Client : Contractor :

Project Name:

Project Management Consultant : Doc. Ref. No. Revision: 00

Date:

HSE Department
SAFETY INSPECTION CHECKLIST FOR EXCAVATION

(WEEKLY)

Month: Year:

COMPLIANCE
DESCRIPTION Remarks
Yes No N/A
Hazards gave been identified and risk evaluated and assessed.
Suitable access / egress provided.
Falling protection system installed properly (ie, barriers, stop blocker, toe
boards, cones and warning tapes….etc)
Appropriate supporting system / method (shoring, buttering or stepping).
Soil heaps stable and kept in safe distance from the edge of trenches

Oxygen tested and gases levels within acceptable level (for excavation with
depth more than 1.2 meter).
Emergency preparedness plan developed, communicated and implemented

Proper signage & warning lights (warning signs, tapes…..etc.) and

instructions (ie, PTW, emergency notice etc.) displayed.
Underground services identified, located & all required permissions obtained
and displayed visibly.
Excavators are in good working condition

Proper training and awareness delivered to all involved employees (ie, TBT
& specialized training).

Approved by:
Designation Name Date Signature
PM(Project Manager)
OHS Manager

Distribution: CC –Construction Manager, Project Engineer