Daily Excavation Inspection Checklist Template
ADVERTISEMENT
1Daily Excavation Inspection Checklist
Daily Excavation Inspection Checklist
Job#
___________
Location: _________________________
Foundation # ___________
Date:_________________
Competent Person:
____________________________
Soil Type:
[ ] Type A
[ ] Type B
[ ] Type C
Protective Systems
[ ] Sloping
[ ] Benching
[ ] Shoring
[ ] Shielding
Y=yes
N=no
NA= not applicable
Mon
Tu
W
Th
F
Sa
Su
Is the cut more than 4 Ft in depth
Is the cut more than 20 Ft in depth
If so, is it approved by a registered P. E.
Excavation face free of cracks
Means of egress every 25’
Adjacent structures stabilized
Is there exposure to vehicle traffic/mobile equipment
Does mobile equipment have a warning system
Excavation properly barricaded
Is there water in the cut
Is equipment operating in the cut
Is there any potential for hazardous atmosphere
Has atmospheric monitoring been done
Is the spoil 2’ or more from the edges of excavation
Does the shield extend at least 18” above surrounding
Areas?
Is the depth of the cut more than 2’ below the
Bottom of the shield
Are walkways over the excavation at least 20” wide
And 2’ past both edges
Are they equipped with guardrails?
Is emergency equipment required?
Corrective Action Items
Please indicate any corrective action items from the
Who corrected
Date
above list
Corrected
NOTE: Turn into safety weekly
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life