DAILY TRENCHING LOG                   

 Date:
Weather:
COMPANY NAME: JOB LOCATION/PROJECT:
1. Were Utility Locators called prior to initial excavation?           YES____      NO____
2. Protective System (s): Trench Shield__   Wood Shoring__   Sloping__ Other___
3. Trench Measurements: Depth: _________    Length:_________ Width: _______
4. Purpose of Trench: Drainage____  Sewer____  Gas____  Water____  Other_____
5. Was a Visual Soil Test Made ? YES__  NO__ If Yes, What Type ? __________
6. Was a Physical Soil test Made ? YES__  NO__ If Yes, What Type ? ________
7. Type of SOIL___________________ 8. Strength of SOIL____________________
9. Surface Encumbrances Present ? YES__  NO__ If Yes, What Type ?___________
10. Potentially Dangerous Atmospheres exist? YES__  NO__ If Yes, CONFINED 
SPACE PROCEDURES ARE TO BE FOLLOWED
11. Is Trenching/Excavation exposed to vehicle traffic (Exhaust Fumes)? YES__ 
 NO__ If Yes, CONFINED SPACE PROCEDURES ARE TO BE FOLLOWED
12. Are Employee's exposed to Vehicular Traffic ? YES__ NO__  If Yes,  safety
vest are required
13. Are other Utilities ( Gas, Water, Sewer, Electric ) protected? YES ___ NO___
14. Are Sewer or Natural Gas Lines Exposed? YES__  NO__  If Yes, CONFINED 
SPACE PROCEDURES ARE TO BE FOLLOWED
15. Are Ladders within 25' of Employee's in Trench? YES__ NO__
16. Do ladders extend 3' above top of the excavation? YES__ NO__
17. Excavated material stored a minimum of 2' from excavations edge? YES__ NO__
18. Have Employees received training in trenching and excavation? YES__  NO__
Last Periodic Inspection performed   Date: _______      Time: ________
COMMENTS / NOTES :
COMPETENT PERSON ON JOBSITE: Printed Name:  _______________________
SIGNATURE OF COMPETENT PERSON: __________________Date:        /       /