Type of Protective System:
Describe Trench Location:
Excavations and Protective Systems inspected by Competent Person* daily, before start of work.
Competent Person has authority to remove workers from excavation immediately.
Surface encumbrances supported or removed.
Employees protected from loose rock or soil.
Hard hats worn by all employees.
Spoils, materials, and equipment set back a minimum of 2 feet from edge of excavation.
Ladder: located within 25 feet of safe travel, secured, and extend 36 inches above the landing
Barriers provided at all remote excavations, wells, pits, shafts, etc.
Walkways and bridges over excavations 6 feet or more in depth equipped with guardrails
Warning vests or other highly visible PPE provided and worn by all employees exposed to vehicular traffic.
Employees prohibited from working or walking under suspended loads.
Employees prohibited from working on faces of sloped or benched excavations above other employees.
Warning system established and used when mobile equipment is operating near edge of excavation.
Trench sloped 1.5 to 1 ratio and/or properly benched.
Shoring properly installed, inspected, and designed.
Trench box properly installed to extend 18 inches above the surrounding area.
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.
Precautions taken to protect employees from accumulation of water.
Water removal equipment monitored by Competent Person.
Surface water controlled or diverted.
Inspection made after each rainstorm.
Atmosphere tested when there is a possibility of oxygen deficiency or build-up of hazardous gases
Oxygen content is between 19.5 percent and 21 percent.
Ventilation provided to prevent flammable gas build-up to 20 percent 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.
Employees trained in the use of Personal Protective and Emergency Response Equipment.
Safety harness and lifeline individually attended when employees enter deep confined excavation.
Signature of Competent Person :Click here to sign
Date:Click here to sign
*Competent Person: Certain activities or safety procedures at a construction site require design, inspection or supervision by a competent person. The OSHA Construction Standard defines a competent person as someone who is:
Source: MaintainX (Community Member)