Construction of POL Depot, Pali, Rajasthan

DAILY EXCAVATION CHECKLIST

Project package Excavation Location:
The checklist shall be completed daily and posted on the site by the designated
"Competent Person(s)" for the excavation. Inspection is to be performed before
workers are allowed to enter the excavation each morning or after a change of
site condition (e.g. rainstorm, groundwater, sidewall deterioration, or adjacent
ground fissuring). At the end of each workday, this checklist is to be given to
NAYA-PMC Safety Engineer for review and filing. NAYA-PMC Safety Engineer is
to maintain a consolidated list of all excavation in his work areas and conduct
safety audit of excavation during the course of the work day. All NAYA-PMC
Safety Requirements are to be complied with all times. The excavation
designated "Competent Person(s)" for the excavation must be knowledgeable
of NAYA-PMC Safety Requirements and have the necessary training and
experience to ensure the work is performed safely.
Tick
Control Measures / Standard Requirements in Place Comments
YES NO N/A
Approved MS, JSA and Documents available on site
NAYA-PMC Pre-Excavation Checklist has been completed and available on site
Have all relevant departments have been notified
All underground utilities, cables, pipelines located and marked
Exposed underground utilities, cables, pipelines physically protected
Approved work permit and PR-certified WPR available on site
Is a confined space entry required, issued and available on site
Is gas testing required and performed e.g. excavation 1.2 m and deeper (4 ft.)
PR-certified standby man and/or Fire watch required and available on site.
Are pedestrian crossovers required and provided (with guardrails and toe
board)
Is access to plant equipment maintained
If excavation near roadway, are flagmen with reflectorize vest present
If excavation on the road, road blocks, rerouting cones and signs available
Are shoring / sloping / benching acceptable to prevent sidewall cave-ins
Is shoring materials in sound condition and free of damage / defects
Is shoring installed / maintained by qualified personnel
Are adequate ladders provided within a travel distance of 7.5 m (25 ft.)
Are ladders properly secured and extended 1 m (3 ft.) above the surface
Is excavation free of tension cracks or other evidence of sidewall failure
Is excavation free of water, hydrocarbons or other toxic substances
Are materials and spoils set back at least 0.6 m (2 ft.) from excavation edge
Are pedestrian barricades / lights placed at least 1m (3 ft.) from excavation
edge
Are cranes not closer than the depth of excavation to edge of the excavation
Are scaffolds erected not closer than 1.5 times the depth of the excavation
from
edge
Are overall conditions acceptable and safe for work

Competent Person’s Name & Signature Date Verified by PMC Civil Engr. / Supv.