CRH SEA Audit Inspection - with points

• Company Name:

  Select Central Sand & Gravel Cessford Construction Des Moines Asphalt & Paving Gerhold Concrete Hallett Materials Lyman Richey Sand & Gravel Minnesota Paving & Materials Omni Engineering Ready Mixed Concrete Siouxland Ready Mix Standard Ready Mix

  • Central Sand & Gravel
  • Cessford Construction
  • Des Moines Asphalt & Paving
  • Gerhold Concrete
  • Hallett Materials
  • Lyman Richey Sand & Gravel
  • Minnesota Paving & Materials
  • Omni Engineering
  • Ready Mixed Concrete
  • Siouxland Ready Mix
  • Standard Ready Mix
• Inspection Location:
  Address

• Date of inspection:

• Conducted By:

  Select Clint Allen Lindsay Van Woert Thomas Silknitter Rosa Mendoza Andrew Wojtowitz Sarah Blank Kate Heine Bryce Hoppe Matt Haynie Allen Myers Dominiq Williams Dan Boomgarden Jason Hegerle Brian Knutson Randy Cooper

  • Clint Allen
  • Lindsay Van Woert
  • Thomas Silknitter
  • Rosa Mendoza
  • Andrew Wojtowitz
  • Sarah Blank
  • Kate Heine
  • Bryce Hoppe
  • Matt Haynie
  • Allen Myers
  • Dominiq Williams
  • Dan Boomgarden
  • Jason Hegerle
  • Brian Knutson
  • Randy Cooper

• Others present:

• Air Quality Section Applicable

  Yes

  No

• No regulatory issues since last coaching opportunity

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

Air Permit is available, operator familiar

• Air permit available

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Air permit current

  -0.25

  0.00

  0.25

• Operator knows where air permit is located

  -0.25

  0.00

  0.25

• Operator knows air permit production limit (if applicable)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Operator knows air permit opacity limit

  -0.25

  0.00

  0.25

• Operator knows air permit recordkeeping requirements

  -0.25

  0.00

  0.25

Air records available and up to date

• Facility is within volume permit limits (hourly, daily, annual)

  -0.25

  0.00

  0.25

• Facility is within hourly permit limits (daily, weekly, annual)

  -0.25

  0.00

  0.25

• Other permit records are available and current

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Facility has fuel usage and specification certifications on site, if required

  -0.25

  0.00

  0.25

• Monthly spray nozzle inspections are completed (aggregate only)

  -0.25

  0.00

  0.25

• Current stack test or NSPS OOO records are available

  -0.50

  -0.25

  0.00

  0.25

  0.50

Air permit requirements being met

• The plant and site are within opacity limits (drop points, baghouse, stockpiles, roads)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• The magnahelic gauge is present and functional (baghouse only)

  -0.25

  0.00

  0.25

• Watering and/or dust suppressant used

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Trackout is cleaned up

  -0.50

  -0.25

  0.00

  0.25

  0.50

• If required, an equipment list is present and matches plant equipment

  -0.25

  0.00

  0.25

• Extra Credit: Opacity reader available (Someone on site has attended smoke school every other year.)

  0

  1

• Air Quality Comments

• Water Quality Section Applicable

  Yes

  No

• No regulatory issues since last coaching opportunity

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

SWPPP Available, operator familiar

• The SWPPP and stormwater permit are available

  -0.25

  0.00

  0.25

• The SWPPP and stormwater permit are current

  -0.25

  0.00

  0.25

• The operator is familiar with the stormwater permit

  -0.25

  0.00

  0.25

• The operator is familiar with the site's SWPPP

  -0.25

  0.00

  0.25

• The SWPPP contains management signature, a list of pollutant sources, endangered species and cultural resources analysis, and a site map

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Outfalls and BMP's are identified on the site map

  -0.50

  -0.25

  0.00

  0.25

  0.50

Water records available and up-to-date

• Inspections have been completed and are available (monthly, annual, visual, etc.)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Applicable monitoring has been completed and is available (stormwater, water use discharge, etc.)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Discharge monitoring reports are completed, if applicable

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Corrective actions, SWPPP amendments, and training logs are available

  -0.50

  -0.25

  0.00

  0.25

  0.50

BMP's Effective and Maintained

• Nonstructural BMP's identified in SWPPP are maintained onsite (garbage lids closed, staining cleaned up, good housekeeping, etc.)

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• Structural BMP's identified in SWPPP are maintained onsite (silt fence, berms, sediment ponds, etc.)

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• Water Quality Comments

• Hazardous Materials Section Applicable (Is this facility a shop?)

  Yes

  No

• No regulatory issues since last coaching opportunity

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

Waste streams properly characterized

• Used oil waste properly characterized

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parts washer fluid waste properly characterized

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Other wastes properly characterized (Batteries, light bulbs, used anti-freeze, etc.)

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

Waste records available

• Used oil manifests/shipping records available

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Antifreeze manifests/shipping records available

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parts washer fluid manifests/shipping records available

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Universal waste manifests/shipping records available (Batteries, light bulbs)

  -0.50

  -0.25

  0.00

  0.25

  0.50

Used oil, batteries, universal waste, asbestos properly managed

• Antifreeze properly managed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Used oil properly managed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parts washer fluid properly managed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Universal waste properly managed (Batteries, light bulbs)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Extra Credit: Hazardous waste training completed within 12-months of inspection date

  0

  1

• Hazardous Materials Comments

• Spill Prevention Section Applicable (Does this site/plant have a SPCC Plan?)

  Yes

  No

• No regulatory inspection since last coaching opportunity

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

SPCC plan available, operator familiar

• SPCC plan is available

  -0.25

  0.00

  0.25

• Operator is familiar with SPCC plan

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• SPCC plan has PE certification

  -0.25

  0.00

  0.25

• SPCC plan has management approval/signature

  -0.25

  0.00

  0.25

• Substantial Harm Certification signed

  -0.25

  0.00

  0.25

Records available and up-to-date

• 5 Year Review completed

  -0.25

  0.00

  0.25

• Monthly inspections completed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Annual inspections completed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Tank integrity testing completed

  -0.25

  0.00

  0.25

• Secondary containment dewatering log completed

  -0.50

  -0.25

  0.00

  0.25

  0.50

All plan requirement maintained and functional

• Container capacity and product list matches current tanks/drums onsite

  -0.25

  0.00

  0.25

• Facility contact list and numbers are current

  -0.25

  0.00

  0.25

• Secondary containment calculations are completed and correct

  -0.25

  0.00

  0.25

• Site map is present and accurate

  -0.50

  -0.25

  0.00

  0.25

  0.50

• On site requirements maintained and match description in SPCC

  Select -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75

  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75

• Spill Prevention Comments

Trash picked up, properly contained

• Garbage bins in good condition (not overflowing, no leaks, etc.)

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Lids are closed on garbage containers

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Ditches and yards are free of litter

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Multiple options are available for disposal (garbage, metal/paper/bottle/can recycling, etc.)

  -0.50

  -0.25

  0.00

  0.25

  0.50

Staining maintained

• Fueling areas free from staining

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Maintenance areas free from staining

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Staining cleaned up promptly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parking areas free from staining

  -0.50

  -0.25

  0.00

  0.25

  0.50

Metal/parts properly managed

• Scrap metal stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Scrap metal organized

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parts stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Parts organized

  -0.50

  -0.25

  0.00

  0.25

  0.50

Drums/containers closed, labeled, and properly stored

• Drums/containers are labeled with color-coordinated diamond with pictograms

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Drums/containers are closed

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Drums/containers are stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Drums/containers in secondary containment, if required

  -0.50

  -0.25

  0.00

  0.25

  0.50

Plant areas, entrance, and exits swept and free of dirt

• Plant areas are swept

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• Trackout is controlled

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

Tires, lumber, and miscellaneous items properly managed

• Tires stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Lumber stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Miscellaneous items stored properly

  -0.50

  -0.25

  0.00

  0.25

  0.50

• Overall site organization

  -0.50

  -0.25

  0.00

  0.25

  0.50

5S process implemented and documented

• 5S process has been implemented (site is clean and orderly)

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• 5S documentation is available (sweep sheets, time cards, PEAK, etc.)

  Select -1 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00

  • -1
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00

• Housekeeping Comments

• Risk Management Section Applicable

  Yes

  No

• Equipment safety implementation (directional signage, cell phone signage, designated parking, pedestrian crossing, blocks are double stacked or clearly marked)

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

• LOTO procedures, and documentation on site

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

• Confined Space signage, procedures and documentation on site.

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

• Working at heights implementation

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

• Employee engagement process

  Select -2 -1.75 -1.50 -1.25 -1.00 -0.75 -0.50 -0.25 0.00 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00

  • -2
  • -1.75
  • -1.50
  • -1.25
  • -1.00
  • -0.75
  • -0.50
  • -0.25
  • 0.00
  • 0.25
  • 0.50
  • 0.75
  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00

• Safety of materials under pressure

  Select Pressure reliefs in place, documents inspections, certifications renewed Need to renew pressure vessel certifications Need to document pressure relief inspections Not applicable, no pressure vessels on site Not applicable, exemption Other

  • Pressure reliefs in place, documents inspections, certifications renewed
  • Need to renew pressure vessel certifications
  • Need to document pressure relief inspections
  • Not applicable, no pressure vessels on site
  • Not applicable, exemption
  • Other

• Explain "Other"

• Presence of a start-up alarm

  Yes

  No

  N/A

• Type of start-up alarm

  Automatic

  Manual

• Current arc flash assessment and labels

  Yes

  No

  N/A

• Date Arc Flash Completed

  Date

• Extra credit: Health assessment completed

  0

  1

• Risk Management Comments

• Have any stewardship projects been completed since the last SEA audit?

  Yes

  No

• How many new stewardship projects have been completed?

  1

  2

  3

  4

• Stewardship Project #1 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #1 been implemented?

  Yes

  No

• Stewardship Project #1 details

• Stewardship Project #1 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #1 been implemented?

  Yes

  No

• Stewardship Project #1 details

• Stewardship Project #2 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #2 been implemented?

  Yes

  No

• Stewardship #2 details

• Stewardship Project #1 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #1 been implemented?

  Yes

  No

• Stewardship Project #1 details

• Stewardship Project #2 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #2 been implemented?

  Yes

  No

• Stewardship Project #2 details

• Stewardship Project #3 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #3 been implemented?

  Yes

  No

• Stewardship Project #3 details

• Stewardship Project #1 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #1 been implemented?

  Yes

  No

• Stewardship Project #1 details

• Stewardship Project #2 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #2 been implemented?

  Yes

  No

• Stewardship Project #2 details

• Stewardship Project #3 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #3 been implemented?

  Yes

  No

• Stewardship Project #3 details

• Stewardship Project #4 Type

  Select Energy Reduction Emission Reduction Water Waste Reduction, Recycle Project, or Circular Economy Landscape & Biodiversity EPD Innovative BMPs Community Involvement Event Environmental Awards

  • Energy Reduction
  • Emission Reduction
  • Water
  • Waste Reduction, Recycle Project, or Circular Economy
  • Landscape & Biodiversity
  • EPD
  • Innovative BMPs
  • Community Involvement Event
  • Environmental Awards

• Has Stewardship Project #4 been implemented?

  Yes

  No

• Stewardship Project #4 details

• What sustainability projects would the site/plant like to see in the future

• Community Perception Score (The average for this section should be 3.00. If the site is in similar condition to other facilities in the area, it is average. If the site is better than it's neighbors, the score should be more than 3.00. If the site is worse than it's neighbors, the score should be less than 3.00.)

  Select 1.00 1.25 1.50 1.75 2.00 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00

  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00
  • 2.25
  • 2.50
  • 2.75
  • 3.00
  • 3.25
  • 3.50
  • 3.75
  • 4.00
  • 4.25
  • 4.50
  • 4.75
  • 5.00

• Community Perception Comments:

• Overall Impression Score (An average site should start at a score of 7.00. This site will be of average appearance, have good inspections, no big issues, but some housekeeping issues. If you see improvements from the previous year, increase the score. If the site looks the same, keep the same score as the previous year. If there are major issues or large issues are not being addressed, decrease the points.)

  Select 1.00 1.25 1.50 1.75 2.00 2.25 2.50 2.75 3.00 3.25 3.50 3.75 4.00 4.25 4.50 4.75 5.00 5.25 5.50 5.75 6.00 6.25 6.50 6.75 7.00 7.25 7.50 7.75 8.00 8.25 8.50 8.75 9.00 9.25 9.50 9.75 10.00

  • 1.00
  • 1.25
  • 1.50
  • 1.75
  • 2.00
  • 2.25
  • 2.50
  • 2.75
  • 3.00
  • 3.25
  • 3.50
  • 3.75
  • 4.00
  • 4.25
  • 4.50
  • 4.75
  • 5.00
  • 5.25
  • 5.50
  • 5.75
  • 6.00
  • 6.25
  • 6.50
  • 6.75
  • 7.00
  • 7.25
  • 7.50
  • 7.75
  • 8.00
  • 8.25
  • 8.50
  • 8.75
  • 9.00
  • 9.25
  • 9.50
  • 9.75
  • 10.00

• Overall Impression Comments:

• Compliance Hotline

  Select Hotline Posted Missing Hotline - Copy Provided See notes below

  • Hotline Posted
  • Missing Hotline - Copy Provided
  • See notes below

• Riskonnect

  Yes

  No

  Pending

  N/A

• Notes