Environment Contact Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Previous inspections

• Are there any outstanding action items arising from previous contacts, internal audits, inspections etc?

  Not applicable

  OK

  At Risk

• Have the created actions been effective in addressing the issues raised?

  Not applicable

  OK

  At Risk

North West Service Pad

• Hydrocarbon storage adequate?

  Not applicable

  OK

  At Risk

• Drums stored correctly

  Not applicable

  OK

  At Risk

• Integrity of bunding

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Adequate and complete spill kits

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

• Sumps/traps well maintained

  Not applicable

  OK

  At Risk

• MSDS available?

  Not applicable

  OK

  At Risk

• Dust levels ok?

  Not applicable

  OK

  At Risk

Hogwarts Service Pad

• Hydrocarbon storage adequate?

  Not applicable

  OK

  At Risk

• Drums stored correctly

  Not applicable

  OK

  At Risk

• Integrity of bunding

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Adequate and complete spill kits

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

• Sumps/traps well maintained

  Not applicable

  OK

  At Risk

• MSDS available?

  Not applicable

  OK

  At Risk

• Dust levels ok?

  Not applicable

  OK

  At Risk

MEM (Interstate) Service Pad

• Hydrocarbon storage adequate?

  Not applicable

  OK

  At Risk

• Drums stored correctly

  Not applicable

  OK

  At Risk

• Integrity of bunding

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Adequate and complete spill kits

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

• Sumps/traps well maintained

  Not applicable

  OK

  At Risk

• MSDS available?

  Not applicable

  OK

  At Risk

• Dust levels ok?

  Not applicable

  OK

  At Risk

South Pit MEM Service Pad

• Hydrocarbon storage adequate?

  Not applicable

  OK

  At Risk

• Drums stored correctly

  Not applicable

  OK

  At Risk

• Integrity of bunding

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Adequate and complete spill kits

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

• Sumps/traps well maintained

  Not applicable

  OK

  At Risk

• MSDS available?

  Not applicable

  OK

  At Risk

• Dust levels ok?

  Not applicable

  OK

  At Risk

Summary of actions

Sign off

• Area Superintendent or Representative

  Sign

• Environment Representative

  Sign