DO NOT DIG WITHOUT LOCATE MARKS
and sign this sheet prior to excavation taking place.
YOU LEAVE THE SHOP OBTAIN LOCATE NUMBERS AND:
Check to see if locates has been completed (look at due date).
Make sure you have a field sketch or if one was left at job site.
you do not have what you need as listed above, do not leave the shop. See your
THE JOB SITE
(checking for locates)
Check for field sketch.
Check for all facility marks on ground.
all service feeds from buildings and homes and that they have been located and/or that they are
a sketch of the marked facilities for future use.
for any visible signs of pedestal, riser, new trench lines that may have been
missed in your dig area.
to make sure that dig area is defined and is same on locate sketch when
for any private facilities not located. If they are not located, locate them or
contact someone to get them located.
there are high priority facilities in your dig area, make sure facility owner/locator is on job site
and/or has been contacted for advice
lines are not located completely, consult locate card and contact responsible
and Private Utilities
Ask for assistance from homeowner and utilize locating equipment and use
Locate septic lines.
Locate water yard lines.
Locate private power lines to sheds, wells, invisible fences, etc.
Locate private gas or propane lines.
Locate sprinkler lines and heads and drip systems.
Draw a sketch of locations for all private facilities on job site.
Locate telecommunication cable (TV, Telephone, fiber optics, etc.)
If paralleling or working on a critical or high priority line, pot hole
or use locating equipment
expose and verify location
and depth of facility every 100
Hand dig within 24 inches (or as required in your state) of lines, peds,
pole risers, meters or other structures.
Bore away from facilities.
depth of any facilities boring across, change route or depth as required, notify
Do not place excavated
dirt on locate marks, flags, whiskers,etc.
Support all lines exposed during excavation to avoid kinks or other
Shade all lines placed or exposed with good fill dirt.
Verify all fill dirt is free from rocks, cable trash, crew trash, and
large dirt clods.
PLEASE DIG SAFELY
As an excavator, you are
responsible for verifying that all facilities within the dig area have been
You are responsible for
locating all private and public facilities. Have the homeowner assist you if
Completed By:______________________________ Date:______________