SITE LOCATION:
DATE:
TIME:
SOIL CLASSIFICATION:
EXCAVATION DEPTH:
TYPE OF PROTECTIVE SYSTEM USED:
COMPETENT PERSON:
EXCAVATION WIDTH:
Indicate for each item: YES - NO - or N/A for not applicable
1. General Inspection of Jobsite:
A. Excavations, adjacent areas, and protective systems inspected by a competent
person daily before the start of work.
B. Competent person has the authority to remove employees from the excavation
immediately.
C. Employees protected from loose rock or soil that could pose a hazard by falling
or rolling into the excavation.
D. Employees protected from loose rock or soil that could pose a hazard by falling
or rolling into the excavation.
E. Proper PPEs worn by all employees.
F. Barriers provided at all remotely located excavations.
G. Walkways and bridges over excavations four feet or more in depth are equipped
with standard guardrails and toe boards.
H. All equipment’s are in good condition and properly inspected.
I. The removal of support systems begins at the bottom and members are released
in such a way that any indication of possible failure is noted.
J.

Resource Request Form
RESOURCE REQUEST FORM
Form at No.:
Requester Name: ________________________________ Department: _________________________
Date of Request: ___________________ Expected Date: _____________________
Reason for Request:
_____________________________________________________________________________________
_____________________________________________________________________________________
MAN POWER
For Designation
Nos. of Candidates
Other Resources
Machinery Equipment
Financial Support
Skill / Qualification & Experience Requirements
Consulting Documentation System
OTHER RESOURCE, PLEASE SPECIFY
Signature of Department Head
Human Resource Department - Executive
Remarks
_____________________________________________________________________Director - Signature
Human Resource Department Status