Excavation Hazard Assessment Form
Project Information
Project Name
Excavation Location
Assessment Date
Assessor Name
Excavation Details
Depth of Excavation (m)
Width of Excavation (m)
Type of Excavation
Hazard Assessment
Hazard
Present?
Risk Control Measures
Underground services located?
Yes
No
Water accumulation possible?
Yes
No
Hazardous atmosphere?
Yes
No
Adjacent structure stability?
Yes
No
Fall protection required?
Yes
No
Additional Hazards & Controls
Other Hazards Identified
Controls Implemented
Remarks