UTE Tecnicas Reunidas S.A.

& TSK
Electronica y Electricidad S.A PROJECT: 07485
ASHUGANJ 450 MW CCPP (NORTH) PROJECT
WORK PERMIT SYSTEM PAGE 1 OF 1

Excavation Work Permit

EXCAVATION AND TRENCHINGH PERMIT
Subcontractor SUPERVISOR DATE

AREA / LOCATION EXPIRY DATE

JOB DESCRIPTION AND LOCATION (Be Specific)

BEFORE TRENCHING AND EXCAVATION

SOIL CLASSIFICATION CHECK FOR PREVIOUSLY DISTURBED GROUND
ADEQUACY AND AVAILABILITY OF ALL EQUIPMENT,
STABLE ROCK TYPE A TYPE B TYPE C INCLUDING PERSONAL PROTECTIVE GEAR, SHORING
MATERIAL, SIGNS, BARRICATED AND MACHINERY.
REQUIREMENTS HAVE BEEN MET AND REQUIRED DATA
DOCUMENTED.
PROXIMITY TO UTILITIES, BUILDINGS, FOOTING OR OTHER KNOW OBSTRUCTIONS (e.g. Footing concrete
PILINGS AND SOURCES OF VIBRATIONS. Encasements).
COMPANY OF UTILITIES, SERVICE, OR TRANSMISSION ALLOWABLE SLOPE.
PIPING, ETC. (Electrical, Telephone, Water, Sewer)
COMMENTS

DURING TRENCHING AND EXCAVATION

SIZE OF EXCAVATION
PROTECTIVE SYSTEMS DEPTH OF A TRENCH OR
DEPTH ______________ WIDTH _____________ EXCAVATION OF 5 FEET OR MORE
LENGTH ______________
CHECK THE APPLICABLE OSHA APPENDIX BELOW:
CHANGING GROUND CONDITIONS, PARTICULARLY AFTER B – Sloping and Benching
RAINFALL. C – Timber Shoring for Trenches
MONITOR FOR POSSIBLE OXYGENE DEFICIENCY OR D – Aluminum Hydraulic Shoring for Trenching
GASEOUS CONDITIONS. E – Alternatives to Timber Shoring
ADEQUACY OF SHORING AND/OR SLOPING AS WORK F – Selection of Protective Systems
PROGRESSES. RPE – Designed Shoring (data must be filled on jobsite)

ENTRANCE AND EXIT FACILITIES NOTE: SLOPING OR BENCHING FOR EXCAVATIONS GREATER
STAIRWAY LADDERS RAMP THAN 20 FEET DEEP SHALL BE DESIGNED BY A STATE
REGISTERED PROFESSIONAL ENGINEER.

CHANGE IN VEHICULAR AND MACHINERY OPERATION

PATTERNS ADEQUACY OF PORTABLE TRENCH BOXES OR TRENCH
SHIELDS.
WATER REMOVAL EQUIPMENT AND OPERATION

COMMENTS

SIGNATURES AND DATES

APPLICANT

SUBCONTRACTOR ELECTRICIAL SUBCONTRACTOR MECHANICAL SUPERVISOR

SUPERVISOR

REVIEWED BY CONTRACTOR REVIEWED BY CONTRACTOR MECHANICAL

ELECTRICAL

AUTHORIZED BY CONTRACTOR Superintendent/ REVIEWED BY CONTRACTOR HSE

Supervisor (ISSUER) MANAGER

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