Excavation Safety Checklist
Contractor________________ Competent Person_________________ Dimensions____________
Rescue Equipment__________
Date______________ Location____________ Intersecting__________ Miss Utility__________
COMPETENT PERSON CHECKLIST
•This inspection: Start of day____________, During shift_________________ Hazard increasing
occurrence________________________
•Inspection: Excavation: _____________________, Adjacent Area____________ Protective systems________________, Surface
Encumbrances____________ Underground Utilities______________, Spoil Pile________________
Equipment_______________________, Other___________________ Access & Egress__________________,
Vibrations________________
•Vehicular Traffic: Vest_______________, Warning Lights___________________ Mobile Warning
Equipment___________________________
•Hazardous Atmospheres: Explosive_____, Flammable_____, Corrosive_____, Oxygen Deficient_____, Poisonous_____,
Toxic_____, Irritating_____, Oxidizing_____, Other_____
•Water Accumulation: Removal__________, Prevent surface run off__________, Method__________, Forecast__________
•Soil Classification: Soil classification used____________, Soil type__________, Visual test__________, Manual
test____________ Tabulated data on site______________, Copy of standard_________
•Protective Systems: Sloping__________, Benching__________, Shoring__________, Trench Box__________, Aluminum
Hydraulic__________, Other_______________, Manufacturers Data _____________ Timber______________
Maryland Fire and Rescue Institute Susan Harwood Grant SH-16582-07
Source: https://www.osha.gov/dte/grant_materials/fy07/sh-16582-07/competent_person_checklist2.pdf
Employee
Safety Series