Excavation Checklist
Project Name Company Name
Conducted By Date
Poor: Absence of major control measures (high risk) work to be stopped and risk assessment to be reviewed
immediately.
Fair: some minor controls are missing (medium risk) additional control measure to be implemented.
Good: All required control are in place (low risk) only monitoring is required.
Evaluation Remarks
Items (insert your observation,
Good Fair Poor N/A
and proposed corrective
plan)
Hazards have been identified and risk evaluated and
assessed.
Suitable access / egress provided.
Falling protection system installed properly (i.e.
barriers, stop blocker, toe boards, and warning
tapes……. Etc.).
Appropriate supporting system / method (shoring,
buttering or stepping)
Spoil heaps stable and kept in safe distance from the
edge of trenches.
Oxygen tested and gases levels within acceptable level
(for excavation with depth more than 1.2meter).
Emergency preparedness plan developed,
communicated and implemented.
Proper signage & warning lights (warning signs
tapes,……. etc.) and instructions(i.e. PTW,
Emergency notice… etc.) Displayed.
Excavators are in good working condition
Proper training and awareness delivered to all
involved employees i.e. toolbox talk & specialized
training.
Position Name Signature
HSE Officer/ Engineer/ Manager
Distribution and Acknowledgement:
Project Engineer/Project Manager
