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Click ‘Get Form’ to open the chart review irb in the editor.
Begin by entering the 'Project Name' and 'Name of Project Competent Person' in the designated fields at the top of the form.
For 'Employee Training and Pre-Excavation Briefing', indicate whether special training is required by selecting YES or NO. Fill in the dates for training and briefing as applicable.
In the 'Soil Classification' section, classify the soil type based on visual observation and manual tests. Select from Type A, B, C, or Stable Rock as appropriate.
Complete the 'Underground Installations' section by confirming if locations have been determined and if utility companies have been contacted.
Proceed to 'Access and Egress', ensuring that stairways, ramps, or ladders are positioned correctly. Answer YES or NO accordingly.
Continue through each section, answering questions about exposure to vehicular traffic, falling loads, employee protection, fall protection measures, inspections, and shielding or shoring systems.
Finally, ensure that the checklist is signed by the competent person along with the date before submitting your completed form.
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