7409 7TH DR W 2016-01-01 MF Import

Excavation Checklist Es Location of Work: j� c � � r� �) � Depth of Excavadon(Measured at �eepest po�t�; s J Have you checked fa mvke sure lhat soil is stable, that unders�ound atr(fhes hQye been locrtied, that adequate hajf� �onbo! is in p[ace, that the excav¢tian is jree of hazardous atnrospheres, tyQ3 spo�. Qre at !e¢st !wo (2) feet jrom ed e o and that a1! employees are ¢ware of,�he safety reyuiremenls oj[his job. S iercavation, Signature of Crew Leader�l � ---�__ Date: ,;L -� �� � Location of Wotk: Depth of Excavation(114easu�ed at lleepest Point): Have you checked to make sure that soi! is stable, that undergroand utilities have been located, that adeguate b¢ff� conho1 u in ptace, that thQ er��yQhnn is jree oj hazardous atnrospherea, that spoils are at least Ix,o (1) feet fr�� edge ojercavation, axd that a!! employee,� are Q Ware of the safety reguirements of this jnb. SiBnahu'e of Crew Leader: Date: Location of Worn: Depih of Excavation(Me��ed at Deepest Point): I�ave you checked to make sure that sorl is stable, that underground utilities hQye been locoted, that adequate traj'I� contro! r,s in p/�ce, that the excQyQtlan u. free oj hazardous aimospheres, tfiat spoils are at least two 2 and that a!! employees are aware of the sajety requir(emenls of hu. � b f ercavatien, Signature of Crew Leader: �—�--- Date: —�_ ALL EXCAVATIONS OVER FO�JR (q) FEET I1V DEpTg �Q�� T� F�L EXCAVATIONlTREVCHING SAFETy C�C�IST. When thrs form rs complete return to the p yy Safe�, ��ce.