Energex Hand and Vacuum Excavation - V2.0

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Daily Checks

Vac Truck - General

• Is the Vac Truck fuelled up with diesel?

  Yes

  No

  N/A

• Is Vac unit fuelled up?

  Yes

  No

  N/A

• Are the water tanks filled with water?

  Yes

  No

  N/A

• Is the vacuum tank empty of spoil?

  Yes

  No

  N/A

• Is the tank door sealed and secured?

  Yes

  No

  N/A

• Is Vac Truck clean and free of rubbish?

  Yes

  No

  N/A

Vac Truck - Mechanical

• Check oil levels on truck?

  Yes

  No

  N/A

• Check water level on truck? (Only when motor is cold)

  Yes

  No

  N/A

• Check oil levels on Vac unit?

  Yes

  No

  N/A

• Does the truck horn work?

  Yes

  No

  N/A

• Are flashing lights operational?

  Yes

  No

  N/A

• Are working lights operational?

  Yes

  No

  N/A

• Is fire extinguisher tagged and in date?

  Yes

  No

  N/A

• Is emergency stop button operational?

  Yes

  No

  N/A

• Is Vac Truck greased?

  Yes

  No

  N/A

Vac Truck Safety

• Is first aid kit stocked fully?

  Yes

  No

  N/A

• What is required to fill first aid?

  Safe

  At Risk

  N/A

• Is there enough bunting/ barricade for the day?

  Yes

  No

  N/A

• Are there enough star pickets with caps for the day?

  Yes

  No

  N/A

• Are the enough boards for the day?

  Yes

  No

  N/A

Tools and Hoses

• Are tools secured properly?

  Yes

  No

  N/A

• Are tools in a good working condition?

  Yes

  No

  N/A

• Are hoses secured properly?

  Yes

  No

  N/A

• Are hoses in good working condition?

  Yes

  No

  N/A

• Are all required tools on board?

  Yes

  No

  N/A

Compressor Truck

• Is the compressor truck fuelled?

  Yes

  No

  N/A

• Is the compressor fuelled?

  Yes

  No

  N/A

• Are tools properly secured?

  Yes

  No

  N/A

• Does truck have enough backfill material?

  Yes

  No

  N/A

Weekly Checks

• Check fan belt on Vac unit

  Yes

  No

  N/A

• Check vac truck filters

  Yes

  No

  N/A

Notes and Corrective Action

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  Date

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