Document No.

Titanium Integrated Group (Pty) Ltd Doc - TiG - 097

Revision Number
QUALITY (CIVILS) 00
Page Number
PERMIT TO EXCAVATE Page 1 of 1

Contract/Order No.: .................................... Section/Job: ................................

Drawing No.: ………………….. Rev. …….. Date: …………………...

1. Excavation Nature: Bulk 2. Excavation Depth: ..................…

Structural 3. Material Nature: Sand

Pipeline Rock

Other Other

Specify: .............................................. Specify: ............................

4. Expected natural "angle of repose" 5. Depth of water table. .................

of excavated material. .................................

6. Mark up all given position of services on drawings: Dwg# __________________________________

7. Proximity of closest building or 8. Identify all existing services:

service....................................................…… Location indicated: Yes No N/A

9. Cross section of excavation in relation to Water

existing GL. Adjacent structures/services etc. Electricity

Sewer

Stormwater

Telephone

Other

10. Shoring necessary? .................................... 11. If yes, nature? ……………..

Designed by: ……………….

12. Original ground level's (Grid) taken, recorded and agreed with RE? ………………………

13. Setting out done by: ...............................… 14. Working space provided? ….

CL pegs in? ……………… 15. Permission to proceed

Batter boards in? ……….. Contractor: Signature: ………………. Date: ..……….

Level control in? ………… Client: Signature: ………………. Date: …………