Information

  • Conducted on

  • Person performing the audit.

  • Answer "Satisfactory" to confirm the site is in compliance with the question. Any "Comment" response requires an explanation in the text field as to why compliance is not met. A photo and a follow-up may also be added. Use "N/A" if the question does not apply t your location. Click on the 3 gray dots to the right of "NO" to "Create a Follow-Up or to add notes and or a photo.

Equipment

  • Fuel trucks: No Visible signs of leakage from mobile fuel equipment.

  • Used tires disposed of properly. (Tire Contractor)

  • Used vehicle batteries disposed of properly.

  • GSE Equipment: No Visible signs of leakage from GSE.

Secondary Containment Inspections

  • Waste fuel/oil containers positioned on/in secondary containment?

  • Have you ensured each waste container has a lid and the lid is securely fastened?

  • All secondary containment clean and dry?

  • Secondary Containment Drainage Log documented that no sheen or contaminates present when containment area drained of rain water.

  • Secondary Containment drains are clear of debris and valves closed and locked?

  • No Leaks or deterioration from waste fuel/oil containers caused by corrosion or other factors

  • Fuel sumps, Fuel Samples, Fuel from Membrane filtration tests and API gravity/density checks are disposed in proper fuel grade containers.

Container Labeling

  • Have you ensured that all containers have a proper Hazardous Waste label?

  • Have you ensured all information is complete on the label? Label should contain Company name and address, EPA ID#, EPA or CA Waste Number, and Accumulation Start Date.

  • Have you ensured all labels are located on the side of the waste containers and facing outward so they are easily viewable?

  • Is the "Start Date" on any Hazardous Waste container 180 days or less from today? If NO, please contact your HW vendor for immediate removal.

  • Have you ensured each waste container lid is securely sealed to prevent leaks and rain water contamination?

Spill Prevention

  • Fuel trucks Spill Kits: Stocked with spill absorbent material.

  • Used absorbent materials placed in approved 55-gallon drum at Haz Waste Containment Area.

  • Spill Container is at operational readiness: Stocked with absorbent/shovels/brooms. Used absorbent materials disposed of properly.

Universal Waste

  • Have you ensured that fluorescent bulbs (including CFLs) are contained in the appropriate closed boxes?

  • Have you ensured Recyclable Batteries are disposed of in the appropriate waste container with a proper HW label, and the start date is not more than 180 days from today.

  • Have you ensured that all Universal Waste boxes have a properly completed "Universal Waste" label on it with Accumulation Start Date?

  • Have you ensured there is a properly stocked spill kit available in each accumulation area?

Eyewash Stations

  • INSPECTION ITEMS:<br>To perform the monthly inspection on the eye wash stations: <br>o Initiate water flow. <br>o Ensure the caps or covers come off by themselves when water begins to flow. <br>o Run water until clear and clean.<br>o Ensure caps or covers are clean and replaced when finished.<br>o Make sure sink is clean. <br>o Verify the path to the eyewash station is clear and not blocked. <br>o Is there a sign above the identifying the location of the eyewash station?<br>o Date and initial the inspection tag attached to the eye wash station. <br>For portable bottles, <br>o Be sure the bottle is in place, <br>o The seal has not been broken, <br>o The expiration date is current, <br>o The exterior of the bottle is wiped clean. <br>Click yes to confirm you understand how to perform the Eyewash Inspection items.<br>

  • Bottle in Truck 202

  • Bottle in Truck 203

  • Bottle in Truck 204

  • Bottle in Connex Container

Sign Off

  • Name of associate who conducted the inspection

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.