Trenching Inspection Log

1. Was the utility locate center (811) contacted?

2. Are all utilities located and marked?

3. Have all utilities been potholed and daylighted?

4. What is the protective system? Choices are: Trench Shield (Box), Sloping, Wood Shoring, Other

6. Were visual soil test made? If yes, what type?

7. Were manual soil test made? If yes, what type?

8. What is the soil type? Rock, A, B, C

9. Are surface encumbrances? If yes, what type?

10. Water conditions? Wet, Dry, Submerged?

11. Do hazardous atmosphere exist? Yes or No If yes, refer to Confined Space entry procedures policy.

12. Is trenching or excavation exposed to public vehicular traffic (exhaust emission)?

13. Measurements of Trench depth?

14. Measurements of Trench width?

15. Is ladder within 25 feet of all workers?

16. Does ladder extended at least 3 feet above the trench or trench shield?

17. Is excavated material stored at least 2 feet back from edge of excavation?

18. Are other utilities protected?

19. Are Employees trained in excavating?

20. Were all Employees briefed on hzards for this job?

21. Have inspections made after each rainstorm or other hazard increasing occurrence?

22. Has testing conducted often to ensure that the atmosphere remains safe?

23. Write Comments or Remarks here: