Pre-Excavation Safety Checklist

Project Name:

Project Location:

Inspected by: (Competent person)

Date of Inspection:

Instructions:

Complete and sign this sheet PRIOR to excavating.

Do NOT dig without locate marks.

Before you leave the shop, obtain locate numbers and check to see if locates have been completed (look at due date).

Make sure you have a field sketch or if one were left at job site.

If you do not have what you need as listed above, do NOT leave the shop. See your Supervisor

On the Job Site

Pre-Survey (checking for locates)

Check for field sketch.
Check for all facility marks on ground.
Verify all service feeds from buildings and homes and that they have been located and/or that they are aerial.
Draw a sketch of the marked facilities for future use.
Check for any visible signs of pedestal, riser, and new trench lines that may have been missed in your dig area.
Check to make sure that dig area is defined and is same on locate sketch when possible.
Check for any private facilities not located. If they are not located, locate them or contact someone to get them located.
If there are high priority facilities in your dig area, make sure facility owner/locator is on job site and/or has been contacted for advice

If lines are NOT located completely, consult locate card and contact responsible party

Public and Private Utilities

Ask for assistance from homeowner and utilize locating equipment and use common sense.
Locate septic lines.
Locate water yard lines.
Locate private power lines to sheds, wells, invisible fences, etc.
Locate private gas or propane lines.
Locate sprinkler lines and heads and drip systems.
Draw a sketch of locations for all private facilities on job site.
Locate telecommunication cable (TV, Telephone, fiber optics, etc.)

Excavating

If paralleling or working on a critical or high priority line, pot hole or use locating equipment to expose and verify location and depth of facility every 100 feet.
Hand dig within 24 inches (or as required in your state) of lines, peds, pole risers, meters or other structures.
Bore away from facilities.
Verify depth of any facilities boring across, change route or depth as required, notify supervisor.
Do not place excavated dirt on locate marks, flags, whiskers, etc.
Support all lines exposed during excavation to avoid kinks or other damage.

Backfilling

Shade all lines placed or exposed with good fill dirt
Verify all fill dirt is free from rocks, cable trash, crew trash, and large dirt clods.

Please Dig Safety: As an excavator, YOU are responsible for verifying that all facilities within the dig area have been located. YOU are responsible for locating all private and public facilities.

Signature:

Click here to sign

Date:

Project Name:

Project Location:

Inspected by: (Competent person)

Date of Inspection:

Instructions:

Complete and sign this sheet PRIOR to excavating.

Do NOT dig without locate marks.

Before you leave the shop, obtain locate numbers and check to see if locates have been completed (look at due date).

Make sure you have a field sketch or if one were left at job site.

If you do not have what you need as listed above, do NOT leave the shop. See your Supervisor

On the Job Site

Pre-Survey (checking for locates)

Check for field sketch.

Check for all facility marks on ground.

Verify all service feeds from buildings and homes and that they have been located and/or that they are aerial.

Draw a sketch of the marked facilities for future use.

Check for any visible signs of pedestal, riser, and new trench lines that may have been missed in your dig area.

Check to make sure that dig area is defined and is same on locate sketch when possible.

Check for any private facilities not located. If they are not located, locate them or contact someone to get them located.

If there are high priority facilities in your dig area, make sure facility owner/locator is on job site and/or has been contacted for advice

If lines are NOT located completely, consult locate card and contact responsible party

Public and Private Utilities

Ask for assistance from homeowner and utilize locating equipment and use common sense.

Locate septic lines.

Locate water yard lines.

Locate private power lines to sheds, wells, invisible fences, etc.

Locate private gas or propane lines.

Locate sprinkler lines and heads and drip systems.

Draw a sketch of locations for all private facilities on job site.

Locate telecommunication cable (TV, Telephone, fiber optics, etc.)

Excavating

If paralleling or working on a critical or high priority line, pot hole or use locating equipment to expose and verify location and depth of facility every 100 feet.

Hand dig within 24 inches (or as required in your state) of lines, peds, pole risers, meters or other structures.

Bore away from facilities.

Verify depth of any facilities boring across, change route or depth as required, notify supervisor.

Do not place excavated dirt on locate marks, flags, whiskers, etc.

Support all lines exposed during excavation to avoid kinks or other damage.

Backfilling

Shade all lines placed or exposed with good fill dirt

Verify all fill dirt is free from rocks, cable trash, crew trash, and large dirt clods.

Please Dig Safety: As an excavator, YOU are responsible for verifying that all facilities within the dig area have been located. YOU are responsible for locating all private and public facilities.

Signature:

Date: