Trenches over 5 feet deep will use a protective system. Excavations > 4 feet deep may be considered Confined Spaces. WARNING: Follow Confined Space Entry Procedures. Protective System Used (Circle One)? Yes No If Yes, which type? Shielding (Box) Shoring Sloping Benching Other (describe): Excavation Competent Date: Person: Sign: Contractor/Project Date: Safety Rep: Sign: Registered Date: Professional Engineer (if required, 29 CFR Sign: 1926 Subpart P ): Permit Completion: I hereby declare that the work is completed/ suspended, all workers under my control have been withdrawn and the site restored to a safe condition. Excavation Competent Person: Sign: Date:
WARNING: Trenches over 5 feet deep will use a protective system. Excavations > 4 feet deep may be considered Confined Spaces. Follow Confined Space Entry Procedures. Protective System Used (Circle One)? Yes No If Yes, which type? Shielding (Box) Shoring Sloping Benching Other (describe): Excavation Competent Person: Sign: Date: Contractor/Project Safety Rep: Sign: Date: Registered Professional Engineer (if required, 29 CFR 1926 Subpart P ): Sign: Date: Permit Completion: I hereby declare that the work is completed/ suspended, all workers under my control have been withdrawn and the site restored to a safe condition. Excavation Competent Person: Sign: Date:
Excavation-Permit.docx