EXCAVATION/TRENCH DAILY INSPECTION LOG

Project: Date of Inspection:

Weather:

Soil Type

Depth: Length: Width:

Protective System(s): ____________________________________________________________

Yes No n/a Excavation/Trench Safety Procedures Deficiencies/Corrections Competent person has authority to remove

workers from the excavation/trench immediately.

Surface encumbrances supported or removed.

A means of exit is provided within 25 ft of each person in the excavation/trench.

Classified as permit-required confined space. If so, see confined space procedures

Surrounding area has been properly protected and barricaded.

Spoils, materials, and equipment set back a minimum of 2 ft from edge of excavation.

Guardrails on walkways and bridges over excavations 6 ft deep or more.

Warning vests or other highly visible PPE provided and worn by all workers exposed to vehicular traffic.

Workers prohibited from working or walking under suspended loads.

Corrective measures taken to eliminate existing or anticipated hazards identified in previous inspections, accident investigations, hazard analysis, or enforcement actions.

Warning system established and used when mobile equipment is operating near edge of excavation.

Workers received daily briefing on special requirements and hazards.

EXCAVATION/TRENCH DAILY INSPECTION LOG

Yes No n/a Protective System(s) Deficiencies/Corrections Inspected by competent person daily, before

start of work.

Excavation/trench properly sloped and/or shored.

Shielding properly placed and in good condition.

Workers prohibited from working on faces of sloped or benched excavations above other workers.

Foundations, structures, and appurtenances supported or underpinned.

Shoring and/or shielding complies with the manufacturer’s instructions or engineering designs.

Checked for evidence of failure (e.g., soil distress, structural member damage, soil fissures).

Yes No n/a Utilities Deficiencies/Corrections Utility companies contacted and/or utilities

located.

Exact location of utilities marked when near excavation.

Underground installations protected, supported, or removed when excavation is open.

Yes No n/a Wet Conditions Deficiencies/Corrections Precautions taken to protect workers from

accumulation of water.

Water removal equipment monitored by competent person.

Surface water controlled or diverted.

Inspection made after each rainstorm.

EXCAVATION/TRENCH DAILY INSPECTION LOG

Yes No n/a Hazardous Atmosphere Deficiencies/Corrections Atmosphere tested when there is a

possibility of oxygen deficiency or buildup of hazardous gases.

Oxygen content is between 19.5% and 21%.

Ventilation provided to prevent flammable gas buildup to 20% of lower explosive limit of the gas.

Testing conducted to ensure that atmosphere remains safe.

Emergency response equipment readily available where a hazardous atmosphere could or does exist.

Workers trained in the use of personal protective and emergency response equipment.

Safety harness and lifeline individually attended when workers enter deep confined excavation.

Competent Person Signature:

Date: