Excavation Safety Plan Checklist
Ensure worker safety and regulatory compliance with our comprehensive Excavation Safety Plan Checklist! This essential construction checklist covers shoring, sloping, atmospheric testing, and more - helping you avoid costly fines and protect your team. Download now for a safer worksite!
This Template was installed 2 times.
Site Assessment & Planning
Initial evaluation of the excavation site and development of a comprehensive safety plan.
Brief Site Description
Maximum Excavation Depth (feet)
Date of Site Assessment
GPS Coordinates of Excavation Site
Soil Type (Preliminary)
Potential Hazards Observed During Assessment (e.g., nearby structures, traffic)
Proximity to Structures/Utilities?
Site Map/Diagram (showing dimensions, utilities)
Underground Utility Location
Identification and marking of all underground utilities prior to excavation.
Describe the process used to locate underground utilities.
Which utility locating methods were employed?
Upload copies of utility locating requests and responses.
Document any discrepancies found between utility maps and actual locations.
Mark the precise location of utility markings on a site map.
Date of utility location verification.
Competent Person Inspection & Classification
Verification that a competent person has inspected and classified the soil for stability.
Date of Inspection
Name of Competent Person
Title/Role of Competent Person
Soil Type Classification (e.g., Type A, Type B, Type C)
Maximum Allowable Slope Angle (Degrees)
Shoring Depth (Feet)
Detailed Observations & Recommendations
Potential Hazards Identified
Competent Person Signature
Protective Systems & Sloping/Benching
Details regarding protective systems like sloping, benching, shoring, or trench boxes.
Maximum allowable slope angle (degrees)
Description of the sloped/benched system design (including details of benches, steps, or terraces)
Bench Height (feet)
Bench Width (feet)
Soil Stabilization Methods Employed (check all that apply)
Detailed explanation of how soil stability is maintained throughout the excavation process.
Type of Protection System Used (if not sloped/benched)
Explanation of calculations performed to ensure slope stability.
Trench Box / Shielding Installation
Specific requirements and inspections related to trench box or shielding installation and usage.
Trencher Box/Shielding Serial Number
Trencher Box/Shielding Condition Upon Arrival
Description of any observed damage or defects
Competent Person Verification of Structural Integrity
Depth of Shielding / Box (ft)
Shielding/Box Overlap (minimum 2ft)
Date of Last Inspection/Certification
Signature of Competent Person Verifying Installation
Access & Egress
Ensuring safe access and egress from the excavation, including ladders, ramps, or other methods.
Maximum Vertical Depth of Excavation (ft)
Approved Access/Egress Methods:
If 'Other' selected for Access/Egress method, please specify:
Number of Ladders/Ramps/Stairways Provided
Ladder Material (if applicable)
Description of any deviations from standard access/egress requirements:
Date of last Access/Egress inspection
Inspector Signature - Access/Egress
Water Accumulation & Control
Planning for and controlling water accumulation in the excavation.
Describe the anticipated sources of water inflow (e.g., groundwater, surface runoff, precipitation).
Method(s) for water control:
Estimated pumping rate (gallons per minute or liters per minute)
Describe the pump capacity and type of pump to be used.
Backup power source for dewatering pumps:
Describe the procedure for monitoring water levels during excavation.
Atmospheric Hazards
Addressing potential atmospheric hazards such as oxygen deficiency or hazardous gases.
Potential Atmospheric Hazards Identified?
Atmospheric Monitoring Required? (Select all that apply)
Minimum Acceptable Oxygen Level (%)
Maximum Acceptable Concentration of Toxic Gases (ppm)
Monitoring Equipment Calibration Records
Ventilation Required?
Ventilation Plan Details
Date of Last Atmospheric Hazard Assessment
Soil Management & Material Storage
Safe storage and handling of excavated soil and other materials.
Describe the designated areas for soil and material storage.
Minimum Safe Distance from Edge of Excavation for Material Storage (feet)
Methods for Stabilizing Soil Piles to Prevent Collapse (Select all that apply)
Method used for preventing soil erosion from stockpiles.
Date of Last Soil Pile Stability Inspection
Name of Person Performing Last Soil Pile Stability Inspection
Upload Photos of Soil Storage Areas (showing stability measures)
Communication & Emergency Procedures
Establishing clear communication protocols and emergency response plans.
Emergency Contact List (including phone numbers)
Emergency Callout Sequence (Priority Order)
Potential Emergency Scenarios Addressed in Plan (Check all that apply)
Description of Emergency Evacuation Route(s)
Date of Last Emergency Drill
Scheduled Time for Regular Safety Briefings
Communication Procedures for Reporting Near Misses/Incidents
Primary Communication Method on Site (e.g., Radio, Whistle, Hand Signals)
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