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Eacavation C6ecklist <br /> For eacavatioe. i.es.Th�e 4 Feet ie D nth <br /> Location of Work: l O P?O ,� /"JQ r.��i �/';r y J�r . <br /> Depth of Excavation(Measured at Deepest Point): 3 ` <br /> Have you checked to nrake sure tbat sorl is stable,that urtderground utilities have been <br /> located,that adequate tra�c contro!is in place, that the excavation is jree of <br /> hazardons atnrospheres, that spoiLs are at least hvo(2)jeetjrom edge ojercavation, <br /> cnd that al!emp/oyees are awore o t,f�e sajety requirenunLs of this job. <br /> �, <br /> Signature of Crew Leader: L �� Date: �- �� '' y E <br /> s <br /> �' Location of Work: <br /> Depdi of Excavation(Measured at Deepest Point): <br /> Have you checked to make sure that soil is stable, that underground uti/ities hcve been <br /> located, that adequate tra�c control is in place, �hat the ercavatron is jree oj <br /> kazardous atmospheres, that spoils are at/east nvo (1)jeet jrom edge of excavation, <br /> and that a!!employees are aware ojthe sajety requirements of thrs job. <br /> Signariue of Crew Leader: Date: <br /> Location of Work: <br /> Depth of Excavation(Measured at Deepest Point): <br /> Have you checked 10 make sure that soi!ir stab/e, that underground utiliNes have been <br /> localed, that adequare tra�c contro!is in p/ace, rhat the ercovation is jree of <br /> hozardous atmospheres, that spoils are at least two (2)Jeet jrom edge of excavction, <br /> and chat a!!employees are aware of the sajety requirements ojthis job. <br /> Signahue of Crew Leader: Date: <br /> ALL EXCAVATIONS OVER FOUR(4) FEET IN DEPTH REQUIRE THE FULL <br /> EXCAVATION/fRENCHING SAFETY CHECKLIST. <br /> ` W hen thrs form is comp(ete return to the P. W. Safety Offrce. <br />