Title Page

  • Box Number

  • Conducted on

  • Prepared by

  • Location
  • Trench Box Inspection

  • Box
  • Type of Box

Box Number

  • Is the box number identifiable/welded on?

End Wall Condition

  • Are the end walls damaged?

  • Are end wall repairs cosmetic or structural?

  • Additional Information

  • Include Picture

Stacking Lugs

  • Are stacking lugs present?

  • Box tubing or Ears?

  • Are the Ears damaged?

  • Are ear repairs cosmetic or structural?

  • Please make it known that this box does not have stacking lugs.

  • Are the stacking lugs made of 1/4" material?

  • Are stacking lugs damaged?

  • Are there missing stacking lugs?

  • Are stacking lug repairs cosmetic or structural?

  • Additional Information

  • Include Picture

Top / Bottom Rail Condition

  • Are the top / bottom rails damaged?

  • Are top / bottom rail repairs cosmetic or structural?

  • Additional Information

  • Include Picture

Wall Condition (Inside/Outside)

  • Are the box walls (skin) damaged?

  • Describe the damage (Location, Tears, Holes)

  • Are wall repairs cosmetic or structural?

  • Additional Information

  • Include Picture

  • Do walls deflect?

  • Measurement of Deflection

  • Include Picture

Spreader Socket

  • Are spreader sockets damaged (describe which ones are missing/damaged)

  • Does the box have top 4 sockets?

  • Does the box have 2 bottom sockets?

  • Are spreader socket repairs cosmetic or structural?

  • Additional Information

  • Include Picture

Pinholes

  • Are pinholes 1-1/2"?

  • Include Picture

  • Diameter

  • Include Picture

  • Diameter

  • Include Picture

Lifting Lugs

  • Are the lifting lugs damaged?

  • Are repairs to lifting lugs cosmetic or structural?

  • Additional Information

  • Include Picture

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.