Environmental Contact Inspection

• Document No.

• Inspection Area

• Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Inspection team

• Environmental Contact Inspection audit number: HSE-000000000000014329

Hydrocarbon area

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Integrity of bunding

  Not applicable

  OK

  At Risk

• Drums stored correctly

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Adequate and complete spill kits

  Not applicable

  OK

  At Risk

• Do procedures consider h-c spills

  Not applicable

  OK

  At Risk

• Oil/water separators/equip operational

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

• Controlled waste managed as per regulations

  Not applicable

  OK

  At Risk

Wooden Pallets

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

Battery Storage

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Batteries stored on bunds

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

White goods

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

White goods

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

Scrap metal

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

Rubber (LV)

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

Rubber (other)

• Storage bay adequate

  Not applicable

  OK

  At Risk

• Waste segregation

  Not applicable

  OK

  At Risk

• Evidence of spills or leaks

  Not applicable

  OK

  At Risk

• Housekeeping

  Not applicable

  OK

  At Risk

Drainage management

• Sumps/traps well maintained

  Not applicable

  OK

  At Risk

• Area free flowing

  Not applicable

  OK

  At Risk

Other

• Relocate waste streams

  Not applicable

  OK

  At Risk

Summary of Actions

Sign off

• Department Supervisor or Superintendent sign off

  Sign

• Environmental Team Sign Off

  Sign