Appendix -1

Excavation Checklist
Location:………………………………………………………………………………………………………Permit No.
S. No Not Required & to be
Description of Checks & Measures Yes No Applicable Remarks
reviewed
1 The proposed area of excavation is cleared and certificate obtained
The proposed location checked with appropriate detectors for any underground
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services
3 Slit trenching to locate any underground services
4 Only manual excavation will be carried out
5 Excavation to be carried out by mechanical means only
6 Excavation to be carried out both utilizing manual & mechanical means.
7 Protection provided to control source of ignition for equipment to be used in hazardous area .
8 Earthmoving & other mechanical equipment are fixed with approved spark arrestor
9 Electrical wiring, termination joints & battery terminals of excavating machinery are safe.
10 Excavation area to be isolated partially / completely from other adjacent facilities.
Temporary supports are required for existing underground services to protect from
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exposure due to excavation.
12 Area of excavation requires continuous Gas (flammable & toxic) monitoring.
13 Fire protection (portable or fixed) system required.
14 Excavation area is provided with safe access
Area of excavation properly barricaded and danger signs (e.g. warning tape, reflective
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cone, safe cross over with handrail, flashing light etc.) are provided.
Area of excavation / trenches is to be protected against possible ingress of rainwater /
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spilled liquid from adjacent facilities.
Excavation will not lead to water / liquid ingress through the trench into adjacent
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building.
18 The site of disposal for excess excavated material is determined
19 Banksman / Signalman for excavating machinery operator is required.
20 Continuous onsite supervision required during excavation work.
21 Safe detour / by-pass alongwith warning signs are provided as per requirement.
22 Excavated area backfilled, compacted and made as original.

Name of Worksite Supervisor: ……………………………………………….Designation: ………………………………….. …….………

Controlling Team: …………………………………… ………….. Signature: …………………………..Date ……………..