Excavation Permit

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EXCAVATION WORK PERMIT

Site name NMIMS CAMPUS.CHD CONTRACTOR’S D.D.PRADHAN & CO. PVT.


NAME LTD

Location on site

Details of work

Date Time

EXCAVATION REQUIREMENTS

YES NO N/A GENERAL


   Protective system used in any trench/excavation greater than 5 ft(1.5m) deep
   Protective systems for excavations over 20 feet designed by an engineer
   Spoils, materials & equipment set back > 2 feet from the edges of the excavation
   Engineering designs for sheeting &/or manufacturer’s data on trench boxes on site
   Adequate signs posted and barricades provided
   Employee training conducted prior to beginning work
YES NO N/A UTILITIES
   Utility company contacted & given required notice & utilities located & marked
   Utility locations (overhead & underground) reviewed with operator & employees
   Utilities protected, supported or removed when excavation opened
YES NO N/A WET CONDITIONS
   Employees protected from water accumulations (continuous dewatering)
   Inspection made after every rainstorm
YES NO N/A HAZARDOUS ATMOSPHERES
   Site evaluated for potentially hazardous atmospheres
   Air monitoring & ventilation provided for potentially hazardous atmospheres
   Emergency equipment available where hazardous atmospheres could or do exist
YES NO N/A ENTRY & EXIT
   Ladders no further than 25 feet from ANY employee in ANY direction
   Ladders extend 3 feet above excavation edge and secured
   Wood ramps constructed of uniform material thickness & cleated together at bottom
   Employees protected from cave-ins where entering/exiting the excavation

APPROVAL

Name & sign. of permit holder:-___________________________________________Date______________

________________________________________________________________________________________________

Name & sign. of permit issuer:- ___________________________________________Date______________

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