Woodruff Construction Trench & Excavation Daily Inspection

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Name of Competent Person

• Employer of Competent Person

• Woodruff Personnel

GENERAL INSPECTION

• Soil Type

• Soil Classification

• Excavation Depth

• Excavation Width

• Type of Protective System

• Are excavations, adjacent areas, and protective systems inspected by a competent person:

  Select Daily prior to start of work As needed throughout the shift After every rain event

  • Daily prior to start of work
  • As needed throughout the shift
  • After every rain event

• Does the "Competent Person" have the authority to remove workers from the excavation immediately?

  Yes

  No

  N/A

• Are all on surface encumbrance removed or supported

  Yes

  No

  N/A

• Are all employees protected from loose rock or soil that could pose a hazard by falling or rolling into the excavation?

  Yes

  No

  N/A

• Are hard hats worn by all employees?

  Yes

  No

  N/A

• Are spoils, materials, and equipment set back at least 2 feet from the edge of the excavation?

  Yes

  No

  N/A

• Are barriers provided at all remotely located excavations, wells, pits, shafts, etc.?

  Yes

  No

  N/A

• Are barriers placed at least 6 feet from edge of excavation?

  Yes

  No

  N/A

• Are walkways and bridges over excavations 6 feet or more in depth and 30 inches or more in width equipped with standard guard rails and toe-boards?

  Yes

  No

  N/A

• Are warning vests or other highly visible clothing provided and worn by all employees exposed to vehicle traffic?

  Yes

  No

  N/A

• Are employees required to stand away from vehicles being loaded and unloaded?

  Yes

  No

  N/A

• Are warning systems established and used when mobile equipment is operating near the edge of an excavation?

  Yes

  No

  N/A

• Are employees prohibited from going under suspended loads?

  Yes

  No

  N/A

• Are employees prohibited from working on the face of slope or benched excavation above other employees?

  Yes

  No

  N/A

UTILITIES

• Are utilities companies contacted 48 hours before breaking ground and/or utilities located?

  Yes

  No

  N/A

• Are the exact locations clearly marked?

  Yes

  No

  N/A

• Are underground installations protected, supported, or removed when the excavation is open?

  Yes

  No

  N/A

ACCESS & EGRESS

• Are ladders or some other means of ingress and egress in place in trenches 4 feet or more in depth?

  Yes

  No

  N/A

• Are all employees within 25 feet of a means of ingress and egress?

  Yes

  No

  N/A

• Are the ladders that are used in the excavation secure and extended 3 feet above edge of the excavation?

  Yes

  No

  N/A

• Are all structural ramps used by employees designed by a competent person?

  Yes

  No

  N/A

• Are all structural ramps used for equipment designed by a Registered Professional Engineer?

  Yes

  No

  N/A

• Are all ramps constructed of materials of uniform thickness, cleated together, equipped with non-slip surfaces?

  Yes

  No

  N/A

• Are workers using the ramp protected from cave-in?

  Yes

  No

  N/A

WET CONDITIONS

• Are precautions taken to protect employees from water accumulation?

  Yes

  No

  N/A

• Is water removal equipment monitored by competent person ?

  Yes

  No

  N/A

• Is surface water or runoff diverted or controlled to prevent accumulation?

  Yes

  No

  N/A

• Are inspections made after every rainstorm or hazard increasing event?

  Yes

  No

  N/A

HAZARDOUS ATMOSPHERES

• Is the atmosphere within all excavations tested when there is a reasonable possibility of an oxygen deficiency, oxygen enriched, combustible, toxic, or other harmful contaminant?

  Yes

  No

  N/A

• Are adequate precautions taken to protect employees from exposures to an atmosphere containing less then 19.5% oxygen and or other hazardous atmosphere?

  Yes

  No

  N/A

• Is ventilation provided to protect employees from an atmosphere containing flammable gases in excess of 10% of the lower explosive limit of the gas?

  Yes

  No

  N/A

• Is the atmosphere monitored as necessary to ensure it remains safe?

  Yes

  No

  N/A

• Is emergency equipment available when hazardous atmosphere could or do exist?

  Yes

  No

  N/A

• Are employees trained to use personal protective equipment and other rescue equipment?

  Yes

  No

  N/A

SUPPORT SYSTEMS

• Type of support system being used?

  Select Stepped Sloping Shoring Shielding Designed by a RPE

  • Stepped
  • Sloping
  • Shoring
  • Shielding
  • Designed by a RPE

• Are materials and/or equipment for support systems selected based on soil analysis, trench depth and expected it loads?

  Yes

  No

  N/A

• Are materials and equipment that are used for protective systems inspected and in good condition?

  Yes

  No

  N/A

• Are damaged materials and equipment immediately removed from service?

  Yes

  No

  N/A

• Are damaged materials and equipment used for protective systems inspected by a registered professional engineer after repairs and before being placed back into service?

  Yes

  No

  N/A

• Are protective systems installed without exposing employees to hazards of cave-ins, collapses, or threat of being struck by materials or equipment?

  Yes

  No

  N/A

• Are all members of support system securely fastened together prevent failure?

  Yes

  No

  N/A

• Are support systems provided to insure stability of adjacent structures: buildings, roadways, sidewalks, etc.?

  Yes

  No

  N/A

• Are excavation below the level of the base or footings supported, and approved by a Registered Professional Engineer?

  Yes

  No

  N/A

• Does the removal of the support systems progress from the bottom and members released slowly so as to note any indication of possible failure?

  Yes

  No

  N/A

• Does back-filling progress with removal of the support system?

  Yes

  No

  N/A

• Is a shield system installed to prevent lateral moment?

  Yes

  No

  N/A

• Are employees prohibited from remaining in a shield system during vertical movement?

  Yes

  No

  N/A