Utility Trenching & Ducting Inspection Log (DSU-004)

Offline-Capable PWA Form Capture

New Trenching & Ducting Inspection

Verify utility separation clearances, surround bedding materials, backfill compaction stages, and marker tape placement.

Project Name

Project Number

Site Location

Contractor Name

Client / Consultant

Trench Reference

Utility Service Type

Depth (Meters)

Width (Meters)

Chainage or Location

Structural Drawing Ref

Trenching Inspection Criteria

Inspection Criteria / Requirement	Inspector Comments	Criteria Met	Action

GPS Location Status

Trench Clearance Status

Attach Photo Evidence

Inspector Signature Name

Contractor Representative Signature Name

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