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Run: Hand-Dig Tolerance Zone Compliance Log

Use this hand-dig tolerance zone compliance log to document safe excavation around marked utilities, verify separation, and record corrective actions before ...

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Inspection Details

Job site location and work order identified critical (required)

Inspection date and time recorded critical (required)

Utilities marked and tolerance zone verified before digging critical (required)

Yes No N/A

Tolerance Zone and Exposure Controls

Hand-digging used within the tolerance zone critical (required)

Confirm that no mechanized excavation was used inside the tolerance zone around marked utilities.

Yes No N/A

Minimum separation maintained from marked utility critical (required)

Record the measured separation maintained during exposure or excavation near the marked utility.

Note (optional)

Utility exposed without damage or coating compromise critical (required)

Yes No N/A

Utility protected from abrasion, impact, or movement critical (required)

Yes No N/A

Crew, Supervision, and Tools

Competent supervisor or designated lead on site critical (required)

Verify that a responsible supervisor was present to direct hand-digging activities and utility exposure.

Yes No N/A

Hand tools used for excavation critical (required)

Select all hand tools or non-mechanized exposure methods used at the utility interface.

Note (optional)

Mechanized equipment excluded from tolerance zone critical (required)

Yes No N/A

Crew briefed on utility strike hazards and stop-work expectations

Confirm the crew understood the utility location, hand-dig requirements, and escalation process if markings were unclear.

Yes No N/A

PPE and Work Area Controls

Required PPE worn by crew critical (required)

Note (optional)

Work area barricaded or controlled as needed

Confirm the immediate excavation area was controlled to prevent unauthorized access and protect exposed utilities.

Yes No N/A

Spoil pile and equipment positioned away from exposed utility

Yes No N/A

Deficiencies and Sign-Off

Deficiencies or non-conformances identified

Document any deviation from the hand-dig procedure, utility protection requirements, or site controls.

Yes No N/A

Note (optional)

Corrective actions completed before work continued critical (required)

Yes No N/A

Inspector signature critical (required)

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