Excavation and Trenching

This form must be completed by any public body (state agency, county, municipality, school district, or other local tax unit or improvement district) awarding a contract for a public construction project which will involve any trench or excavation of five feet (5’) or more. Arkansas Code § 22-9-212.
Name of Public Agency
Address of Public Agency
Contact Person
Phone
Person Filing Report
Name of General Contractor
Contractor Address
Street Address Address Line 2 City State ZIP Code
Contractor Phone
Name of any subcontractor doing trenching or excavation
Subcontractor address
Street Address Address Line 2 City State ZIP Code
Subcontractor Phone
Estimated start date
MM slash DD slash YYYY
Estimated completion date
MM slash DD slash YYYY
Site location/address/street/road
Arkansas Code § 22-9-212 also requires that the current federal OSHA standard for excavation and trenching be incorporated into the project’s specifications and that the contract bid form include a separate pay item for trench or excavation safety systems.

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