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EXCAVATION AND TRENCHING SAFETY

OHS-PR-02- 17-F03 WEEKLY EXCAVATION INTEGRITY INSPECTION

PROJECT NWC Pipeline project AREA Dhurma DATE 12-04-2023

Closed Out
Due Responsible
No Item Description & Reference Yes No NA Observation & Recommendation (Y/N) (Site
Date Person
Engineer)
Shoring
1. Wall of shoring system not displaced or broken ✓
2. Wall of shoring made up of strong materials ✓
No deformation or excessive deflection on shoring
3. ✓
wall / sheeting
4. Bracing system / raking support securely fastened ✓
Bracing system resting on a strong and stable
5. ✓
surface
Sloping and Benching
6. Slope angle is as per standard ✓
7. Safe angle of repose maintained ✓
8. No cave-ins or excessive erosion of soil ✓
No visible cracks or deterioration on sides of
9. ✓
excavation
General Safety
10. No ground water in the excavation ✓
11. Adequate access provided and firmly secured ✓
Excavation work does not jeopardise the stability of
12. ✓
any adjacent structure
Excavation work alongside roads adequately
13. ✓
supported
Exposed underground services properly supported
14. ✓
and protected
15. Adequate barriers / fencing provided ✓

Page 1 of 2 Rev. 0 [May-2020] OHSMS Approved


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Closed Out
Due Responsible
No Item Description & Reference Yes No NA Observation & Recommendation (Y/N) (Site
Date Person
Engineer)
Spoils and loose boulder cleared off from the edge of
16. ✓
excavation
17. Excavation warning sign provided ✓
Edges of excavation is provided with hazard warning
18. ✓
lights at night
Heavy equipment or machinery not erected or
19. ✓
permitted to operate near the edge of excavation
Excavation free of suffocating, toxic and explosive
20. ✓
gas

Site Engineer MD ASAD Construction Manager


DATE 12-04-2023 DATE

SIGNATURE SIGNATURE

Page 2 of 2 Rev. 0 [May-2020] OHSMS Approved


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