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Landmarc Environmental Systems,LLC Site-Specific Health&Safety Plan(SSHSP) <br /> TREMCNINN-EX AVATIRN <br /> 7.3.1 DAILY COMPETENT PERSON IN S PE TII0N EXCAVATION I <br /> TRENCH INSPECTION REPORT <br /> Competent Person: Date: <br /> Project Name: Weather Conditions: <br /> Project Location: Rainfall Amounts 24 hours Previous: <br /> "I hereby attest that the following conditions existed and that the following items were checked-or <br /> reviewed during this inspection"_ <br /> Check Yes, No or NIA for Not Applicable. <br /> 1. Are barricades or covers in place and in good condition? <br /> 2. Have any tension cracks observed along top on any slopes? <br /> 3. Is excavated material at least 2'from the edge of the excavation? <br /> 4. Are slopes cut at design angle of repose's <br /> 5. Is any water seepage noted in trench walls or bottom? <br /> 6. Are pumps in place or available if needed? <br /> 7. Is bracing system installed in accordance with design? <br /> a. Is there evidence of significant fracture planes in soil or rock? <br /> 9. Is there any evidence of caving or sloughing of soil since the last <br /> inspection's <br /> 10. Are there any zones of unusually weak soils or materials net <br /> anticipated? <br /> 11. Are there any noted dramatic dips or bedrock? <br /> 12. Are all short-term trench(s) covered within 24 hours? <br /> 13. Have non-compliance items been photographed? <br /> 14. Are hydraulic shores pumped to design pressure? <br /> 15. Is shoring being used secure? <br /> 16. Does plan include adequate safety factor for equipment being used? <br /> 17. Is traffic adequately away from trenching operation's <br /> 18. Are barricade up and secure? <br /> 19. Are there trees, boulders or other hazards in area? <br /> 20. Is vibration from equipment or traffic to close to trenching <br /> operation's <br /> 21. Are trench box(s) certified? <br /> 22. Are CFCI's used on ALL temporary electrical cords? <br /> 23. Is access and egress located every 25 feet? <br /> 24. Is hazardous testing done on a regular basis? <br /> 25. Pas rescue procedure been established and is equipment <br /> i-ii i—eIiataly available? <br /> 14 <br />