Environmental Contact Inspection

• Inspection Area

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Inspection team

• Environmental Contact Inspection audit number: HSE-000000000000014329

Previous inspections

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

  OK

  At Risk

  N/A

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

  OK

  At Risk

  N/A

Warehouse including laydown yard and bulk hydrocarbon storage

• Drums stored correctly?

  OK

  At Risk

  N/A

• Storage facilities adequate?

  OK

  At Risk

  N/A

• Integrity of bundling ok?

  OK

  At Risk

  N/A

• Adequate and complete spill kits?

  OK

  At Risk

  N/A

• Housekeeping ok?

  OK

  At Risk

  N/A

• Area free of spills or leaks?

  OK

  At Risk

  N/A

• Dust levels ok?

  OK

  At Risk

  N/A

Chemical Management

• Storage cabinets adequate?

  OK

  At Risk

  N/A

• MSDS available?

  OK

  At Risk

  N/A

Drainage and Water Management

• Sumps/traps well maintained?

  OK

  At Risk

  N/A

• Drains free flowing and free of rubbish/vegetation?

  OK

  At Risk

  N/A

• Overall maintenance of work area?

  OK

  At Risk

  N/A

Battery Storage Area

• Batteries stored safely and on bunds?

  OK

  At Risk

  N/A

• Batteries stacked no higher than 2 high (unless separated by pallets and strapped)?

  OK

  At Risk

  N/A

• Area free from leaks and spills?

  OK

  At Risk

  N/A

Summary of Actions

Sign Off

• Environmental Team Sign Off

  Sign

• Department Supervisor or Superintendent sign off

  Sign