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    Excavation-Entry Checklis

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    Vepxvia Nadiradze
    This excavation/trench entry checklist is used to ensure worker safety when entering excavations over 1.2m deep. It requires confirming that permits have been obtained, soil type has been identified, appropriate protective measures like sloping, shoring or trench boxes are in place, and ladders are properly installed for entry/egress. Rescue procedures and training are also necessary, and the checklist must be completed by a supervisor prior to any worker entering a deep excavation.

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    Excavation-Entry Checklis

    Uploaded by

    Vepxvia Nadiradze
    23 views1 page
    This excavation/trench entry checklist is used to ensure worker safety when entering excavations over 1.2m deep. It requires confirming that permits have been obtained, soil type has been identified, appropriate protective measures like sloping, shoring or trench boxes are in place, and ladders are properly installed for entry/egress. Rescue procedures and training are also necessary, and the checklist must be completed by a supervisor prior to any worker entering a deep excavation.

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    This excavation/trench entry checklist is used to ensure worker safety when entering excavations over 1.2m deep. It requires confirming that permits have been obtained, soil type has been identified, appropriate protective measures like sloping, shoring or trench boxes are in place, and ladders are properly installed for entry/egress. Rescue procedures and training are also necessary, and the checklist must be completed by a supervisor prior to any worker entering a deep excavation.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views1 page

    Excavation-Entry Checklis

    Uploaded by

    Vepxvia Nadiradze
    This excavation/trench entry checklist is used to ensure worker safety when entering excavations over 1.2m deep. It requires confirming that permits have been obtained, soil type has been identified, appropriate protective measures like sloping, shoring or trench boxes are in place, and ladders are properly installed for entry/egress. Rescue procedures and training are also necessary, and the checklist must be completed by a supervisor prior to any worker entering a deep excavation.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 1

    EXCAVATION / TRENCH ENTRY CHECKLIST Ref.

    No:
    Page 1 of 1

    Site Location: Date:


    Work Description: Contractor:

    Note: This checklist must be completed whenever a worker is required to enter into an excavation of a depth >1.2m/4ft. The
    worker can either be on foot or in the cab of a vehicle/machine

    No. Description Yes No N/A


    1 Have all legally required permits been completed and posted?   
    2 Do Confined Space Entry requirements apply?   
    3 Has the soil type been determined per OH&S regulation?   
    Has appropriate sloping requirements been determined for safe excavation as per OH&S
      
    regulations?
    4 What type of worker protection will be in place for workers at entry and egress points?   
    a. Appropriate sloping as required   
    b. Shoring   
    c. Trench Box   
    d. Other   
    5 Are ladders properly deployed at entry/egress points?   
    tied off at the top   
    extend above shoring or box by 1m/3ft   
    within 8m/26ft of where personnel are working   
    6 Is the worker entry/egress area clear and free of debris?   
    7 Will the worker be within the "Control Zone" area at any time (other than entry/egress)?
    "Control Zone " is defined as a lateral distance inside the excavation extending   
    0.5 x D from the top for firmer soils (1.5 x D for fewer firm soils) of the excavation. (D = depth
    of excavation) Provides the same level of protection as at the entry/egress point above.
    8 If the answer to No.7 is “yes”, what type of worker protection will be used for workers in this
      
    Control Zone?
    9 If shoring is used, has it been designed by a Professional Engineer, and is a design available on
      
    site?
    10 Is the shoring system inspected daily (as a minimum)?   
    11 Is excavation spoil kept > 1 meter from the edge of excavation?   
    12 Are rescue procedures complete and on-site?
    Are all workers familiar with rescue procedures?
    Is a watch person required?

    Completed by:

    Position:
    Contact Details:
    Date:

    Note: Where confined space activity is in conjunction with any critical task procedures the applicable procedures and
    documentation must be used.

    HSE Documents-C/PTW/P001 Rev00

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