Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. General

  • A. Facility's overall appearance is good i.e., entrance, buildings, landscaping, direction/speed signs, other. ("Broken Window" Effect)

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • B. Stored materials are neat and orderly.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • C. Facility is free of general trash or other inappropriate debris on ground.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • D. Facility storage areas are free of unusable materials and other debris.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • E. All trash cans and dumpsters are equipped with lids.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • F. Proposition 65 signs are posted throughout the site as required

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • G. No odor, noise, or other potential nuisance issues are observed.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • H. No apparent inconsistencies with the site-specific permits or other regulatory requirements (e.g. Use permit, WDR records, etc.), not listed below.

  • Score

  • Responsible Department

  • Priority

  • Corrected by next inspection?

  • I. Site staff demonstrates good understanding of roles, responsibilities, and environmental requirements.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • J. Site management conducts regular environmental training with crew (tailgates, Take 5s, on-the-job, etc.)

2. Air

  • A. Dust Control Plan is maintained on site and current (if necessary).

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • B. Air permits are posted on site and any required records are current

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • C. Opacity limits (plants and fugitive dust sources) are in compliance at time of inspection.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • D. Dust and other emissions controls are being utilized and/or maintained.

  • E. Facility is free of visible track out, on public roads, during inspection.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • F. No unpermitted or improperly permitted equipment are observed on site.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

3. Hazardous Materials & Waste Storage

  • A. All waste and hazardous materials are stored in a contained, designated area.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • B. Containers, piping, secondary containment a, loading areas, and storage areas are free of spills and leaks.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • C. Containers are sealed with lids, bungs, etc. and valves are closed.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • D. Containers are properly labeled.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • E. Containment structures are in good condition with closed valves.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • F. Hoses are free from visible leakage and stored inside containment structure.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • G. Storage tank areas have security fencing or other security measures implemented.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • H. Spill clean-up response tools are materials are maintained near material storage areas.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • I. Waste is removed in a timely manner: (90 days LQG; 180 days SQG; 1 year Universal Waste.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • J. Waste manifest copies are sent to and retained in a central location in accordance with the established protocol.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • K. Hazardous Materials Plan, SPCC Plan, and required records are maintained and current.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • L. Spill Response Procedures and Communication Protocol are current and prominently posted in handling and storage areas.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

4. Storm Water

  • A. Storm water runoff and collection ponds are free of visible pollutants and debris.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • B. BMPs are in place, in good condition, and free of sediment buildup.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • C. The iterative storm water management process is apparent (e.g. BMPs are improved in response to storm water sampling results).

  • Score

  • Responsible Department

  • Completed by next inspection?

  • Priority

  • D. Stockpiles, cold is, equipment, and other potential pollutants are maintained away from discharge points and drainage paths are protected.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • E. No unauthorized non-storm water discharges are apparent.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

  • F. Storm Water Pollution Prevention Plan (SWPPP) and required records (NOI, inspections, etc.) are maintained and current.

  • Score

  • Responsible Department

  • Priority

  • Completed by next inspection?

Other

  • Additional Comments

  • Environmental Team Recommendations/Feedback

Sign Off

  • On site representative

  • Auditor's signature

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