Reilly Contractors Excavation Inspection - Rev 1

• Document No.

• Reilly Contractors

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Documentation

• Crew Hazard Assessment completed? Adequate hazards and controls identified? All crew members signed on?

  Yes

  No

  N/A

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  Media

• Plant and vehicle pre start sheets being completed

  Yes

  No

  N/A

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  Media

• Are workers signed on to site Dig Permit

  Yes

  No

  N/A

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  Media

• Current/valid one calls (Dial Before You Dig) on site, available

  Yes

  No

  N/A

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  Media

Plant Operation

• Plant reversing alarm working

  Yes

  No

  N/A

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  Media

• Plant and vehicle flashing lights operational

  Yes

  No

  N/A

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  Media

• Is plant in good working order are any defects listed on plant prestart

  Yes

  No

  N/A

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  Media

Excavation Code of Practice

• Appropriate signs displayed i.e. construction signage, deep excavation , deep water, danger keep out

  Yes

  No

  N/A

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  Media

• Are all Reilly installed services protected? All steel plates and lids pegged or bunted off, or riser in place, and pegged off outside of road verge and road pegs?

  Yes

  No

  N/A

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  Media

• All existing services and assets protected? Both underground and overhead services protected, located, cable locates image on site of applicable (4 P’s method being used)

  Yes

  No

  N/A

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  Media

• Access/egress - ramp positioned no more than every 30m along the trench and angle not exceeding 45 degrees, or steps cut into the excavation every 30m

  Yes

  No

  N/A

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  Media

• Excavation - <br>1. All excavation 1.2m to 1.5m benched/battered<br>2. Bunting around excavations visible from a distance<br>2. Barrier around excavation work adjacent to schools and other public facilities/roads<br>3. Barrier around excavation that poses a fall hazard to workers and the public

  Yes

  No

  N/A

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  Media

• Where batters and benches cannot meet Excavation COP, adequate shoring/boxes used?<br>Adequate access in/out and boxes?

  Yes

  No

  N/A

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  Media

• Spoils being used as a windrow are of adequate size and protects workers from driving into excavation?

  Yes

  No

  N/A

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  Media

• Is there delineation between pedestrian and vehicle tracks/paths and excavation?

  Yes

  No

  N/A

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  Media

• Pedestrian and plant interface suitable? Plant vs plant/vehicle interface suitable? Enough distance allowed?

  Yes

  No

  N/A

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  Media

• Excavated materials, plant and equipment / personnel set back >600mm from edge of excavation?

  Yes

  No

  N/A

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  Media

• Buckets and other attachments minimum >2000mm from edge of excavation?

  Yes

  No

  N/A

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  Media

• Works undertaken on/or adjacent to public road have valid TMP? Are sufficient colour copies of the TMP on site? Are the signs laid out as per the plan? Has the SWMS been completed and other relevant paperwork?

  Yes

  No

  N/A

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  Media

• Slip, slop, slap mentality for summer months/warm clothing for winter months

  Yes

  No

  N/A

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  Media

• Hard hats worn at all times

  Yes

  No

  N/A

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Corrective and preventative actions

• Corrective / preventive actions to be completed and actioned - those with tasks aware of what is required?

  Yes

  No

  N/A

• Signature of HSE who conducted inspection and compiled report

• Add signature

  Sign