• Document No.

  • Building Number

  • Organization

  • Supervisor Name

  • Conducted on

  • Prepared by

  • Scrap piles free of leaks, spills, and hazardous material?

  • Wrecked vehicles and "part vehicles" drained of all fluids?

  • Vehicle storage area free of visual stains from oil or other vehicle fluids?

  • Was a drip pan/pads use?

  • Is the receiving and storage area free of leaks, stains, and spills?

  • Was drip pans/pads cleaned and stored properly after use?

  • If there was a spill, was it reported to Base Environmental?

  • Are fire extinguisher, eye wash station available, and inspected regularly, and in good operating condition?

  • On Site Representative

  • Inspector Name

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.