Excavation/ Penetration Permit

All contractors, tenants and ADG staff must complete this Permit and have it approved before commencing any excavation, trenching or penetration work. The purpose of this Permit is to ensure that all safety and environmental aspects of excavation/ penetration work have been considered and actioned, and to avoid damage to buried infrastructure and services.

Location Details

Dates and Times of Work

*End date of works should be after start date of works. 

Description of Works

NOTE: No mechanical excavation within 500mm of an identified service.

• Safety Observer

• Delineation

• Benching, battering or shoring

• Control potential falling objects

• Ensure Safe access/egress

• Inspections

I confirm that:

• I will comply with the ADG special conditions decided by the ADG Authorised Person.

• I agree to repair and rehabilitate the site to its original condition or pay the costs associated with any repair work.

• I agree to comply with all work health and safety requirements as outlined in our SWMS.

• I will return my copy of this Permit for cancellation by the ADG Authorised Person, once work has been safely completed.

• All controls to be implemented as per ADG Excavation Procedure.  If not, please comment below. 

*Please fix the date above.