Acadian Contractors, Inc.

• Client / Site

• Location
  Address

• PIC

• Conducted on

  Date

• Prepared by

Inspection Items

• Is the area in or around the paint storage building free of leaks, spills, or containment?

  Yes

  No

  N/A

• Is the area around the diesel tank free of leaks and spills?

  Yes

  No

  N/A

• Are the containment areas free of liquid?

  Yes

  No

  N/A

• Are all the tanks, containers, and drums in good condition, sealed, labeled, and stored within secondary containment?

  Yes

  No

  N/A

• Is the scrap iron bin free from any signs of leaks and spills?

  Yes

  No

  N/A

• Is the mechanic shop free from any signs of leaks or spills?

  Yes

  No

  N/A

• Are the areas in or around the fabrication shops free of any leaks or spills?

  Yes

  No

  N/A

• Is the painting and blasting areas free of any signs of leaks and spills?

  Yes

  No

  N/A

• Is the unloading area free of any leaks or spills?

  Yes

  No

  N/A

• Are all work areas free of spills and debris?

  Yes

  No

  N/A

• Are tarps being used during painting and blasting? Are they in good condition, free of tears?

  Yes

  No

  N/A

• Are the paint waste drums in good condition, sealed, labeled, and stored within a containment pan?

  Yes

  No

  N/A

• Is the area around the dust collector for the blast and paint booth free of signs of leaks or spills?

  Yes

  No

  N/A

• Are the filters on the blast and paint booths in good condition?

  Yes

  No

  N/A

• Are the dumpster areas clean?

  Yes

  No

  N/A

• Are the yard,ditches, and drains free of debris, garbage, leaks, and spills?

  Yes

  No

  N/A

Audit Items

• Are any updates needed to Best Management Practices?

  Yes

  No

  N/A

• Are all Best Management Practices properly implemented?

  Yes

  No

  N/A

• Are there any control measures needing maintenance or repair?

  Yes

  No

  N/A

• Was a discharge occurring during inspection?

  Yes

  No

  N/A

• Are there any unidentified discharges noted?

  Yes

  No

  N/A

• What were the weather conditions during inspection?

Acknowledgement of Audit

• Audit Facilitator

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• PIC

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• HSE Management

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