EH&S #006 Refrigerant Management Program Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Yes

  No

  N/A

General Record Keeping

• Has the facility completed a ODS equipment inventory?

  Yes

  No

  N/A

• Are copies of all service reports for any service, maintenance, repair, or disposal available for inspection?

  Yes

  No

  N/A

• Are records indicating the amount of refrigerant added, recovered, or recycled available for inspection?

  Yes

  No

  N/A

• Are records indicating the type of equipment used to recover or recycle refrigerants available for inspection?

  Yes

  No

  N/A

• Are records of “comfort cooling refrigeration” initial and 30-day follow-up verification tests available for inspection?

  Yes

  No

  N/A

• Yes

  No

  N/A

Refrigerant Management

• Does the facility have a written Refrigerant Compliance Plan?

  Yes

  No

  N/A

• Are leaks repaired within the 30 days allowed?

  Yes

  No

  N/A

• Do service reports or work orders accurately detail leak repair activities?

  Yes

  No

  N/A

• Has refrigerant compliance training for your technicians been conducted?

  Yes

  No

  N/A

• Has a refrigerant inventory audit been conducted recently?

  Yes

  No

  N/A

• Are equipment disposal records for equipment removed from the site available?

  Yes

  No

  N/A

• Has a retrofit/replacement plan been written for systems that were not repaired within 30 days?

  Yes

  No

  N/A

• Yes

  No

  N/A

Service Technician

• Are all technicians certified to proper level?

  Yes

  No

  N/A

• Are certification numbers on file?

  Yes

  No

  N/A

• Are technicians documenting accidental refrigerant release incidents?

  Yes

  No

  N/A

• Are contractors documenting refrigerant service work?

  Yes

  No

  N/A

• Are contractor technician’s certifications on file?

  Yes

  No

  N/A

• Yes

  No

  N/A

Recovery Unit

• Are the serial numbers of recovery units on file and available?

  Yes

  No

  N/A

• Is there a copy available of the recovery unit acquisition form that certifies to EPA that at least one recovery unit is on site?

  Yes

  No

  N/A

• Has a leak-check of recovery units been conducted, documented?

  Yes

  No

  N/A

• Are contractor recovery units EPA approved and are model and serial numbers on file?

  Yes

  No

  N/A

• Yes

  No

  N/A

Refrigerant Cylinders

• Are DOT 39 (disposable) cylinders being properly disposed of?

  Yes

  No

  N/A

• Is there an accurate inventory of all recovery and virgin refrigerant cylinders with serial numbers or ID numbers?

  Yes

  No

  N/A

• Are recovery cylinders correctly color-coded to ARI-K (gray with yellow top)?

  Yes

  No

  N/A

• Are all recovery cylinders current with the 5-year re-testing date?

  Yes

  No

  N/A

• Are all recovery cylinders properly labeled? Do they have a refrigerant specific tag/label and non-flammable gas tag/label attached?

  Yes

  No

  N/A

• Are dedicated cylinders being used for each refrigerant type?

  Yes

  No

  N/A

• Yes

  No

  N/A

General Safety

• Do technicians have access to MSDS?

  Yes

  No

  N/A

• Have technicians received hazardous communication training for refrigerants and equipment room safety?

  Yes

  No

  N/A

• Do technicians wear proper personal protective equipment?

  Yes

  No

  N/A