching operation. Inform Site Management and establish proper means of egress from trench box.
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Provide information on System employed
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Is the trench exposed to vehicular traffic or mobile equipment?
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Does the operator have a clear and direct view of the edge, ?
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Define
- Barricades
- Hand/Arm Signals
- Stop Logs
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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?
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STOP trenching operation. Inform Supervisor and Safety Manager.
GENERAL
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Is there a competent person present to oversee trenching operations?
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Name of competent person?
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STOP. Work is not allowed without a competent person present.
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Are trench inspections documented?
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Provide excavation checklist to foreman.
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How many times per day?
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Is this excavation safe to proceed
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Signed: