Excavation Shoring Checklist – Cooper Trench Safety

Company Contact Information

Company *

Contact Name *

Mobile Telephone *

Office Telephone *

Email Address *

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Site Specific Information

Project Name *

Project Street Address *

City *

What is being constructed? (e.g. pipeline, left station, etc…) *

Measurement unit * Feet Meters

Soil information available (e.g. Borelogs, Geotech report… ) * Yes No

Bore Log Document *

Site plan available? * Yes No

Plan and Profile Document *

Will contractor dewater to below the base of cut outside of shoring? * Yes No

If no, what are the dewatering plans, if any? *

Adjacent building structures? * Yes No

Description and distance of adjacent building structures from shoring *

Adjacent railroad tracks? * Yes No

How many adjacent railroad tracks? *

Distance from centerline of tracks to closest edge of shoring * {{ units }}

Any utilities crossing shoring? * Yes No

If yes, what is the depth, size, angle to shoring? *

Is deflection of shoring a concern? * Yes No

If yes, please explain *

Any special provisions in project specs regarding shoring? *

Are you... * {{ name }}

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Trench Questions

Distance from centerline of tracks to closest edge of shoring * {{ units }}

If benching, total cut depth * {{ units }}

If benching, shored depth * {{ units }}

What is being constructed? *

Width of trench * {{ units }}

Required horizontal clearance between struts * {{ units }}

Required vertical clearance from base of trench * {{ units }}

Preferred shoring or equipment *

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Linear Wall Questions

Max cut depth * {{ units }}

What is being constructed? *

If benching, total cut depth * {{ units }}

If benching, shored depth * {{ units }}

Length of wall or walls *

Preferred shoring or equipment *

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Pit Questions

Max cut depth * {{ units }}

What is being constructed? *

If benching, total cut depth * {{ units }}

If benching, shored depth * {{ units }}

Outside dimensions of structure/base slab *

Minimum inside clearance required to shoring *

Can bracing be phased and removed as soil is backfilled against structure? * Yes No

Lift height of wall placement (if applicable for phasing) * {{ units }}

Preferred shoring or equipment *

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Bore Pit Questions

Max cut depth * {{ units }}

What is being constructed? *

If benching, total cut depth * {{ units }}

If benching, shored depth * {{ units }}

Required vertical clearance * {{ units }}

Required horizontal clearance * {{ units }}

Preferred shoring or equipment *

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Review

Company Contact Information (Edit)

Company: {{ inputs.company_name.value }} (required)
Contact Name: {{ inputs.company_contact_name.value }} (required)
Mobile Telephone: {{ inputs.company_mobile_phone.value }} (required)
Office Telephone: {{ inputs.company_office_phone.value }} (required)
Email Address: {{ inputs.company_email.value }} (required)

Site Specific Information (Edit)

Project Name: {{ inputs.general_project.value }} (required)
Project Address: {{ inputs.general_project_address.value }} (required)
City: {{ inputs.general_city.value }} (required)
Province: {{ inputs.general_prov.value }} (required)
What is being constructed? (e.g. pipeline, left station, etc…): {{ inputs.general_what.value }} (required)
Measurement unit: {{ inputs.general_units.value }} (required)
Soil information available (e.g. Borelogs, Geotech report… ): {{ inputs.general_soil.value }} (required)
Bore Log Document: (required)
Site plan available?: {{ inputs.general_plan.value }} (required)
Plan and Profile Document: (required)
Will contractor dewater to below the base of cut outside of shoring?: {{ inputs.general_dewater_behind.value }} (required)
If no, what are the dewatering plans, if any?: {{ inputs.general_dewater_behind_plans.value }} (required)
Adjacent building structures?: {{ inputs.general_adjacent_buildings.value }} (required)
Description and distance of adjacent building structures from shoring: {{ inputs.general_adjacent_buildings_description.value }} (required)
Adjacent railroad tracks?: {{ inputs.general_adjacent_rail.value }} (required)
How many adjacent railroad tracks?: {{ inputs.general_adjacent_rail_number.value }} (required)
Distance from centerline of tracks to closest edge of shoring: {{ inputs.general_adjacent_rail_distance.value }} (required)
Any utilities crossing shoring?: {{ inputs.general_utilities.value }} (required)
If yes, what is the depth, size, angle to shoring?: {{ inputs.general_utilities_description.value }} (required)
Is deflection of shoring a concern?: {{ inputs.general_deflection.value }} (required)
If yes, please explain: {{ inputs.general_deflection_explain.value }} (required)
Any special provisions in project specs regarding shoring?: {{ inputs.general_special_provisions.value }} (required)
Are You...: (required)

Trench Questions (Edit)

Distance from centerline of tracks to closest edge of shoring: {{ inputs.trench_distance_tracks.value }} (required)
If benching, total cut depth: {{ inputs.trench_benching_cut_depth.value }} (required)
If benching, shored depth: {{ inputs.trench_benching_shored_depth.value }} (required)
What is being constructed?: {{ inputs.trench_what.value }} (required)
Width of trench: {{ inputs.trench_width.value }} (required)
Required horizontal clearance between struts: {{ inputs.trench_horizontal_clearing.value }} (required)
Required vertical clearance from base of trench: {{ inputs.trench_vertical_clearing.value }} (required)
Pouring base slab or can sacrificial struts be used: {{ inputs.trench_base_struts.value }} (required)
Preferred shoring or equipment: {{ inputs.trench_equipment.value }} (required)

Linear Wall Questions (Edit)

Max cut depth: {{ inputs.linearwall_cut_depth.value }} (required)
What is being constructed?: {{ inputs.linearwall_what.value }} (required)
If benching, total cut depth: {{ inputs.linearwall_benching_cut_depth.value }} (required)
If benching, shored depth: {{ inputs.linearwall_shored_depth.value }} (required)
Length of wall or walls: {{ inputs.linearwall_wall_length.value }} (required)
Preferred shoring or equipment: {{ inputs.linearwall_equipment.value }} (required)

Pit Questions (Edit)

Max cut depth: {{ inputs.pit_cut_depth.value }} (required)
What is being constructed?: {{ inputs.pit_what.value }} (required)
If benching, total cut depth: {{ inputs.pit_benching_cut_depth.value }} (required)
If benching, shored depth: {{ inputs.pit_shored_depth.value }} (required)
Outside dimensions of structure/base slab: {{ inputs.pit_outside_dimensions.value }} (required)
Minimum inside clearance required to shoring: {{ inputs.pit_minimum_clearance.value }} (required)
Can bracing be phased and removed as soil is backfilled against structure?: {{ inputs.pit_phased.value }} (required)
Lift height of wall placement (if applicable for phasing): {{ inputs.pit_lift_height.value }} (required)
Preferred shoring or equipment: {{ inputs.pit_equipment.value }} (required)

Bore Pit Questions (Edit)

Max cut depth: {{ inputs.borepit_cut_depth.value }} (required)
What is being constructed?: {{ inputs.borepit_what.value }} (required)
If benching, total cut depth: {{ inputs.borepit_benching_cut_depth.value }} (required)
If benching, shored depth: {{ inputs.borepit_shored_depth.value }} (required)
Required vertical clearance: {{ inputs.borepit_vertical_clearance.value }} (required)
Required horizontal clearance: {{ inputs.borepit_horizontal_clearance.value }} (required)
Is base slab or base rock being placed: {{ inputs.borepit_slab_rock.value }} (required)
Preferred shoring or equipment: {{ inputs.borepit_equipment.value }} (required)

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