Title Page
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Job Name
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Prepared by
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Date and Time
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Indicate trench/excavation dimensions
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What is the initial soil classification?
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What protection methods will be used?
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What is the angle of the slope?
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What is the condition of the slope?
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Are fissures present?
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Are ladders present?
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Is ground water present?
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If ground water present what corrective actions taken?
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Are overhead power lines present?
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Is there public traffic present?
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If traffic present is traffic protection in place?
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Are there any issues affecting the trench?
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Material is piled 2 feet back from excavation?
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Is there potential for hazardous atmosphere?
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