Excavation and Trenching Permit

Permit to authorize excavation or trenching work on plant property after confirming utility locates, soil classification, protective systems, and safe access controls.

Permit Details

• Permit Title
• Work Order or Job Number
• Permit Date
• Planned Start Date and Time
• Planned End Date and Time
• Work Location
  Enter the specific plant area, building, line, or grid reference where excavation will occur.

Scope of Ground Disturbance

• Type of Ground Disturbance
• Estimated Maximum Depth (feet)
• Estimated Length (feet)
• Estimated Width (feet)
• Work Description
  Briefly describe what will be done and why the disturbance is needed.

Utility Locates and Site Checks

• Utility locates completed and verified?
• Locate Ticket or Reference Number
• Known utilities and buried services marked on site?
• Overhead hazards reviewed, if applicable?
• Pre-job site walk completed?

Soil Classification and Protective Systems

• Soil Classification
• Protective System Selected
• Protective system installed before entry?
• Competent Person Name
• Competent Person Signature

Access, Spoil, and Work Controls

• Safe access and egress provided?
• Spoil pile placed at a safe distance from the edge?
• Barricades, barriers, or warning signs installed?
• Traffic or pedestrian control required?
• Traffic Control Plan or Controls

Hazards, Controls, and Authorization

• Additional Hazards Identified
• Additional Controls or Precautions
  List any extra controls needed, such as isolation, monitoring, or standby support.
• I confirm the information is accurate and understand work may not begin until this permit is approved.
• Submitter Name
• Submitter Role