Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1. General
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A. Facility's overall appearance is good i.e., entrance, buildings, landscaping, direction/speed signs, other. ("Broken Window" Effect)
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B. Stored materials are neat and orderly.
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C. Facility is free of general trash or other inappropriate debris on ground.
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D. Facility storage areas are free of unusable materials and other debris.
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E. All trash cans and dumpsters are equipped with lids.
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F. Proposition 65 signs are posted throughout the site as required
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G. No odor, noise, or other potential nuisance issues are observed.
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H. No apparent inconsistencies with the site-specific permits or other regulatory requirements (e.g. Use permit, WDR records, etc.), not listed below.
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I. Site staff demonstrates good understanding of roles, responsibilities, and environmental requirements.
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J. Site management conducts regular environmental training with crew (tailgates, Take 5s, on-the-job, etc.)
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Total: /35
2. Air
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A. Dust Control Plan is maintained on site and current (if necessary).
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B. Air permits are posted on site and any required records are current
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C. Opacity limits (plants and fugitive dust sources) are in compliance at time of inspection.
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D. Dust and other emissions controls are being utilized and/or maintained.
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E. Facility is free of visible track out, on public roads, during inspection.
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F. No unpermitted or improperly permitted equipment are observed on site.
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Total: /20
3. Hazardous Materials & Waste Storage
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A. All waste and hazardous materials are stored in a contained, designated area.
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B. Containers, piping, secondary containment a, loading areas, and storage areas are free of spills and leaks.
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C. Containers are sealed with lids, bungs, etc. and valves are closed.
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D. Containers are properly labeled.
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E. Containment structures are in good condition with closed valves.
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F. Hoses are free from visible leakage and stored inside containment structure.
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G. Storage tank areas have security fencing or other security measures implemented.
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H. Spill clean-up response tools are materials are maintained near material storage areas.
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I. Waste is removed in a timely manner: (90 days LQG; 180 days SQG; 1 year Universal Waste.
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J. Waste manifest copies are sent to and retained in a central location in accordance with the established protocol.
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K. Hazardous Materials Plan, SPCC Plan, and required records are maintained and current.
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L. Spill Response Procedures and Communication Protocol are current and prominently posted in handling and storage areas.
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Total: /25
4. Storm Water
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A. Storm water runoff and collection ponds are free of visible pollutants and debris.
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B. BMPs are in place, in good condition, and free of sediment buildup.
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C. The iterative storm water management process is apparent (e.g. BMPs are improved in response to storm water sampling results).
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D. Stockpiles, cold is, equipment, and other potential pollutants are maintained away from discharge points and drainage paths are protected.
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E. No unauthorized non-storm water discharges are apparent.
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F. Storm Water Pollution Plan and required records (NOI, inspections, etc.) are maintained and current.
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Total: /20
Comments
Corrective Actions
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Enter any corrective actions that will be undertaken
Sign Off
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On site representative
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Auditor's signature