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‘Form: NGPD-5026/12 Rev OL Element 6 Process Name — Excavation R Safe Operation Pre-Excavation Checklist Division; ADPD Project or WOH: BE- uses tb mn Pe Units, e Excavation Location: Dater it z Action Remarks Done Initial ‘Arrange and review excavation drawing = [MAG | z, | Arrange demarcation of excavation site = Ima z £ _[ Survey excavation ste with proponent operation's rep. =_|MAL BE Arrange sign-off of this checklist by all parties Z [wae ‘Provide Work Permit (WP) Issuer’s organization with this S checklist and excavation drawing (MAL ag Provide notifications as required = Wag ‘SPONSORING ORGANIZATION’S REPRESENTATIVE | Mui VC 2504 ffal, ase hows tigers de) Pe ane of las Action Remarks Done Initial ‘Determine location of underground (U/G) wt, 5 @ _| including contacting Government Affairs if excavation is S | xe off site ‘Verify operational stahus and operating condition oF U/G § i utilities z we S| Amange cable/pipe detection to Tocete ulities not shown y EZ | on drawings and unmarked in the field = PROPONENT ENGINEERING REPRESENTATIVE HL (Name, phone, signature & date) Hossam LY: Bi 01/24/20 YprdTorrs_onry' Action Remarks Done Initial a __| Survey excavation site with sponsoring organization's rep. w | AH E& [Review excavation drawing 7 A Z| Deenergize known cables and isolate piping, ifpossible | p/

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