Utilities Excavation Waste Assessment

Site assessment form
This assessment is to be completed after opening the excavation and once relevant utility asset is exposed / ready for installation.

All fields on the below form are required.

Assessment details

Utility Type: *

Date of Assessment: *

Location of work: *

Permit Number: *

Work Order Ref: *

Excavation Site Number: *

Address: *

Post code: *

Highway Authority: *

Works Type: *

Immediate

Minor

Standard

Major (TM Only)

Surface Location: *

Carriageway

Footway / Footpath

Verge

Other

Optional - What.Three.Words

Question – Asbestos

Q1 - Are there any signs of asbestos fibres or asbestos containing materials in the excavation? If asbestos / signs of asbestos are identified the excavation does not qualify for a risk assessment. *

Questions – Asphalt, Bitumen Road Surfaces

Q2 - Is the binder shiny, sticky to touch and is there an organic odour? All three (shiny, sticky and Creosote odour) required for a “yes”. *

Q3 - Spray PAK across the profile (depth) of asphalt / bitumen. Does the paint change colour to Band 1 or 2? Ensure to spray a line across the full depth of the bituminous layer. Refer to PAK colour chart. *

Questions – All mobilised wastes / materials

Q4 - Is the soil stained an unusual colour (such as an orange, black, blue, green)? Compare the discolouration of soil to other parts of the excavation. *

Q5 - If there is water / moisture in the excavation – is there a rainbow sheen / colouration to the water? Looking for signs of oil in the excavation. *

Q6 - Are there any pungent odours to the material? Think bleach, garlic, egg, tar, gas, pungent, sweet smells. *

Q7 - Use Litmus paper on wet soil, does it change colour to High or Low pH? Refer to pH colour chart. *

Assessment result(s):

Bituminous *

Sub-base *

Assessor Name: *