Title Page

  • Facility

  • Date Conducted On

  • Inspection Team Member(s)

  • Inspection Site Map

Facility Monthly Inspection

A. Building and Grounds (Storm Drains)

  • Are storm drains, inlets, catch basins, or drainage ditches cleaned and in good condition? (No repairs needed)

  • Are outfall structures or adjacent waterways showing signs of pollutant migration?

Building and Grounds (Indoor Collection System)

  • Are all floor drains, trench drains, or oil/water separators clean and in good condition? (No repairs needed)

Building and Grounds (Exposed Soil and Gravel)

  • Is there any sign of erosion where there is exposed soil or gravel?

Building and Grounds (Paved Surfaces)

  • Have paved surfaces been swept to prevent stormwater from carrying loose debris or materials to storm drains systems?

B. Vehicles and Equipment (Outdoor Storage)

  • Are any leaks, spills, or fluid residues present from parked vehicles or equipment?

  • Are leaking vehicles parked away from storm drains, inlets, catch basins, known ponding areas, or drainage ditches?

  • Are there any damages or leaks to equipment lines or connectors?

Vehicles and Equipment (Washing)

  • Has the wash area been swept up and has accumulated gravel, salt, grass clippings or other materials been disposed of?

Vehicles and Equipment (Maintenance and Repair Bays)

  • Have loose materials or leaks on the floor been cleaned so they are not tracked outdoors?

Vehicles and Equipment (Fueling)

  • Does the area where fueling occurs show evidence of staining from fuel or vehicle fluids?

  • Are hoses and nozzles showing signs of wear, cracks, or damage?

C. Product Materials (Stockpiles)

  • Are material storage areas being contained and/or protected to prevent erosion?

  • Have we prevented loose material from going outside the designated area?

  • If the material is not actively being used, has the stockpile been covered or reduced in size? (Stockpiles containing chlorides should be covered between April 15th and October 1st)

  • Are containers located outside of traffic areas and away from drains?

  • Have applicable materials been reduced or need to be reduced?

  • Are containers free of leaks, spills, or damage? Are they covered and labeled?

D. Storage Containers (Drums, Totes, Generator, Transformer)

  • Has the accumulation of stored materials/residues in the container areas been prevented?

  • Are containers, pumps, pipes, and valves free of leaks, corrosion, support or foundation failure, or other deterioration?

  • Have containers been protected from traffic by location or barriers?

  • Are the container's exterior free of visible leaks?

  • Is the container liquid gauge legible & in good working condition?

  • Is all monitoring equipment in good working order?

  • Are overfill equipment and secondary containment in good working order?

  • Is spill containment equipment free of visible leaks & in good working order?

  • Are spill cleanup materials sufficiently inventoried and available?

E. Bulk Storage Tanks

  • Has the accumulation of stored materials/residues in the storage tank areas been prevented?

  • Are tanks, pumps, pipes, and valves free of leaks, corrosion, support or foundation failure, or other deterioration?

  • Have storage tanks been protected from traffic by location or barriers?

  • Is the tank exterior free of visible leaks?

  • Is the tank liquid gauge legible & in good working condition?

  • Is all interstitial monitoring equipment in good working order?

  • Is overfill equipment in good working order?

  • Is spill containment equipment free of visible leaks & in good working order?

  • Are spill cleanup materials sufficiently inventoried and available?

  • Accumulation of petroleum and sediment in oil/water separator?

F. Waste Materials

  • Has the accumulation of trash, litter, or debris along the boundary of the facility been prevented?

  • Does the facility have any leaks, spills, damaged, unlabeled, or uncovered waste containers around it?

  • Are waste materials located away from floor or trench drains, outfalls, traffic areas, or areas prone to flooding or ponding?

  • Has the amount of waste materials or recyclables been reduced since last time to minimize exposure?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.