Scribd
Upload
95 views

Safety - Permit To Dig: PART A: To Be Completed For ALL Operations Involving Breaking Ground

This document is a permit for digging that requires identifying any underground utilities in the excavation area. It provides a process for locating known services, using trial holes if electricity, gas or unknowns are present. Mechanical excavation is only allowed if services are exposed or nothing is found within 500mm of the dig area.

Uploaded by

Parashuram Patil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
95 views

Safety - Permit To Dig: PART A: To Be Completed For ALL Operations Involving Breaking Ground

This document is a permit for digging that requires identifying any underground utilities in the excavation area. It provides a process for locating known services, using trial holes if electricity, gas or unknowns are present. Mechanical excavation is only allowed if services are exposed or nothing is found within 500mm of the dig area.

Uploaded by

Parashuram Patil
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

Safety Permit to Dig

Project Name:
Permit Number

Description of Works and Location:


(Dimensions, depths, chainage)

PART A: To be completed for ALL operations involving breaking ground Are there known/charted services in the location? (Tick)

Gas Property Connection Drains Unknown (Picked up on GPR)

Electricity Fibre Optic Traffic Signal

Water BT Street Lighting No services

If there are no services indicated (within the proposed are of dig) on an statutory drawings or topographical GPR survey, and the area has been CAT scanned and proved clear, then mechanical excavation can proceed, persons to be kept clear of machine bucket at all times Go to part B Have all known services been traced and marked out on the ground?

Yes

No

If Electricity, gas or unknown services are present then trial holes MUST be dug using safe techniques (No breakers or mechanical equipment) and marked on the drawings to prove exact depth, location and direction. Have trial holes been done prior to this permit?

Yes

No

All known/charted services must be shown on the attached sketch(s) or relevant survey drawing, clearly stating the trial hole locations where required (Gas, Electricity, Unknown) Additional comments and notes:
(Specify details of equipment to be used to safely expose and identify any service

PART A: Completed by Authorised Person If Electricity and or gas are located in the area then a nominated supervisor MUST be in place until the service is safely located by hand. Supervision?

Yes

No

If electricity or Gas is found to be encased in concrete the service MUST be diverted or isolated before commencing with the excavation works. If the service is not diverted or isolated then confirmation to proceed with mechanical methods MUST be received from the most senior manager on site. Authorised Person: _______________________________________ Date: _________________ Supervisor: _____________________________________________ Date: _________________ A copy of this permit must be kept with the supervisor of the activity at the workface

Page 1 of 4

A J Burgess 2010

Safety Permit to Dig


PART B: To be completed with reference to PART A, by Authorised Person for ALL operations breaking Ground

Have all known/charted services, been safely located, Yes exposed and identified by trial holes? Has Electricity and or Gas been identified as present Yes in the area of dig or within 500mm of? If Yes, they MUST be fully exposed safely before commencing with mechanical means. Notes/Comments:

No Services Identified No No

Yes

Excavation by mechanical means may only proceed if: If known services within the immediate area of the proposed dig have been fully exposed by safe techniques under direct supervision OR There are no identified services shown on the survey drawing and nothing has been located with a CAT & Genny within 500mm either side of the proposed excavation line. PART B: Approval to Proceed Signed: _________________________________________________ Date: ____________________ Valid from: ________________________________ Valid until: _______________________________ PART B: Accepted by (Supervisor) Signed: _________________________________________________ Date: ____________________ Confirming that contents of permit have been understood and the following operatives briefed on control measures

The excavation has been completed and left in a safe condition/superseded by another permit

Supervisor: __________________________________________ Date: _________________

Work must be suspended if services are damaged and reported immediately to Management A copy of this permit must be kept with the machine operator involved in the proposed activity.

Page 2 of 4

A J Burgess 2010

Safety Permit to Dig


PLANS/SECTIONS Show plan details (including known services), setting out details and trench details as applicable (attached additional sheets if required)

Page 3 of 4

A J Burgess 2010

Safety Permit to Dig

Page 4 of 4

A J Burgess 2010

You might also like