Brookfield Hydro Facility Site Inspection Form

• Conducted on

  Date

• Prepared by

• Location
  Address

Safety and Environmental

• Most current EAP Emergency contact list are by phones

  Yes

  No

  N/A

• Fire Extinguishers are inspected with current certificaion

  Yes

  No

  N/A

• First Aid/BBP kits are stocked and in place with current inspection

  Yes

  No

  N/A

• Eye Wash stations are inspected and Funtional

  Yes

  No

  N/A

• Station On Lines are in place

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Buildings and Property

• Exit signs are in place and free of damage

  Yes

  No

  N/A

• Building overall condition is free of any damage (Masonry, Woodwork, Roof, Walls, etc.)

  Yes

  No

  N/A

• Doors are Secure and free of damage or tampering

  Yes

  No

  N/A

• Yes

  No

  N/A

• Snow remocal and sanding adequate (Seasonal)

  Yes

  No

  N/A

• Fencing intact/ Gates locked

  Yes

  No

  N/A

• Lighting is adequate and in good condition

  Yes

  No

  N/A

• Windows and Screens are in place and in good condition

  Yes

  No

  N/A

• Security Features are in place and in good condition (alarms/key access box)

  Yes

  No

  N/A

• The Building or Property is free of any signs of vandalism or trespassing

  Yes

  No

  N/A

• Vegetation is at appropriate distances 5'-6' from fencelines (substations, powerhouse, building access)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Housekeeping

• Grates are secure and in good condition

  Yes

  No

  N/A

• Combustable and Flamable materials stored in approved cabinents

  Yes

  No

  N/A

• area is free of any evidence of oil leaks

  Yes

  No

  N/A

• Aisles are clear and free of any obstructions

  Yes

  No

  N/A

• Adequate lighting is available and bulbs are in good condition

  Yes

  No

  N/A

• Laddres are available for use of approved type and stowed properly

  Yes

  No

  N/A

• Equipment Stored on Racks are secure and free from falling hazards

  Yes

  No

  N/A

• No electrical switches, switch plates or receptacles, cracked, broken or have exposed contacts

  Yes

  No

  N/A

• Do all electrical panels have a surrounding space of 3 feet clearance

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Protective Barriers

• PPE is available and in good condition

  Yes

  No

  N/A

• Fall protection in place

  Yes

  No

  N/A

• Cables, chains and Railings in place and in good condition.

  Yes

  No

  N/A

• Stairs in good shape, well lit with handrails

  Yes

  No

  N/A

• Guards are in good condition (rotating equipment, Batteries, Electrical Equipment, LOTO)

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Oil and Chemical Management

• SDS log books are available with current chemical inventory

  Yes

  No

  N/A

• Universal and hazardous waste stored in approved containers

  Yes

  No

  N/A

• Oil and Chemical Storage has appropriate Secondary containment

  Yes

  No

  N/A

• All containers are properly labled

  Yes

  No

  N/A

• SPCC Plan spill reporting instructions are posted

  Yes

  No

  N/A

• Safety signs are adequate (no smoking / NFPA Diamonds)

  Yes

  No

  N/A

• spill responcse kits stocked and labeled

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Cranes, lifts, Hoists

• Condition of Rack Rake is safe and opperable

  Yes

  No

  N/A

• Load Capacity is Labled and Clearly Legable

  Yes

  No

  N/A

• Operator inspection log is in place and available for use

  Yes

  No

  N/A

• Annual Inspecitons and Repairs are completed

  Yes

  No

  N/A

• Slings and Rigging equipment are in good shape and wihin current inspection

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Dam Features

Tailrace

• Abutments are free of damage, or compromise of integrity?

  Yes

  No

  N/A

• Evidence of Erosion or washout?

  Yes

  No

  N/A

• Vegetation is acceptable and free of causing damage, security or fire risk?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Evidence of Erosion or washout?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Canal / Earthen structures

• Vegetation acceptable?

  Yes

  No

  N/A

• Evidence of Slides, Slumps or Washout?

  Yes

  No

  N/A

• Evidence of aminal damage or burrows?

  Yes

  No

  N/A

Dams/ Dikes

• Elevation below crest?

  Yes

  No

  N/A

• Flashboards (Condition)?

  Yes

  No

  N/A

• Spillway Apron Condition is in good shape with no evidence of undermining?

  Yes

  No

  N/A

• Embedded timber gate supports ?

  Yes

  No

  N/A

• Concrete condition (settling, misalignment, spalling, cracking) (*take photo and note location)

  Yes

  No

  N/A

• seepage ?

  Yes

  No

  N/A

• Vegetation cut (including 10' from toe)?

  Yes

  No

  N/A

• Evidence of animal burrowing?

  Yes

  No

  N/A

• Upstream sediment, debris build up?

  Yes

  No

  N/A

• Bisible Dike Erosion?

  Yes

  No

  N/A

• Number of flow gates open and Flow?

• Stoplog condition?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Total Number of >30 gals containers in active storage

• List all Products / Approx Volume

• Is the area free of debris and other materials?

  Yes

  No

  N/A

• Is the ground clean and dry?

  Yes

  No

  N/A

• Are Container tops free of spillage?

  Yes

  No

  N/A

• Is the area free of spills or leaks?

  Yes

  No

  N/A

• are all the containers in good condition (free of : Dents, Corrosion, Bulging, signs of Deterioration)?

  Yes

  No

  N/A

• Are all the containers Properly closed?

  Yes

  No

  N/A

• Are containers Labeled with Hazardous Waste Labels?

  Yes

  No

  N/A

• Are the following information on the Haz Material Labels filled out (Generator name, accumulation start date, contents, physical state, hazardous properties)?

  Yes

  No

  N/A

• Are labels legiable?

  Yes

  No

  N/A

• Have Wastes been disposed of within the allowabvle accumualation time?

  Yes

  No

  N/A

• Are the containers compatible with their contents?

  Yes

  No

  N/A

• Are incompatible wastes stored separately?

  Yes

  No

  N/A

• Is there adequate aisle space?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

• Are Combustible scrap, debris, and waste materials such as oily rags stored in covered metal receptacles and removed from the worksite promptly?

  Yes

  No

  N/A

• Are approved containers and tanks used for the storage and handling of flammavle and combustible liquids?

  Yes

  No

  N/A

• Are all connections on drums and combustible liquid piping, vapor and liquid tight?

  Yes

  No

  N/A

• Are all flammable liquids kept in closed containers when not in use?

  Yes

  No

  N/A

• Are Metal Drums of flammable liquids electrically grounded during dispensing?

  Yes

  No

  N/A

• Do storage rooms for flammable and combustible liquids hace appropriate ventilation systems?

  Yes

  No

  N/A

• Are No smoking sigs posted on liquified and petroleum gas tanks and where flammable or combustible materials are used ?

  Yes

  No

  N/A

• Are all solvent wastes and flammable liquids kept in fire-resistant covered containers until they are removed from the worksite?

  Yes

  No

  N/A

• Is combustible dust if present removed through HEPA filtered vacuuming?

  Yes

  No

  N/A

• Are fuel gas cylinders and oxygen cylinders separated by 25' distances or fire-resistant barriers while in Storage?

  Yes

  No

  N/A

• Are fire extinguishers appropriate for the materials in the areas where they are mounted and within 75ft of outside areas?

  Yes

  No

  N/A

• Extinguishers are free from obstruction or blockage?

  Yes

  No

  N/A

• Fire extinguishers are fully charged, serviced, maintained, and tagged at least once per year?

  Yes

  No

  N/A

• If sprinker systems are installed, is the system within current inspection dates.

  Yes

  No

  N/A

• Are safety cans utilized for dispensing flammavle or combustile liquids at the point of use?

  Yes

  No

  N/A

• Responce equipment is available and stocked for prompt cleaning of spilled flammable or combustible liquids.

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A