Site Specific Environmental, Health and Safety (EH&S) Plan

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  The permit requester shall obtain the permit for the excavation of trenches for each project from the "appropriate permitting authority".
  
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    The permit for the excavation / trench on this site shall be obtained from:_______________________________
    
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    The city or town agency shall "electronically", notify the Department of Public Safety of the permits issuance and provide the following information;
    
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      Location of the excavation indicated on the permit
      
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      The anticipated opening and closing of the trench
      
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      Name of the permit holder
      
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      Name of the competent person
      
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    In order to acquire a permit, the following information shall be submitted to the city or town agency permitting the trench;
    
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      Completed application
      
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      Certificate of Insurance
      
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      Required "reasonable" fee (where applicable)
      

All permit applications shall include;

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  All persons working in / on the trench shall;
  

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  All permits issued shall be posted in plain view of trench site, and
  
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    shall have been made available to the permitting authority, any investigator from the Division of Occupational Safety, any inspector from the Department of Publication Safety, or any other lawfully authorized authority.
    
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  All excavations, including but not limited to; auguring demolition of structures, plowing, roto-tilling, test boring, trench and shoveling by hand, inclusive of those on private property require notification of Dig Safe.
  
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  A trench is any subsurface excavation > 3’ in depth < 16’ between soil walls, as measured from edge to edge.
  
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    (888) DIG-SAFE or (888) 344-7233 in Maine, Massachusetts, New Hampshire, Rhode Island and Vermont
    
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    The site must be pre-marked before Dig Safe is notified.
    
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  The notification must be made at least 3 business days in advance and shall include;
  
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    Address, Exact Location, Scope of Work, Depth in Feet, Area of Work, Start Date/Time, Excavation Company
    
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  The excavation section of this site specific safety manual shall include trenching and shoring
  
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  All excavations > 4’ in depth shall require the following;
  
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  Proper benching, shoring, sloping and/or the use of a trench box
  
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    The excavation company must be follow the appropriate requirements for excavations, including the stipulations for benching, sloping, shoring and the use of trench boxes. However, it is the responsibility of the General Contractor to insure that compliance with the State Department of Public Safety and OSHA is being met or exceeded.
    

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  For this project, the Excavation Company is:
  

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  ______________________________________________
  

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  The Excavation Manager is: _________________________________   
  

(______) ________ - ______________

Telephone Number