Template

Hole Penetrations Checklist

by Admin DACC, from the Community

Use this DACC hole penetrations checklist to document drilling or coring work on site. Capture room number, hole location, estimated width and depth, and substrate type. Attach photo evidence before and after penetration, and record who completed the work and the date. This template helps standardize how penetrations are planned and recorded for quality control, traceability, and safety compliance across construction and maintenance activities.

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

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

Community

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
Pioneer Bell Hole Report
This bell hole report template helps oil and gas teams document excavation conditions when exposing or connecting assets. Record document numbers and job details, verify a competent person inspection, note soil type, check correct sloping and atmosphere hazards, confirm safe access and egress, maintain spoil piles at least two feet from the edge, and ensure adequate working room at the bottom of the hole. Use it to standardize quality control and promote safer field operations.
by John-Henry Piotrowski, from the Community
Downloads: 40+
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Passive Penetration Audit Checklist
Use this checklist to audit passive service penetrations in buildings. Document location, opening dimensions, materials, and photographic evidence to verify penetrations are sealed and compliant with passive fire protection standards. Includes fields for document number, client/site, auditor, date, and location details to support consistent reporting across facilities and projects.
by Richard Manyk, from the Community
Downloads: 0
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FIRAS Log Report NBU 323090
This FIRAS log report template helps teams record fire stopping installations and penetrations. Capture location and floor details, installer, hole number and description, and the fire seal date. Document hole material such as wood brick concrete or plaster board and note aperture measurements in millimeters. Select the fire stop product used including options like Nullifire FS709 Intumastic FB750 Intubatt and other common products. Attach photos before and after to evidence workmanship and confirm whether the opening has been satisfactorily sealed. Use this template to maintain accurate compliance records for passive fire protection and quality assurance.
by Michael Gathercole, from the Community
Downloads: 0
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Template
ADB VZ Hand Hole Audit Checklist
This ADB VZ Hand Hole Audit template supports telecom outside-plant field work by standardizing how hand holes are installed and verified. It guides photo capture before excavation, validates excavation depth with landscape fabric, and confirms a 6-inch gravel base that extends beyond the hand hole perimeter. It checks correct hand hole placement, duct installation and directional labels, internal and external sealing for integrity, ground rod installation, and trace-safe housing. It also verifies lid bolts, cleanliness, grade level, softscape or hardscape restoration to existing or better condition, and marker post requirements.
by Aaron Brackett, from the Community
Downloads: 20+
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Pioneer Bell Hole Report

This bell hole report template helps oil and gas teams document excavation conditions when exposing or connecting assets. Record document numbers and job details, verify a competent person inspection, note soil type, check correct sloping and atmosphere hazards, confirm safe access and egress, maintain spoil piles at least two feet from the edge, and ensure adequate working room at the bottom of the hole. Use it to standardize quality control and promote safer field operations.

by John-Henry Piotrowski, from the Community

40+

Get

Template

Passive Penetration Audit Checklist

Use this checklist to audit passive service penetrations in buildings. Document location, opening dimensions, materials, and photographic evidence to verify penetrations are sealed and compliant with passive fire protection standards. Includes fields for document number, client/site, auditor, date, and location details to support consistent reporting across facilities and projects.

by Richard Manyk, from the Community

Get

Template

FIRAS Log Report NBU 323090

This FIRAS log report template helps teams record fire stopping installations and penetrations. Capture location and floor details, installer, hole number and description, and the fire seal date. Document hole material such as wood brick concrete or plaster board and note aperture measurements in millimeters. Select the fire stop product used including options like Nullifire FS709 Intumastic FB750 Intubatt and other common products. Attach photos before and after to evidence workmanship and confirm whether the opening has been satisfactorily sealed. Use this template to maintain accurate compliance records for passive fire protection and quality assurance.

by Michael Gathercole, from the Community

Get

Template

ADB VZ Hand Hole Audit Checklist

This ADB VZ Hand Hole Audit template supports telecom outside-plant field work by standardizing how hand holes are installed and verified. It guides photo capture before excavation, validates excavation depth with landscape fabric, and confirms a 6-inch gravel base that extends beyond the hand hole perimeter. It checks correct hand hole placement, duct installation and directional labels, internal and external sealing for integrity, ground rod installation, and trace-safe housing. It also verifies lid bolts, cleanliness, grade level, softscape or hardscape restoration to existing or better condition, and marker post requirements.

by Aaron Brackett, from the Community

20+

Get

Hole Penetrations Checklist

About author

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Pioneer Bell Hole Report

Passive Penetration Audit Checklist

FIRAS Log Report NBU 323090

ADB VZ Hand Hole Audit Checklist

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Pioneer Bell Hole Report

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FIRAS Log Report NBU 323090

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