I have inspected numorous belled piers over the last 25 years, never felt the least bit of concern for my safety. As others have pointed out, current US rules make it difficult but not impossible to peform downhole inspections/cleaning. Nothing beats a laborer using a shovel and bucket to clean the bottom of a shaft, belled or straight. When I prepare foundation recommendations, I provide two options. One with hand cleaning and one for machined cleaned. Needless to say the hand cleaned shafts get a higher allowable pressure.
On a side note, the largest bell I every inspected was 12.5 feet off a 6 foot shaft in shale.
Mike Lambert