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Competent Person Daily Inspection
Trench & Excavation Safety Inspection
OSHA 1926 Subpart P Compliant
π Basic Information
Inspection Date *
Inspection Time *
Competent Person Name *
Company *
-- Select Company --
A-C Electric
AKE-Line
Apache Corp.
Armstrong Oil & Gas
ASRC Energy Services
CCI-Industrial
Chosen Construction
CINGSA
Coho Enterprises
Conam Construction
ConocoPhillips
Five Star Oilfield Services
Fox Energy Services
G.A. West
GBR Equipment
GLM Energy Services
Graham Industrial Coatings
Harvest Midstream
Hilcorp Alaska
MagTec Alaska
Merkes Builders
Narwhal Exploration
Nordic-Calista
Parker TRS
Peninsula Paving
Pollard Wireline
Ridgeline Oilfield Services
Santos
Summit Excavation
Tesoro Refinery
Yellowjacket
Other
Location *
-- Select Location --
Kenai
CIO
Beaver Creek
Swanson River
Ninilchik
Nikiski
Other Kenai Asset
Deadhorse
Prudhoe Bay
Kuparuk
Alpine
Willow
ENI
PIKKA
Point Thompson
North Star Island
Endicott
Badami
West Harrison Bay
Other North Slope
Specific Location / Description
π Excavation Details
Excavation Type *
-- Select Type --
Trench
Bell-Bottom Pier Hole
Shaft
Open Excavation
Other
Depth (ft) *
Length (ft)
Width (ft)
Soil Classification *
-- Select Classification --
Type A - Stable Rock
Type A - Clay
Type B - Silt
Type B - Medium Clay
Type B - Unstable Rock
Type C - Gravel
Type C - Sand
Type C - Submerged Soil
Layered - Multiple Types
Protective System *
-- Select System --
Sloping
Benching
Shoring - Timber
Shoring - Aluminum Hydraulic
Shielding - Trench Box
Shielding - Steel Plate
Combination
None Required (<4ft)
π€οΈ Environmental Conditions
Current Weather Conditions *
-- Select Conditions --
Clear/Sunny
Partly Cloudy
Overcast
Light Rain
Heavy Rain
Snow
Freezing Rain
High Wind
Rain in Last 24 Hours? *
Yes
No
Freeze/Thaw Conditions? *
Yes
No
β οΈ Hazard Assessment
β οΈ Critical Safety Checks
Answer carefully. Any "Yes" to hazards or "No" to safety measures requires immediate corrective action.
Evidence of Cave-In Potential? *
Yes
No
Soil Stability Acceptable? *
Yes
Marginal
No
Water Accumulation Present? *
Yes - Action Required
Minor
No
π‘οΈ Protective System Inspection
Protective System Condition *
Good
Acceptable
Deficient
Shoring/Shielding Properly Secured? *
Yes
No
N/A
Slope Angle Properly Maintained? *
Yes
No
N/A
Spoil Pile 2ft+ From Edge? *
Yes
No
πͺ Access & Egress
Ladder Access Adequate? *
Yes
No
N/A
Ladder Within 25ft of Workers? *
Yes
No
N/A
Ramps/Stairs Safe Condition? *
Yes
No
N/A
π§ Site Controls
Traffic Controls in Place? *
Yes
No
N/A
Barricades Adequate? *
Yes
No
Warning Signs Posted? *
Yes
No
Adjacent Structures Stable? *
Yes
No
N/A
Underground Utilities Protected? *
Yes
No
N/A
π¨ Atmosphere Testing
Atmosphere Testing Required/Performed? *
Yes - Tested
Not Required
Required - Not Done
β General Safety
Surface Encumbrances Removed/Supported? *
Yes
No
N/A
Equipment Set Back From Edge? *
Yes
No
N/A
Required PPE in Use? *
Yes
No
Emergency/Rescue Equipment Available? *
Yes
No
π Authorization
Work Authorization Decision
β
Yes - Work Authorized
π
No - Work Stopped
Corrective Actions Required (if any)
Inspector Signature (Type Full Name) *
Submit Daily Inspection