Template

Backfill and Reinstatement Checklist

by Steve Linacre, from the Community

Use this backfill and reinstatement checklist to verify safe, compliant closure of excavation works. Capture auditor, date and location, local authority, client and partner details, ganger and operatives, project and permit references, and key checks for excavation, backfill, and surface reinstatement quality. Designed for civils and fibre utility teams to document standards and sign-offs across regions.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Reinstatement Works Checklist
Use this Reinstatement Works checklist to plan and document street excavation reinstatement. Capture pre-start site photos and correct Chapter 8 traffic management, complete a suitable risk assessment POWRA, and record materials used, depths, and HAUC-compliant reinstatement types. Document compacted backfill, edge sealing, base and surface course measurements with perspective photos, and dig dimensions by surface type. Log grid references for start and end points, note completion status, and attach clear site handover images. Designed for gangs and supervisors to validate quality, safety, and compliance.
by Rod Davey, from the Community
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Template
Registration of Reinstatement Checklist
Use this registration of reinstatement checklist to record and verify reinstatement works after excavation or repair. Capture site details, work reference, location description, and dimensions including position, length, and width. Log whether reinstatement is permanent or temporary, record Easting and Northing coordinates, and attach photos for evidence. Add notes, assign actions, and collect name and signature for sign off to ensure compliance and traceability. Ideal for civil, road, and utilities teams managing backfill, surfacing, and final handover.
by Robert Janes, from the Community
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Template
Monthly Permanent Reinstatement Checklist
This monthly permanent reinstatement checklist supports civil and construction teams in verifying that reinstatement works have been completed safely and to standard. Capture project and work order details, job numbers, and site address. Confirm the site has been left safe, note required actions, and attach rectification evidence. Record reinstatement type, length and width measurements, and add photo evidence. Include comments and document reinstatement compliance, with follow-up actions and any available rectification proof. Ideal for routine audits of reinstatement after excavation or utility works.
by Matthew Mola, from the Community
Downloads: 20+
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Template
Backfill for Reinstatement Quality Checklist
This practical checklist supports crews performing trench backfill and surface reinstatement to required quality standards. It covers site details and team roles, PPE and housekeeping, weather, and surface type selection for carriageway or footway works. Items include road category, binder and surface layer depths, chip color, and tack coat application. It prompts checks on excavation faces and depth, evidence of Clegg testing, and confirmation that reinstatement matches existing surface materials. Hotbox controls include temperatures for surface and binder courses and the method used to measure them. Safety and readiness checks span tool cleaning, securing gas bottles, availability of the correct fire extinguisher, and presence of a spill kit. Final compliance items verify line markings and anti-skid replacement, proper cutbacks, and that utilities boxes and cabinets meet standards.
by Nicky Rodgers, from the Community
Downloads: 0
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Reinstatement Works Checklist

Use this Reinstatement Works checklist to plan and document street excavation reinstatement. Capture pre-start site photos and correct Chapter 8 traffic management, complete a suitable risk assessment POWRA, and record materials used, depths, and HAUC-compliant reinstatement types. Document compacted backfill, edge sealing, base and surface course measurements with perspective photos, and dig dimensions by surface type. Log grid references for start and end points, note completion status, and attach clear site handover images. Designed for gangs and supervisors to validate quality, safety, and compliance.

by Rod Davey, from the Community

Get

Template

Registration of Reinstatement Checklist

Use this registration of reinstatement checklist to record and verify reinstatement works after excavation or repair. Capture site details, work reference, location description, and dimensions including position, length, and width. Log whether reinstatement is permanent or temporary, record Easting and Northing coordinates, and attach photos for evidence. Add notes, assign actions, and collect name and signature for sign off to ensure compliance and traceability. Ideal for civil, road, and utilities teams managing backfill, surfacing, and final handover.

by Robert Janes, from the Community

Get

Template

Monthly Permanent Reinstatement Checklist

This monthly permanent reinstatement checklist supports civil and construction teams in verifying that reinstatement works have been completed safely and to standard. Capture project and work order details, job numbers, and site address. Confirm the site has been left safe, note required actions, and attach rectification evidence. Record reinstatement type, length and width measurements, and add photo evidence. Include comments and document reinstatement compliance, with follow-up actions and any available rectification proof. Ideal for routine audits of reinstatement after excavation or utility works.

by Matthew Mola, from the Community

20+

Get

Template

Backfill for Reinstatement Quality Checklist

This practical checklist supports crews performing trench backfill and surface reinstatement to required quality standards. It covers site details and team roles, PPE and housekeeping, weather, and surface type selection for carriageway or footway works. Items include road category, binder and surface layer depths, chip color, and tack coat application. It prompts checks on excavation faces and depth, evidence of Clegg testing, and confirmation that reinstatement matches existing surface materials. Hotbox controls include temperatures for surface and binder courses and the method used to measure them. Safety and readiness checks span tool cleaning, securing gas bottles, availability of the correct fire extinguisher, and presence of a spill kit. Final compliance items verify line markings and anti-skid replacement, proper cutbacks, and that utilities boxes and cabinets meet standards.

by Nicky Rodgers, from the Community

Get

Backfill and Reinstatement Checklist

About author

You might also like

Reinstatement Works Checklist

Registration of Reinstatement Checklist

Monthly Permanent Reinstatement Checklist

Backfill for Reinstatement Quality Checklist

You might also like

Reinstatement Works Checklist

Registration of Reinstatement Checklist

Monthly Permanent Reinstatement Checklist

Backfill for Reinstatement Quality Checklist