Template

Permit to Dig Checklist

by Cheshire Site Team, from the Community

10+

Use this Permit to Dig checklist to plan and control excavation work before breaking ground. Designed for managers and supervisors, it confirms task plans and RAMS, identifies underground services, and documents utility searches and marking. The form supports CAT and Genny and GPR scanning, traffic management, environmental and stakeholder controls, and trench and excavation considerations. Valid for up to 7 days, the permit records responsibilities and sign-off and must be closed on completion with the area left safe and reinstated.

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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
Permit to Dig / Break Ground Form Template
This Permit to Dig and Break Ground form template helps supervisors and crews control excavation risks before, during, and after ground-breaking work. It includes sections for project details, required precautions, and verification steps such as reviewing drawings, locating and marking underground services, isolating live services where possible, and confirming operator competence and safe digging practices. The checklist supports risk assessment and method statements, records cable avoidance equipment details, and provides sign-offs for operators, completion of works, and final permit cancellation to ensure the site is left safe and compliant.
by Josh Finlay, from the Community
Downloads: 0
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Template
Permit to Dig and Break Ground VR1
Use this permit to dig and break ground VR1 template to control excavation works on site. The checklist covers pre checks and RAMS, identification and protection of underground services, CAT and Genny scanning and calibration, edge protection and safe access, equipment and materials, competent person inspections, and briefings for all workers. It references HSE GS6 for overhead cables and HSG47 for underground services. Capture site plans and photos, record authorisations and sign offs, and complete close out to verify the area is safe. Valid for seven days.
by Stephen Hill, from the Community
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Template
Permit to Dig (PTD) Form
This Permit to Dig (PTD) form is completed before breaking ground and authorized by the site supervisor. It captures project details, confirms underground services have been identified, and verifies that risk assessments, method statements, and safe excavation practices are in place. It records CAT use and calibration, competent operators, and operatives’ briefings. It also includes completion checks for reinstatement, site safety, and permit cancellation or closure. Valid for one day, it helps align with HSG47 and safe excavation requirements.
by Daryl Martin, from the Community
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Template
Permit to Dig and Break Ground Checklist
This permit to dig and break ground checklist helps construction teams manage excavation safety and compliance before any groundworks begin. Use it to record task details, identify hazards, confirm RAMS, specify plant and support methods, ensure safe access and egress, locate and protect underground and overhead services, and verify CAT and Genny checks by trained personnel. The template guides briefings, marking of services, insulated hand tools, photos before backfilling, and supervisor authorizations. Capture drawings and site images, maintain daily inspections by a competent person, and close out with confirmation that works are completed and areas made safe.
by David Marsden, from the Community
Downloads: 10+
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Permit to Dig Checklist

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