Template Information
This checklist must be completed with all trench and excavation work. all tabulated data must accompany trench-box.
Category: construction
Template Questions
- MISS UTILITY
- GENERAL INSPECTION
- Please provide photo of competent person training card
- UTILITIES
- ACCESS & EGRESS
- WET CONDITIONS
- Per company policy, the atmosphere within all excavations are tested when there is a possibility of a
- Gas Monitor Number:
- Photo of monitor after the test. (Picture of screen or readout).
- HAZARDOUS ATMOSPHERES
- SOILS
- Visual test
- Manual test
- Type of support system being used?
- SUPPORT SYSTEMS
- Persons working inside the trench or excavation:
- Signature:
- Foreman's Approval To Enter Trench or Excavation: