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    Annex IV Excavation

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    Putri aulia akram
    This document outlines safety requirements for excavation work. It includes checking for underground utilities, developing interference and risk mitigation plans, isolating and preparing the work area, using proper procedures and equipment, considering slope stability and fall protection, and requiring authorized designs and supervision for deep excavations over 1.25 meters. Completing a pre-excavation assessment and getting proper approvals are necessary before beginning excavation work to ensure all safety precautions are in place.

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    Annex IV Excavation

    Uploaded by

    Putri aulia akram
    26 views1 page
    This document outlines safety requirements for excavation work. It includes checking for underground utilities, developing interference and risk mitigation plans, isolating and preparing the work area, using proper procedures and equipment, considering slope stability and fall protection, and requiring authorized designs and supervision for deep excavations over 1.25 meters. Completing a pre-excavation assessment and getting proper approvals are necessary before beginning excavation work to ensure all safety precautions are in place.

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    This document outlines safety requirements for excavation work. It includes checking for underground utilities, developing interference and risk mitigation plans, isolating and preparing the work area, using proper procedures and equipment, considering slope stability and fall protection, and requiring authorized designs and supervision for deep excavations over 1.25 meters. Completing a pre-excavation assessment and getting proper approvals are necessary before beginning excavation work to ensure all safety precautions are in place.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    26 views1 page

    Annex IV Excavation

    Uploaded by

    Putri aulia akram
    This document outlines safety requirements for excavation work. It includes checking for underground utilities, developing interference and risk mitigation plans, isolating and preparing the work area, using proper procedures and equipment, considering slope stability and fall protection, and requiring authorized designs and supervision for deep excavations over 1.25 meters. Completing a pre-excavation assessment and getting proper approvals are necessary before beginning excavation work to ensure all safety precautions are in place.

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    © All Rights Reserved
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    Annex IV – Excavation REVISION 1.

    2020

    Department: Area: Number of Work Order/reference: SWP No.:

    Name of issuer: __________________________________________Signature: ___________________Date ____/____/____Time______

    Name of accptor________________________________Signature: ___________________Date ____/____/____Time_____

    1 - Identification of interferences
    1 - Has a design of the area to be excavated been assessed for identification of potential interference with ☐ Yes ☐ No
    pipelines, electrics, etc.?

    2 - Has the area owner been consulted about potential interferences within the excavation area? ☐ Yes ☐ No

    3 - Has a metal detection system been used? ☐ Yes ☐ No


    Equipment used (TAG): _______________________ Calibration expiry date: _____/ ______/ ______

    ☐ Other: ________________________________________ Describe risk control methods ____________________________

    _________________________________________________________________________________________________________________________________________________

    2 - Interference management
    5 - Have pipelines and electric cabling (underground or overhead) within the excavation area that may interfere with ☐ Yes ☐ No
    excavation activity been disconnected and rendered safe from unintended reconnection?

    6 - Have executors been informed that at any time during the excavation activities, work may be suspended, with ☐ Yes
    the immediate leader being duly informed about it, should any structure be affected?

    7 - Is there a mitigation plan for potential interferences identified, in case they cannot be eliminated (gas ☐ Yes ☐ No
    leakage, water infiltration, etc.)?

    3 - Area preparation
    8 - Has the area been previously prepared and cleaned up, with trees, rocks, equipment and any type of objects being
    removed, should there be any stability risk during the execution of the activity (another SWP must be issued for the ☐ Yes ☐ No
    activity, if required)?

    9 - Has the area surrounding the excavation been isolated with physical barriers to prevent unauthorized access ☐ Yes
    (berms, trestles, safety mesh, safety barriers)?

    10 - Does area isolation plan comprise excavation equipment turning radius? ☐ Yes ☐ N/A

    11 - Does site lighting allow for good visibility conditions? ☐ Yes ☐ No

    12 - Has appropriate location be devised to dispose of materials removed from excavation at a distance longer ☐ Yes ☐ No
    than half the depth, measured from the slope edge?

    13 - Is excavation site free from cracks, soil ruptures, vibration or moisture that may bring about material ☐ Yes ☐ No
    crumbling?

    14 - Is excavation site adjacent to facilities, e.g. buildings, walls, utilities posts? ☐ Yes ☐ No
    15 - If affirmative, describe shoring method for adjacent facility ☐ Shoring ☐ Foundation ☐ Bracing ☐ Removal
    ☐ Other: ______________________________________________________________________________________

    4 - Procedures

    16 - Is operational procedure for excavation available on site for all personnel engaged in the activity? ☐ Yes ☐ No

    17 - Have excavation equipment checklists been run through and requirements been complied with? ☐ Yes ☐ No

    5 - Excavation deeper than 1.25 m ☐ N/A

    18 - Is there a specific design signed off by a legally qualified professional comprising at least the following items: shoring, ☐ Yes ☐ No
    signage, ventilation, lighting, access control, human-machine segregation, slope stability, fall protection (if over 1.8 m)?

    19 - Has excavation activity deeper than 1.25 m been released and authorized by a legally qualified professional? ☐ Yes ☐ No

    20 - Does excavation pose fall risks that call for work at height procedures to be complied with?
    ☐ Yes ☐ No
    If affirmative, fill out Annex III - Work at Height

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