Facilities Inspection Form

• Date:

  Date

• ITS #:

• Forest Operation:

• Operating Area:

• Contractor:

• Location or Name:
  Address

Includes (check all that apply):

• Storage Buildings

• Docks & Piers

• Shop

• Living Quarters

All Items with a "No" answer MUST have an action proposed to address the issue.

General:

• Emergency & safety equipment on site and functional (PPE, first aid, fire, spill, sprinklers)

  Yes

  No

  N/A

• Housekeeping current (cleanliness, brush, organization)

  Yes

  No

  N/A

• Signs & labels up to date (WHMIS, warnings, procedures, identification, tags)

  Yes

  No

  N/A

• Applicable documents on site and current (Emergency plans, SOP, MSDS, WFP policies)

  Yes

  No

  N/A

• Access controls in place (gates, fences, guarded)

  Yes

  No

  N/A

• Potable water provided (permitted, sampled)

  Yes

  No

  N/A

• Site free of contaminated soil patches

  Yes

  No

  N/A

• Sewage system working (serviced, sampled)

  Yes

  No

  N/A

• Records located (permits, manifests, sample results)

  Yes

  No

  N/A

• Oxy/Acetylene tanks properly stored (secured, separated)

  Yes

  No

  N/A

Fuel Lubricant Management (storage & dispensing):

• Vacuum gauge readings taken (see below) and/or inter-tank space visually checked

  Yes

  No

  N/A

• Site free of evidence of leaks or spills (lines and tanks)

  Yes

  No

  N/A

• Guarding & covers intact and functional

  Yes

  No

  N/A

• Containment functioning and serviced

  Yes

  No

  N/A

• Separators functioning and serviced

  Yes

  No

  N/A

• Electrical systems functioning (alarms, emergency shut-off, wiring)

  Yes

  No

  N/A

• Fire extinguishers & spill kits in place and full (inspected)

  Yes

  No

  N/A

• Fuel transfer nozzles, lines & pipes sound & leak free

  Yes

  No

  N/A

Propane Storage:

• All flammable/combustible liquids more than 6m away

  Yes

  No

  N/A

• All potential ignition sources more than 3m away

  Yes

  No

  N/A

• Valves & piping sound & leak free

  Yes

  No

  N/A

Hazardous Waste Management:

• Collection containers in place (identifiable, used correctly, serviced)

  Yes

  No

  N/A

• Batteries / tires at proper location

  Yes

  No

  N/A

• Bilge water correctly handled (contained, separated, labeled)

  Yes

  No

  N/A

• Waste oil contained (leaks, overfill)

  Yes

  No

  N/A

• Oil containers / filters properly stored

  Yes

  No

  N/A

• Contaminated rags & pads collected

  Yes

  No

  N/A

• Contaminated soils, sludge or wood debris handled properly

  Yes

  No

  N/A

• Biocell managed appropriately (turned, sampled)

  Yes

  No

  N/A

• Aerosol cans properly collected & stored

  Yes

  No

  N/A

• Scrap metal (wire rope) / old equipment & parts properly collected & stored

  Yes

  No

  N/A

Other Wastes:

• Household waste collected (separated)

  Yes

  No

  N/A

• Incinerator operation appropriate (waste input, ash disposal)

  Yes

  No

  N/A

• Recycling program working (paper, cardboard, pallets, printer cartridges)

  Yes

  No

  N/A

• Bundle wires collected / recovered

  Yes

  No

  N/A

Dryland Sort & Booms:

• Surface water management functional (culvert and ditches)

  Yes

  No

  N/A

• Run-off all captured and treated

  Yes

  No

  N/A

• Settling ponds & separators functioning and serviced

  Yes

  No

  N/A

• Smooth (pot hole, protrusion, wash board, rut)

  Yes

  No

  N/A

• Ambrosia beetle trap bundles destroyed before emergence of brood

  Yes

  No

  N/A

Living Quarters:

• Industrial Camp Health Reg. posted

  Yes

  No

  N/A

• Rooms well heated, lighted & ventilated

  Yes

  No

  N/A

• Required number of bathroom fixtures in place (see Reg.)

  Yes

  No

  N/A

• Dry room available

  Yes

  No

  N/A

• Vermin free (rats, mice, bats, birds, insects, etc.)

  Yes

  No

  N/A

Others:

• Required periodic testing done (alarms, sprinklers, underground fuel lines)

  Yes

  No

  N/A

• The facilities' perimeters are remaining free of fuels (forest or otherwise) that can pose a risk of fire starting & spreading.

  Yes

  No

  N/A