EXCAVATOR INSPECTION CHECKLIST
Daily Excavation Inspection Form. Surface encumbrances supported or removed. Yes no n/a excavation trench box extends at least 18 inches above the vertical wall of the excavation and to within 2
Wednesday thursday friday saturday sunday date: Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time: Hard hats worn by all employees. Utilities 0 0 0 0 n/a 0 0 0 utility locates contacted at least 2 working days prior to start of digging, and appropriately marked and identified Trenches over 4 feet in depth are considered excavations. Any items marked no on this form must be remediated prior to any employees entering the excavation. Web daily trench inspection form date: Web daily inspection checklist for trenching/excavation sites competent person: Competent person has authority to remove workers from excavation immediately. Surface encumbrances supported or removed.
[ ] type a [ ] type b [ ] type c protective systems [ ] sloping [ ] benching [ ] shoring [ ] shielding y=yes n=no Web activities in excavation competent person excavation > 4 feet deep ___ yes ___ no if yes, complete a confined space permit prior to any person entering the excavation. Hard hats worn by all employees. Trenches over 4 feet in depth are considered excavations. For each “inspection item,” indicate one of the following: Web trench / excavation inspection form (this is to be completed by the competent person for each excavation/trench and turned into the jobsite superintendent at the start of each work day and /or prior to working in the trench) date/time: Web daily trench inspection form date: Yes yes yes yes no no no no length: Employees protected from loose rock or soil. _________________________ foundation # ___________ date:_________________ competent person: Surface encumbrances supported or removed.
