ch-dup Emergency Spill Kit Check List

• Site conducted

  Select

• Business unit

  Select

• Conducted on

  Date

• Prepared by

• Department or Area

• Spill kit ID number

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• Does the spill kit have a reg tag intact?

  Yes

  No

• What date was the spill kit last fully inspected for out of date consumables?

  Date

• Does the Spill kit Contain Goggles?

  Yes

  No

  N/A

• Does the Spill kit Contain Gloves?

  Yes

  No

  N/A

• Does the Spill kit Contain Coveralls?

  Yes

  No

  N/A

• Does the spill kit contain safety wellingtons?

  Yes

  No

  N/A

• Does the Spill kit Contain a Respirator?

  Yes

  No

  N/A

• Does the Spill kit Contain a Respirator filter?

  Yes

  No

  N/A

• How would you easily access the Material Safety Data Sheet if required.

• Is all the PPE at the top of the spill kit?

  Yes

  No

  N/A

• Does the Spill kit Contain Maintenance Pads?

  Yes

  No

  N/A

• Does the Spill kit Contain Maintenance Socks?

  Yes

  No

  N/A

• Does the Spill kit Contain a Dammit X Mat/ Drain cover?

  Yes

  No

  N/A

• Does the Spill kit Contain Dammit X Ready Mix/ Drain cover?

  Yes

  No

  N/A

• Does the Spill kit Contain Plastic Ties?

  Yes

  No

  N/A

• Does the Spill kit Contain Hazardous Bags?

  Yes

  No

  N/A

• Does the Spill kit Contain a Spill sign?

  Yes

  No

  N/A

• Does the Spill kit Contain a Shovel?

  Yes

  No

  N/A

• Does the Spill kit Contain Absorbant gravel bags?

  Yes

  No

  N/A

COMPLETION

• Name and signature of inspector

  Sign