SafetyCulture Staff

EPA Report

This EPA report is used by inspectors to assess if the organization is violating the environmental laws. This would help in gathering information to validate environmental risks and plan the appropriate corrective actions for immediate rectification.

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Title Page

Site
Conducted on (Date and Time)
Prepared by
Location

Violation Characterization

Is the suspected violation still occurring?
Date of incident
Is this an emergency?
Intention
Violation Method
- Release
- Dump/Buried
- Spill
- Spray
- Fill
- Falsified
Affected Subject(s)
- Land
- Water
- Air
- Worker
- Documents
Description
Photo evidence

Completion

Recommendations
Sign-off

SafetyCulture Staff

EPA Report

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Print as PDF

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.