QA/QC  › HSE Permits & Safety  › Excavation & Trenching
Form · QC-HSE-PRM-005
Excavation & Trenching Permit
19 checkpoints across 6 sections. Before any excavation, trench, or pit >0.6 m depth; revalidated daily
19 Checkpoints
6 Sections
Per shift or per excavation activity
HSE Officer, Permit Issuer

Checklist Preview

S.No.CheckpointIS RequirementStatus
A. UNDERGROUND UTILITY SURVEY
A1Underground utility drawings reviewed: power, water, gas, telecom, sewage lines identified
Acceptance: As-built drawings on site; utility owners contacted; clearance letter obtained
Cl. 4 — Pre-excavation survey
OK
NC
NA
HOLD
A2Cable/pipe detector scan completed; any detected service marked on ground
Acceptance: GPR/CAT scan done; markings fresh; depth of any service recorded
Cl. 4 — Detection scan
OK
NC
NA
HOLD
A3Manual trial pits dug to confirm detected services before machine excavation
Acceptance: Hand-dug trial pits confirm location/depth; no machine within 500 mm of service
Cl. 4 — Hand-dig verification
OK
NC
NA
HOLD
B. SOIL AND SUPPORT ASSESSMENT
B1Soil type assessed by competent person; stability evaluated for depth and weather
Acceptance: Soil report / visual; Type A (stable) / B (intermediate) / C (unstable) assigned
Cl. 5 — Soil classification
OK
NC
NA
HOLD
B2Excavation >1.5 m: side-sloping, benching, or shoring designed and installed
Acceptance: Slope 1:1 soft / 1:0.5 stiff; or trench box / shoring per designed drawing
Cl. 5 — Stability protection
OK
NC
NA
HOLD
B3Shoring / trench box installed per design; struts tight; no deflection; inspected daily
Acceptance: Design signed by engineer; installation matches drawing; daily check logged
Cl. 5 — Shoring
OK
NC
NA
HOLD
B4Spoil / excavated material kept minimum 1.0 m from edge; no surcharge on excavation walls
Acceptance: Spoil set back ≥1 m; heavy plant set back further per depth; no edge loading
Cl. 5 — Spoil placement
OK
NC
NA
HOLD
C. ACCESS, EGRESS AND BARRICADING
C1Ladder / step access in every 7.5 m of trench length; ladder extends 1 m above ground
Acceptance: Ladder within 7.5 m; secured; extends 1 m; non-slip feet
Cl. 6 — Access
OK
NC
NA
HOLD
C2Hard barricade around excavation; warning signs and lights for night visibility
Acceptance: Hard barrier 1.0 m high, 1.0 m offset; flashing lights at night; signage DANGER
Cl. 6 — Barricading
OK
NC
NA
HOLD
C3Pedestrian crossings: walkway boards with handrails where trench crosses footpath
Acceptance: Boards ≥600 mm wide; handrails both sides for >2 m depth; secured
Cl. 6 — Pedestrian safety
OK
NC
NA
HOLD
Showing 10 of 19 checkpoints ·
A. UNDERGROUND UTILITY SURVEY
A1Underground utility drawings reviewed: power, water, gas, telecom, sewage lines identified
Cl. 4 — Pre-excavation survey (IS 3764)
As-built drawings on site; utility owners contacted; clearance letter obtained
OKNCNAHOLD
A2Cable/pipe detector scan completed; any detected service marked on ground
Cl. 4 — Detection scan (IS 3764)
GPR/CAT scan done; markings fresh; depth of any service recorded
OKNCNAHOLD
A3Manual trial pits dug to confirm detected services before machine excavation
Cl. 4 — Hand-dig verification (IS 3764)
Hand-dug trial pits confirm location/depth; no machine within 500 mm of service
OKNCNAHOLD
B. SOIL AND SUPPORT ASSESSMENT
B1Soil type assessed by competent person; stability evaluated for depth and weather
Cl. 5 — Soil classification (IS 3764)
Soil report / visual; Type A (stable) / B (intermediate) / C (unstable) assigned
OKNCNAHOLD
B2Excavation >1.5 m: side-sloping, benching, or shoring designed and installed
Cl. 5 — Stability protection (IS 3764)
Slope 1:1 soft / 1:0.5 stiff; or trench box / shoring per designed drawing
OKNCNAHOLD
B3Shoring / trench box installed per design; struts tight; no deflection; inspected daily
Cl. 5 — Shoring (IS 4014)
Design signed by engineer; installation matches drawing; daily check logged
OKNCNAHOLD
B4Spoil / excavated material kept minimum 1.0 m from edge; no surcharge on excavation walls
Cl. 5 — Spoil placement (IS 3764)
Spoil set back ≥1 m; heavy plant set back further per depth; no edge loading
OKNCNAHOLD
C. ACCESS, EGRESS AND BARRICADING
C1Ladder / step access in every 7.5 m of trench length; ladder extends 1 m above ground
Cl. 6 — Access (IS 3764)
Ladder within 7.5 m; secured; extends 1 m; non-slip feet
OKNCNAHOLD
C2Hard barricade around excavation; warning signs and lights for night visibility
Cl. 6 — Barricading (IS 14489)
Hard barrier 1.0 m high, 1.0 m offset; flashing lights at night; signage DANGER
OKNCNAHOLD
C3Pedestrian crossings: walkway boards with handrails where trench crosses footpath
Cl. 6 — Pedestrian safety (IS 3764)
Boards ≥600 mm wide; handrails both sides for >2 m depth; secured
OKNCNAHOLD
Showing 10 of 19 ·
Inspection Sign-Off
APPROVED
APPROVED WITH CONDITIONS
REJECTED — NCR RAISED
Remarks
Name / Sign / Date
Inspected By
Name / Sign / Date
Reviewed By
Name / Sign / Date