• Weather at time of inspection

  • Type of Inspection

  • Precipitation Start Date

  • Precipitation Stop Date

  • Type of Runoff

  • Amount of Precipitation

  • Current Site Activities

  • Is the Inspector a "qualified person" in accordance with 3.1.2?

  • Have all site activities begin with proper installation of sediment and perimeter controls?

  • Area with missing control

  • Sediment Control
  • Picture of missing control

  • Description of operation and maintenance needed

  • Actions taken, Date, Initials

  • Are all stockpiles properly protected relevant to their location?

  • Stockpile location

  • Stockpile
  • Picture of stockpile

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Do all perimeter controls have less than one-half sediment accumulation of the above ground height?

  • Areas where sediment accumulation is occurring

  • Sediment Accumulation
  • Picture of sediment accumulation

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is sediment track-out on streets, paved areas, and sidewalks minimized?

  • Areas where tracking is occurring

  • Tracking
  • Picture of tracking

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is all construction traffic access limited to designated VTCs and pedestrian access points?

  • Areas where non-designated access is occurring

  • Non-Designated Access
  • Picture of non-designated access

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is fugitive dust being minimized?

  • Fugitive Dust Location

  • Fugitive Dust
  • Picture of fugitive dust

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are discharge points and receiving waters free of any sediment deposits or pollutants?

  • Discharge location

  • Sediment/Pollutant
  • Picture of sediment deposit

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is there any discharging groundwater or accumulated stormwater that is removed from excavations, trenches, foundations, vaults, or other similar points?

  • Is the dewatering in compliance with the discharge requirements?

  • Dewatering Location

  • Dewatering
  • Picture of dewatering

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Have soil stabilization measures been initiated if earth -disturbing activities have permanently or temporarily ceased (14 days)?

  • soil stabilization area

  • soil stabilization
  • Picture of area needing stabilization

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are any of the following being generated on site: concrete wash water, wastewater pain cleanout, oils, fuels, soaps, solvents, detergents, or other toxic substances prohibited by City of Aurora Stormwater Rules and Regulations Manual?

  • Are materials being properly maintained?

  • unmaintained toxic substance

  • toxic substance
  • picture of regulated substance

  • description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are equipment or vehicles being fueled and/or maintained on site?

  • Are effective means of eliminating the discharges of spilled or leaked chemicals being utilized? i.e. drip pans, spill supplies

  • Preventative measures in equipment areas

  • Equipment Maintenance
  • picture of maintenance or fueling operation

  • description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are vehicle equipment fueling, cleaning, and maintenance areas free of spills, leaks, or any other deleterious materials?

  • Spill/Leak in Equipment Area

  • Spill/Leak
  • picture of spill/leak

  • description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is trash/litter being collected and placed in dumpsters?

  • Areas with trash/litter

  • trash/litter
  • picture of trash/litter

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are washout facilities (e.g. paint, stucco, concrete) available and maintained?

  • Washout Facility

  • Washout
  • picture of unmaintained wash out

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Is the project site and adjacent property free of visible erosion?

  • Area of visible erosion

  • erosion
  • picture of erosion

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are all BMPs and containers in proper working order to prevent spills, leaks, or other accumulations of pollutants?

  • Area of insufficient BMP/containment

  • containment
  • picture of BMP/containment

  • Description of location and maintenance needed

  • Actions taken, Date, Initials

  • Are all other conditions on site in compliance with the permit?

  • Other item to be addressed
  • Picture of area of concern

  • Description of item to be addressed and location

  • Actions taken, Date, Initials

  • Have you inspected ALL areas that have been cleared, graded, or excavated and that have not yet completed stabilization?

  • Have you inspected ALL Stormwater controls including pollution prevention measures?

  • Have you inspected ALL material, waste, borrow or equipment storage and maintenance areas?

  • Have you inspected ALL areas where Stormwater flows within the site?

  • Have you inspected ALL points of discharge?

  • Have you inspected ALL locations where stabilization measures have been implemented?

  • If you declared a portion of the site unsafe to inspect, have you described the reasoning?

VTC B1: entrance on west side of Abilene, south of Exposition

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-1 Inlet on SW corner of Sable and Exposition; west side of sable

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-2: inlet on south side of Exposition at entrance to Korean grocery store

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-3: Inlet on north side of Exposition, east of entrance to Korean grocery store

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-4: inlet in north side of Exposition, west side of entrance to Korean grocery store

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-5: Inlet on south side of Exposition at Town Center Entrance; west side of Town Center Dr.

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-6 Inlet on SW corner of Exposition and Blackhawk; on west side of blackhawk

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-7: inlet in parking lot of walmart, just west of inlet B1-6 (across sidewalk and up the grass slope)

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-8: Inlet in Chuck E Cheese parking lot. north side of Exposition at Blackhawk. In the parking lot just west of Blackhawk.

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

B1-9: inlet in parking lot at Exposition and Town Center Dr. in parking lot behind north side Exposition bus stop.

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

O-2: Outfall on Tollgate Creek at 11th

  • Add media

  • Current condition?

  • Observations

  • Actions taken, Date, Initials

  • "I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance withe a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations."

  • Add signature

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. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.