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    PTW Associated Certificates KEC - Final v3 - EXCAVATION

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    Xiang Jintao
    This excavation certificate details the location, dimensions, soil classification, protection measures, equipment, and hazards associated with an excavation. It lists the means of excavation and protection against cave-ins, as well as dewatering requirements. The certificate was prepared, reviewed, and approved by various parties and is valid only for the duration of the primary work permit.

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    PTW Associated Certificates KEC - Final v3 - EXCAVATION

    Uploaded by

    Xiang Jintao
    22 views1 page
    This excavation certificate details the location, dimensions, soil classification, protection measures, equipment, and hazards associated with an excavation. It lists the means of excavation and protection against cave-ins, as well as dewatering requirements. The certificate was prepared, reviewed, and approved by various parties and is valid only for the duration of the primary work permit.

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    This excavation certificate details the location, dimensions, soil classification, protection measures, equipment, and hazards associated with an excavation. It lists the means of excavation and protection against cave-ins, as well as dewatering requirements. The certificate was prepared, reviewed, and approved by various parties and is valid only for the duration of the primary work permit.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    22 views1 page

    PTW Associated Certificates KEC - Final v3 - EXCAVATION

    Uploaded by

    Xiang Jintao
    This excavation certificate details the location, dimensions, soil classification, protection measures, equipment, and hazards associated with an excavation. It lists the means of excavation and protection against cave-ins, as well as dewatering requirements. The certificate was prepared, reviewed, and approved by various parties and is valid only for the duration of the primary work permit.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 1

    Doc No: BK9A-GEN-000-HSE-CRT-0002 Rev: A

    Certificate No. EXCAVATION CERTIFICATE


    VALID FOR THE DURATION OF THE PRIMARY WORK PERMIT ONLY
    Location of Work:

    Date: __________________
    Time: __________________

    Soil Classification Type Brief description and reason for excavation: Connected PTW/Certificate No.
    Class A
    Class B
    Class C
    Length x Width x Depth of Excavation: _______ mtr. X _______ mtr. X _______ mtr.
    Means of Protection: Sloping/Benching: Angle of slope/bench: ________ degrees,
    (Attach details/sketch) Shoring:
    Shielding:
    Site plan attached
    Means of Excavation: Manual: Site as-built drawing attached
    Mechanical:
    Dewatering required: Means of dewatering: ________________ Excavation drawing attached
    Soil compaction required Degree if compaction: ________________ % Protection sketch attached
    Yes No Compaction details attached
    Period during which excavation will remain open: From ..................... Date until ............ Date
    Area barrication through: Cordon Rope,
    Yes No tape Fence Manual guarding TRA attached
    External Agency Certificates attached

    List of heavy equipment to be used: Hazards Identified and addressed


    Subsoil Water
    Subsoil/runoff water disposal/diversion
    Underground wires, cables
    Underground pipes
    Method and design of protection against cave-in: Underground sewers
    Additional lighting requirement
    Road digging involved
    Water way crossing involved
    Exit ladder/steps every 25 mtr.
    Spoils, material, equip set off 1 mtr. from edge
    Means of Dewatering, water disposal and diversion: Oxygen deficiency
    Presence of Flammable/Toxics
    Ventilation Requirements
    Gas Testing requirements
    Exposure to vehicular traffic
    Additional requirements in case excavation is a Confined Space: Adequate barrication/sign posts
    Overnight protection/guard
    Road Closure required
    Personal Fall Arrest System
    Emergency rescue/Retrieval System
    Additional PPE requirements: Others (Specify)

    Ensure all excavation equipment and accessories have been inspected before use.
    Mechanical excavation is not allowed inside process facilities or within 10 ft. of existing flow lines/ instrument - electrical cables etc.

    Excavation Certificate prepared by (Name and Signature): _____________________________ _____________________________

    Excavation Certificate reviewed by (Name and Signature): _____________________________ _____________________________

    Excavation Certificate approved by (Name and Signature): _____________________________ _____________________________

    Original : Performing Authority: Copy1: Permit to Work Station: Copy 2: CoW Office:

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