PRESSURE VACUUM/SUCTION EXCAVATION ACTIVITY CHECKLIST

Start with this when the job form has been completed in full. The operator will complete the list when activities start.
IN GENERAL
pressure/vacuum truck for liquids/air displacement truck/suction
Equipment type
excavator/combi/skid container/trailer/…………. Registration plate
Work permit no. Date issued
Work location
DOCUMENTS (BEFORE ACTIVITIES START)
Instruction is complete, clear and understood Yes/No*
SIR test certificates + inspection stickers of pressure/vacuum truck / suction excavator + accessories are present and valid Yes/No
SIR person certificates are present and valid Yes/No
(M)SDS or VIB product information is present Yes/No
Risks of the products are known Yes/No
If the ADR applies, the hazard cards of the substances and transport documents are present Yes/No/N/A**
SETTING UP THE UNIT (BEFORE ACTIVITIES START)
The zoned area is known and the suitable precautions have been taken Yes/No/N/A
The location of underground piping/cabling is known Yes/No/N/A
Facilities such as fire taps, emergency showers, etc. are not obstructed in any way Yes/No
The truck should be set up in such a way that people, the process installation and trucks are not inconvenienced or
negatively affected by the substances that are blown off Yes/No/N/A
The truck is connected to a vapour recovery system Yes/No/N/A
The truck is connected to a return air cleaner/scrubber with sufficient capacity Yes/No/N/A
The hinged exhaust stack is in the upright position Yes/No/N/A
The truck is on the handbrake Yes/No/N/A
The truck is positioned on a slope and the wedges have been placed Yes/No/N/A
The emergency stop button(s) has (have) been tested for its (their) correct operation and is (are) OK Yes/No
The tank/(waste) compartment and hoses are clean to ensure that a reaction with the product to be loaded can be avoided Yes/No
The hoses and couplings are visually OK Yes/No
The hoses and couplings have been professionally connected and locked Yes/No
The hoses and couplings have been safeguarded against falling Yes/No/N/A
The materials are suitable for the product to be suctioned (properties, temperature and static electricity) Yes/No
The materials are suitable for safely working in the relevant zoned area Yes/No
All precautions have been implemented in accordance with the work permit Yes/No
EARTHING
The earthing cable is connected to an approved earthing point Yes/No
The earth grounding control indicates that the earthing is OK Yes/No
If there is a probability of more than 10% LEL, suitable precautions have been implemented Yes/No/N/A
CONDITIONS
The unloading location is known Yes/No
Third parties are not present at the unloading location Yes/No
The emergency procedures are known and available at the workplace Yes/No
Activities that are deemed to be “hot work” and that take place within a radius of 15 m from the outlet have been stopped Yes/No
Work is performed in accordance with the safe working method that has been determined through the schedule when
loading and unloading Yes/No
The selected PPE is available, is in correct working order and is used in the correct manner Yes/No
If the SIR guidelines are not being adhered to, this is specified in the JSA and has been discussed Yes/No
EMISSIONS
If the liquid is a volatile hazardous substance, suitable precautions have been implemented Yes/No/N/A
If the product to be handled can cause dust to develop, suitable precautions have been implemented Yes/No/N/A
The filter is OK to prevent dust emission Yes/No
The wind speed has been taken into account Yes/No

*) Strike through what does not apply **) N/A means continue and approved
If the answer is no, the client and immediate manager must be immediately informed

Completed by Initials Date