Excavation and Trenching Safety Assessment
Project Information
Project Name
Location
Date
Assessor
Excavation Details
Excavation Depth (m)
Excavation Length (m)
Soil Type
Method of Excavation
Pre-Excavation Checklist
Permit obtained
Underground services located/marked
Safe access and egress provided
Protective systems in place (shoring, sloping, benching, shielding)
Barricades and warning signs installed
Atmospheric testing (if required)
Daily inspections scheduled
Hazard Assessment
Hazard
Present?
Control Measures
Water accumulation
Yes
No
Falling loads/materials
Yes
No
Hazardous atmosphere
Yes
No
Adjacent structures instability
Yes
No
Other (specify)
Yes
No
Comments / Additional Controls
Assessor Signature
Signature