EXCAVATION

TRENCH PERMIT
F/EHS/12
Rev 00

Permit #: Date: Shift: Work Order #:

Contract No. Project Name

Area:

Location of work:

Name of person(s) doing work:

Description of Excavation:

Proposed depth:

Expected Time for Completion of work:

Is the drawing verified for proposed excavation in relation to existing facilities
before starting the excavation? Yes/ No

Is the area to be excavated in proximity of underground Pipelines and/or utilities? Yes/ No

Have all underground pipelines and/or utilities been identified and Marked/ flagged? Yes/ No
Is the NOC required from RTA/Authority? Yes/ No

Name & Signature of Person Incharge:

Approved by: