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  • F02 - Excavation Checklist

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    Venkadesh Periathambi
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    This document is an excavation checklist used weekly to inspect excavation sites and ensure safety protocols are followed. It was prepared by Andrew Merrison, Group Head HSE and authorized by Adnan Naji, Chief Operating Officer of Saif Bin Darwish. The checklist contains 16 items to inspect, including confirming the excavation permit is obtained and displayed, underground services have been marked, protective systems like shoring and sloping are adequate, access points and stockpiled materials are properly placed, and required PPE is being used. Space is provided for comments.

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    F02 - Excavation checklist

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    This document is an excavation checklist used weekly to inspect excavation sites and ensure safety protocols are followed. It was prepared by Andrew Merrison, Group Head HSE and authorized by Adnan Naji, Chief Operating Officer of Saif Bin Darwish. The checklist contains 16 items to inspect, including confirming the excavation permit is obtained and displayed, underground services have been marked, protective systems like shoring and sloping are adequate, access points and stockpiled materials are properly placed, and required PPE is being used. Space is provided for comments.

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    © All Rights Reserved
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    35 views2 pages

    F02 - Excavation Checklist

    Uploaded by

    Venkadesh Periathambi
    This document is an excavation checklist used weekly to inspect excavation sites and ensure safety protocols are followed. It was prepared by Andrew Merrison, Group Head HSE and authorized by Adnan Naji, Chief Operating Officer of Saif Bin Darwish. The checklist contains 16 items to inspect, including confirming the excavation permit is obtained and displayed, underground services have been marked, protective systems like shoring and sloping are adequate, access points and stockpiled materials are properly placed, and required PPE is being used. Space is provided for comments.

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    of 2

    Excavation Checklist (Weekly)

    Prepared and Issued by:

    Andrew Merrison, Group Head HSE

    Reviewed and Authorized by:

    Adnan Naji, Chief Operating Officer – Saif Bin Darwish

    Revision History:
    Revision Date Description
    00 March 2016 Added new form
    01 July 2017 Revised in line with OSHAD Ver 3.0 & Changed the Group Head
    HSE

    SBD HSEMS Revision: 01


    HSEMOP46/F02 Date : July 2017
    Page : Page 1 of 2
    WEEKLY EXCAVATION CHECK LIST
    Project : Date of Inspection:

    Project No: Excavation Permit Number:

    Srl. Items YES NO N/A Remarks


    1. Has the excavation permit been obtained, correctly
    completed, and displayed at site?
    2. Have the under ground services been detected
    and marked prior to excavation?
    3. Does the permit specify any special hazards and
    appropriate controls thereof?
    3a. If YES in No.3; Are the controls known and being
    implemented by the workers?
    4. Is the method of excavation, stated in the permit,
    appropriate and being followed?
    5. Is the excavation shored, sloped, or shielded
    adequately during all stages?
    6. Are there signs of water seepage? If so, is a de-
    watering system in place?
    7. Is there any damage to the excavation protective
    system (shoring/sloping/bench)
    8. Is there any visible damage, cracking, collapse or
    other signs of weakening?
    9. Are there access/egress points, a max. of every
    8m, for excavation over 1.2m deep?
    10. Are stockpiled materials situated at least 1.5m
    away from the edge of the excavation?
    11. Have stop blocks been placed for vehicles
    reversing back onto the excavation?
    12. Have adequate safety signs, warning tape, lights,
    and barricades been placed?
    13. Are sufficient controls in place for pedestrian
    and/or vehicle crossing points?
    14. Have toolbox talks been conducted and recorded
    to explain the hazards to workers?
    15. Are there enough controls to prevent vibration from
    vehicles passing nearby?
    16. Is the PPE, stated in the Excavation Permit being
    used by all correctly?
    17. Comments:

    If more space is required please attached additional sheets and/or pictures.


    Name: Signature:

    SBD HSEMS Revision: 01


    HSEMOP46/F02 Date : July 2017
    Page : Page 2 of 2

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