EXCAVATION PERMIT

Permit Number: EP-2023-045 Site Address: 42 Smith Street, Parramatta NSW 2150 Project Name: Smith Street Apartment Block

1. WORK DETAILS

Description of Work: Excavation for stormwater pit installation near car park entrance. Location on Site: Front driveway, 2 metres south of the roller door. Start Date: 15/11/2023 Start Time: 07:00 AM Expected Finish Date: 15/11/2023

Maximum Depth of Excavation: 1.8 metres Volume of Material to be Removed: 4 cubic metres

2. MACHINERY AND EQUIPMENT

Plant/Equipment to be Used: 1.8 Tonne Mini Excavator (Bobcat E85), Hand Tools for finishing. Make and Model: Bobcat E85 Operator Name: John Smith Operator Licence Number: LIC-99887766

3. UNDERGROUND SERVICES (Dial Before You Dig)

BYDA Ref Number: BYDA-55667788 Date of Enquiry: 10/11/2023

Known Services in Area:

• Electrical (Ausgrid)
• Gas (Jemena)
• Water (Sydney Water)
• Telecommunications
• Sewer
• Stormwater
• Other: N/A

Have plans been received? [X] YES [ ] NO Have assets been potholed/located on site? [X] YES [ ] NO Have assets been clearly marked? [X] YES [ ] NO Note: Gas main potholed and found 200mm deeper than plan. Water main located with scanner.

4. RISK ASSESSMENT AND CONTROLS

Soil Type: Stable Clay Ground Water Level: NONE

Is ground support required? [X] YES [ ] NO If YES, specify type (shoring, benching, shielding): Trench Shields used for depths over 1.5m.

Hazard Identification:

• Traffic movement (car park access)
• Underground services
• Public access (Site fenced)
• Falling objects
• Noise
• Dust

Control Measures:

• Traffic controller used to manage cars entering driveway.
• Exclusion zone of 1.5m around gas main maintained.
• Trench shields installed before personnel entry.
• Barriers and warning tape erected around perimeter.

5. SAFE WORK METHOD STATEMENT

SWMS Reference Number: SWMS-EXCAV-01 Is the SWMS available on site? [X] YES [ ] NO

6. AUTHORIZATION AND SIGN OFF

I confirm that:

1. I have read and understood the requirements of this permit.
2. The SWMS has been reviewed and controls are in place.
3. All underground services have been identified and protected.
4. The excavation area is clear of unnecessary personnel.
5. I am authorised to carry out this work.

Authorised Person (Site Supervisor): Name: Sarah Jones Signature: S. Jones Date: 15/11/2023 Time: 06:45

Person Conducting Excavation (Permit Holder): Name: John Smith Signature: J. Smith Date: 15/11/2023 Time: 06:50

7. PERMIT CLOSURE

Work Completed: [X] YES [ ] NO Area Made Safe: [X] YES [ ] NO Excavation Backfilled: [ ] YES [X] NA (Pit installation requires open trench)

Signed Off By: Sarah Jones Signature: S. Jones Date: 15/11/2023