AUI Station Inspection - Safety, Environment, Security

• Location of Inspection (i.e. Station Number)

• Conducted on

  Date

• Report Prepared By

• Inspection Personnel

Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are there outstanding actions?

  Yes

  No

  N/A

Health and Safety

• Signage or notification of required PPE is posted

  Yes

  No

  N/A

• PPE Required:

• Workers on site wearing required PPE?

  Yes

  No

  N/A

• Is adequate ventilation provided?

  Yes

  No

  N/A

• Travelled surface is level?

  Yes

  No

  N/A

• Site free of unmitigated slip/trip/fall hazards?

  Yes

  No

  N/A

• Site free of unmitigated overhead hazards?

  Yes

  No

  N/A

• Proper storage of materials to maintain good housekeeping?

  Yes

  No

  N/A

• Building in good condition (windows, roof, door, siding)?

  Yes

  No

  N/A

• Fire extinguisher available (at site or on truck)?

  Yes

  No

  N/A

• Fire extinguisher inspected monthly and in good condition?

  Yes

  No

  N/A

• First aid kit available?

  Yes

  No

  N/A

• Contents inspected and in good condition?

  Yes

  No

  N/A

• Personal monitor on site? (Blackline G7)

  Yes

  No

  N/A

• Bump test completed today?

  Yes

  No

  N/A

• Calibration completed within last 30 days?

  Yes

  No

  N/A

• Noise/Vibration checked?

• Sound Levels:

• Measured using:

  Sound Level Meter

  Phone App

  Other

• Distance to nearest residence?

• Piping is protected from vehicle traffic, snow removal equipment etc., or plan in place for protection?

  Yes

  No

  N/A

• Mouse/rodent control measures in place?

  Yes

  No

  N/A

• Pipe coating/wrapping in good condition?

  Yes

  No

  N/A

• Emergency by-pass/shut-off identified?

  Yes

  No

  N/A

• Comments

Environment

• Weeds properly controlled?

  Yes

  No

  N/A

• Clearance around facility to protect from wildfire (i.e. No large brush)?

  Yes

  No

  N/A

• Liquids and chemicals stored correctly?

  Yes

  No

  N/A

• All chemical containers labelled correctly using WHMIS 2015 standards (including barrels)?

  Yes

  No

  N/A

• Secondary containment used to prevent spills? (Pop tanks and emergency containment tanks don't require, and can have up to five 45-gallon drums without secondary containment on a site, as per AER Dir. 055)

  Yes

  No

  N/A

• Unused chemical substances disposed of?

  Yes

  No

  N/A

• Bungs and caps on storage containers to prevent water collection?

  Yes

  No

  N/A

• Odourant on site?

  Yes

  No

  N/A

• Odourant vessel above grade?

  Yes

  No

  N/A

• Corrosion protection in place?

  Yes

  No

  N/A

• Condition of wrap is good?

  Yes

  No

  N/A

• Odourant lines secure from damage (contact with vehicles, equipment, doors, gates, etc.)?

  Yes

  No

  N/A

• Liquid collection points?

  Yes

  No

  N/A

• Ground free of staining near collection point?

  Yes

  No

  N/A

• Samples collected and sent for analysis?

  Yes

  No

  N/A

• Liquids stored correctly until removed (not stored in large quantities on site)?

  Yes

  No

  N/A

• Is a spill kit available?

  Yes

  No

  N/A

• Required contents available in spill kit

  Yes

  No

  N/A

• Contents in good condition

  Yes

  No

  N/A

• Details of current or former infrastructure, equipment or practices which may pose a risk to the environment (e.g. liquids storage tanks, use of soil sterilants, blowdown of liquids onto the ground, odourant storage).

• Details of prior spills or releases at the site.

• Area free of staining indicating past spill or release?

  Yes

  No

  N/A

• Details of environmentally sensitive areas in proximity (e.g. waterbodies, wetlands, habitat).

• Comments

Security

• Site secure after hours?

  Yes

  No

  N/A

• Fencing/guard in good condition?

  Yes

  No

  N/A

• Fencing prevents climbing over or under?

  Yes

  No

  N/A

• Items stored securely (e.g. valuable items stored inside, out of site)?

  Yes

  No

  N/A

• Items not stored leaning against fence?

  Yes

  No

  N/A

• External lighting operational (if present)?

  Yes

  No

  N/A

• Comments

Sign Off

• Auditor's signature

  Sign