JHA Example: Excavate a trench and lay storm pipe

Utility locates, excavation, trench box installation, inspection, pipe setting, and backfill for a storm line.

6 steps · highest risk before controls 20 · highest after 6

Job hazard analysis

Excavate a trench and lay storm pipe

Free Safety Report
ProjectSample project
Location / areaStorm line, east parking lot
Date2026-10-05
Company 
Supervisor / competent person 
Prepared by 
Permits requiredUtility locate ticket. Excavation permit if the owner or city requires one
Weather / conditionsRecheck trench walls after rain

Job steps, hazards, and controls

#Job stepHazardsControlsBeforeAfter
1Confirm utility marks and pothole near marked linesElectrical shock and electrocutionExcavation and trenching- Locate and mark utilities before digging
- Hand dig or vacuum excavate to expose lines near the cut
- Keep marks visible for the length of the job
153×5High51×5Moderate
2Excavate the trench with an excavatorHeavy equipment and backing vehiclesPinch points and caught-in or betweenExcavation and trenching- Barricade the excavator swing radius
- Spotter for trucks backing in to load
- Keep spoil and equipment at least 2 feet back from the edge
- Nobody in the trench while digging
153×5High51×5Moderate
3Install the trench box and access ladderExcavation and trenchingLine of fire- Trench box used within the manufacturer tabulated data, kept on site
- Nobody in the box while it is installed, removed, or moved vertically
- Ladder within 25 feet of lateral travel in trenches 4 feet or deeper
204×5Extreme51×5Moderate
4Competent person inspects before entryExcavation and trenchingHazardous atmospheres- Inspect before work each day and after rain or any change
- Test the air where low oxygen or a hazardous atmosphere could exist in trenches deeper than 4 feet
- Get out and stop work if water is accumulating
153×5High51×5Moderate
5Lower and set pipeLine of firePinch points and caught-in or between- Tag lines to guide pipe, and nobody under the load
- Agree on hand signals before the first pick
- Keep hands clear of pipe ends while joining
123×4High62×3Moderate
6Backfill and compactHeavy equipment and backing vehiclesHigh noise- Reverse alarm or spotter on backing equipment
- Nobody in the trench during backfill
- Hearing protection near the compactor
93×3Moderate42×2Low
Risk = likelihood × consequence (1 to 5 each).1 to 2 Negligible3 to 4 Low5 to 9 Moderate10 to 16 High20 to 25 Extreme

PPE required

✓Hard hat
✓Safety glasses with side protection
✓High-visibility vest
✓Work gloves
✓Safety-toe boots
✓Hearing protection
Face shield
Full-body harness and lanyard
Respirator
Cut-resistant gloves

Equipment in use

Ladder
Scaffold
Scissor lift
Boom lift
Forklift or telehandler
Crane
✓Excavator
Skid steer
Power tools
Powder-actuated tools
Torches or welding
Concrete saw
Generator
Air compressor

Emergency information

Nearest hospital 
Muster point 
Emergency contact 

Crew review. By signing, I confirm I reviewed this JHA before starting work.

#NameTrade / companySignature
1 
2 
3 
4 
5 
6 
Prepared by 
Email 
Phone 
Signature
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Scores are examples of the method on the 5x5 risk matrix. Score your own job with your crew. Hazard levels: 1 to 2 Negligible, 3 to 4 Low, 5 to 9 Moderate, 10 to 16 High, 20 to 25 Extreme.

Hazards in this example

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