INDcheck Insp Form

Inspection Overview

• Inspection date

  Date

• Audit type

  Initial Industrial

  Annual Industrial

• Consultant

  Select Bart Chapman Maurice Kamel Peter Crisp Peter Sarganis Pierre D'Angelo James Power Cory Fleming

  • Bart Chapman
  • Maurice Kamel
  • Peter Crisp
  • Peter Sarganis
  • Pierre D'Angelo
  • James Power
  • Cory Fleming

Site Contacts

Contact

• Name

• Position

  Select Assistant property manager Building engineer Building manager Building operator Building operations Director District manager Facilities director Facilities manager General manager Maintenance Management Manager Operations assistant Operations manager Operations supervisor Property manager Regional manager Resident manager Security supervisor Site supervisor Other

  • Assistant property manager
  • Building engineer
  • Building manager
  • Building operator
  • Building operations
  • Director
  • District manager
  • Facilities director
  • Facilities manager
  • General manager
  • Maintenance
  • Management
  • Manager
  • Operations assistant
  • Operations manager
  • Operations supervisor
  • Property manager
  • Regional manager
  • Resident manager
  • Security supervisor
  • Site supervisor
  • Other

• Other:

• Accompanied

  Yes

  No

• Notes

Site Overview

• Client

  Select 20 Vic Arcturus BMO Brookfield Cadillac Fairview Canada Post Canadian Urban CBRE Colonnade Colonnade Creit Eastport GE GWL Kingsett LaSalle Loblaws Menkes Minto Montez Morguard Northam Primaris Sandalwood Scotia Plaza Sifton Triovest Other LaSalle

  • 20 Vic
  • Arcturus
  • BMO
  • Brookfield
  • Cadillac Fairview
  • Canada Post
  • Canadian Urban
  • CBRE
  • Colonnade
  • Colonnade
  • Creit
  • Eastport
  • GE
  • GWL
  • Kingsett
  • LaSalle
  • Loblaws
  • Menkes
  • Minto
  • Montez
  • Morguard
  • Northam
  • Primaris
  • Sandalwood
  • Scotia Plaza
  • Sifton
  • Triovest
  • Other
  • LaSalle

• Other:

• Interactive Site Name (Fake Park Mall)

• Contract number (ABC-12345)

• Address

• City

• Province

  Select Alberta British Columbia Manitoba New Brunswick Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan

  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Nova Scotia
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan

Building Details

• Buildings on site and assessed

Building

• Building name

• Location

  Select North East South West Northeast Southeast Northwest Southwest

  • North
  • East
  • South
  • West
  • Northeast
  • Southeast
  • Northwest
  • Southwest

• Building type

  Select Commercial Commercial/industrial Commercial/residential Industrial Residential Retail School Vacant

  • Commercial
  • Commercial/industrial
  • Commercial/residential
  • Industrial
  • Residential
  • Retail
  • School
  • Vacant

• Tenancy

  Single

  Multi

• Year built

Recent Environmental Reports

• Phase I

• Phase II

• Remediation

• Designated Substance Survey

• Asbestos Survey

• Other

• List the environmental reports reviewed

• ACMs onsite

  Yes

  No

  Suspect

Documentation

• Survey conducted

  Yes

  No

  N/A

• By whom

  Select AMEC Golder Jacques Whitford OHE Pinchin RiskCheck S2S Stantec THEM Other

  • AMEC
  • Golder
  • Jacques Whitford
  • OHE
  • Pinchin
  • RiskCheck
  • S2S
  • Stantec
  • THEM
  • Other

• Other:

• Date of most recent

  Date

• Up-to-date (reassessed in last 12 months)

  Yes

  No

• AMP developed

  Yes

  No

  N/A

• Implemented onsite

  Yes

  No

• Close-out reports available (N/A if no abatement conducted)

  Yes

  No

  N/A

• Pre-construction survey conducted (N/A if no renovations undergone)

  Yes

  No

  N/A

• Photo(s) of relevant documents

  Media

• Notes

Friable ACMs

Material

• Type

  Select AirCell insulation Boiler insulation Gaskets Generator exhaust stack insulation HVAC insulation Pipe-fitting insulation (parging cement) Pipe-insulation (Mag-Block) Pipe insulation (paper-lined) Spray-on fireproofing insulation Tank insulation Texture coating Vermiculite insulation Other

  • AirCell insulation
  • Boiler insulation
  • Gaskets
  • Generator exhaust stack insulation
  • HVAC insulation
  • Pipe-fitting insulation (parging cement)
  • Pipe-insulation (Mag-Block)
  • Pipe insulation (paper-lined)
  • Spray-on fireproofing insulation
  • Tank insulation
  • Texture coating
  • Vermiculite insulation
  • Other

• Other:

• Present onsite

  Select Assumed Confirmed Suspected

  • Assumed
  • Confirmed
  • Suspected

• Photo(s)

  Media

• Notes (e.g. damage)

• Notes

Non-Friable ACMs

Material

• Type

  Select Caulking Ceiling tiles Cement board Cement piping Drywall joint compound Firestop Mastic Plaster Spray-on texture coating Tar paper Vinyl floor sheeting Vinyl floor tiles Roofing materials Inaccessible materials Other

  • Caulking
  • Ceiling tiles
  • Cement board
  • Cement piping
  • Drywall joint compound
  • Firestop
  • Mastic
  • Plaster
  • Spray-on texture coating
  • Tar paper
  • Vinyl floor sheeting
  • Vinyl floor tiles
  • Roofing materials
  • Inaccessible materials
  • Other

• Other:

• Present onsite

  Select Assumed Confirmed Suspected

  • Assumed
  • Confirmed
  • Suspected

• Photo(s)

  Media

• Notes (e.g. damage)

• Notes

• Notes

• UFFI onsite

  Yes

  No

  N/A

• Notes

• PCBs onsite

  Yes

  No

• Phase-out of PCBs (i.e. policy, plan, procedure, or process)

  Yes

  No

  N/A

• PCB wastes onsite

  Yes

  No

• Photo(s)

  Media

• Designated storage area

  Yes

  No

• Registered

  Yes

  No

• Former designated storage area

  Yes

  No

• Registered

  Yes

  No

• Notes

Equipment

Equipment

• Type

  Capacitors

  Light ballasts

  Transformers

  Other

• Other:

• PCB-containing

  Yes

  No

  Suspect

• End-of-use

  Yes

  No

• Ownership

  Property

  Tenant

  Utility provider

  Unknown

• Photo(s)

  Media

• Notes (e.g. age, dry, inaccessible, upgraded to T5/T8, staining, tenant responsibility)

• Notes

• PCB-containing transformers onsite

  Yes

  No

PCB-Containing Transformers

Transformer

• ID

• Ownership

  Property

  Tenant

• In use

  Yes

  No

• PCB type

  Aroclor

  Askarel

  Inerteen

  Other

• Other:

• Volume (L)

• Concentration (ppm)

• Age (year)

• Location onsite

• Photo(s)

  Media

• Notes

• Notes

• Lead onsite

  Yes

  No

  N/A

• Lead present in surfaces

  Yes

  No

  Suspect

Lead-Containing Surfaces

• Types

  Select Glazed or decorative surfaces Mechanical equipment (e.g. tanks, piping, ductwork) Painted ceilings Painted doors and doorframes Painted floors Painted stairways, railings, and banisters Painted structural members Painted walls Painted window frames Other

  • Glazed or decorative surfaces
  • Mechanical equipment (e.g. tanks, piping, ductwork)
  • Painted ceilings
  • Painted doors and doorframes
  • Painted floors
  • Painted stairways, railings, and banisters
  • Painted structural members
  • Painted walls
  • Painted window frames
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. damage, location)

Lead in Operations

• Lead-lined walls

  Yes

  No

• Pipe solder

  Yes

  No

• Notes (e.g. tenants, damage)

Lead-Containing Batteries

• Equipment

  Select Battery chargers Building emergency lighting Diesel fire pumps Fire panels Generators Mobile equipment (e.g. scissor lifts, floor scrubbers, etc.) UPS (e.g. communication/computer systems) Other

  • Battery chargers
  • Building emergency lighting
  • Diesel fire pumps
  • Fire panels
  • Generators
  • Mobile equipment (e.g. scissor lifts, floor scrubbers, etc.)
  • UPS (e.g. communication/computer systems)
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. damage)

Documentation

• Survey conducted (e.g. DSS, lead paint testing; N/A if not required)

  Yes

  No

  N/A

• By whom

• Date of most recent

  Date

• Exposure control (i.e. policy, procedure, plan, or process; N/A if no lead surfaces)

  Yes

  No

  N/A

• Photo(s) of relevant documents

  Media

• Notes

• Notes

• Halocarbons onsite

  Yes

  No

  Suspect

• ODS onsite

  Yes

  No

  Suspect

Halocarbon Equipment

Equipment

• Type

  Select A/Cs Chillers Commercial refrigeration Compressed air dryers Domestic refrigeration Drinking fountains Fire extinguishing equipment Heat pumps HVACs Other

  • A/Cs
  • Chillers
  • Commercial refrigeration
  • Compressed air dryers
  • Domestic refrigeration
  • Drinking fountains
  • Fire extinguishing equipment
  • Heat pumps
  • HVACs
  • Other

• Other:

• Ownership

  Property

  Tenant

• Halocarbon

  Select HFC-134a HFC-404a HFC-407c HFC-410a HFC-507 HCFC-22 HCFC-123 CFC-11 CFC-12 Halons Other

  • HFC-134a
  • HFC-404a
  • HFC-407c
  • HFC-410a
  • HFC-507
  • HCFC-22
  • HCFC-123
  • CFC-11
  • CFC-12
  • Halons
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. location, phase-out)

• Notes

Documentation

• Maintenance contractor for refrigeration equipment

• Service records (maintained and available)

  Yes

  No

• Recent leaks (if yes, detail below)

  Yes

  No

• Alarms (e.g. leak detection device)

  Yes

  No

• Phase-out of ODS (i.e. policy, plan, procedure, or process; if yes, describe below)

  Yes

  No

• Excess halocarbon storage (if yes, describe below)

  Yes

  No

• Photo(s) of relevant documents

  Media

• Notes

• Notes

• Is there mould or water damage on site?

  Yes

  No

Water Incidents

• Water incidents (in the past 12 months)

  Yes

  No

• Source

  Select Building envelope infiltration Condensation Flooding due to heavy rain Flooding due to sanitary/storm sewer Pipe leak Roof leak Unknown Other

  • Building envelope infiltration
  • Condensation
  • Flooding due to heavy rain
  • Flooding due to sanitary/storm sewer
  • Pipe leak
  • Roof leak
  • Unknown
  • Other

• Other:

• Materials affected

  Select Ceiling tiles Drywall Floor coverings Mechanicals insulation (e.g. ducts, piping) Plastered ceiling Window sills Other

  • Ceiling tiles
  • Drywall
  • Floor coverings
  • Mechanicals insulation (e.g. ducts, piping)
  • Plastered ceiling
  • Window sills
  • Other

• Other:

• Documentation

  Yes

  No

  Not repaired

  N/A

• Photo(s)

  Media

• Notes

Visible Suspected Mould

Material

• Type

  Select Ceiling tiles Drywall Floor coverings Mechanicals insulation (e.g. ducts, piping) Plastered ceiling Window sills Other

  • Ceiling tiles
  • Drywall
  • Floor coverings
  • Mechanicals insulation (e.g. ducts, piping)
  • Plastered ceiling
  • Window sills
  • Other

• Other:

• Photo(s)

  Media

• Describe

• Notes (e.g. abatement scheduled, ongoing abatement)

Water Staining or Damage

Material

• Type

  Select Ceiling tiles Drywall Floor coverings Mechanicals insulation (e.g. ducts, piping) Plastered ceiling Window sills Other

  • Ceiling tiles
  • Drywall
  • Floor coverings
  • Mechanicals insulation (e.g. ducts, piping)
  • Plastered ceiling
  • Window sills
  • Other

• Other:

• Photo(s)

  Media

• Describe

• Notes

Documentation

• Mould investigation (e.g. survey, testing, air sampling)

  Yes

  No

  N/A

• Management plan

  Yes

  No

  N/A

• Close-out reports (N/A if no abatement conducted)

  Yes

  No

  N/A

• Photo(s) of relevant documents

  Media

• Notes

• Are there storage tanks on site?

  Yes

  No

General

• Spill control procedure (in place and onsite)

  Yes

  No

• Fill station onsite (e.g. fuel provider, overfill protection, recent spills, staining, containment)

• Miscellaneous oil reservoirs and related devices

  Select Automotive service lift Balers Compactors Dock levellers Non-PCB transformers Revolving doors Other

  • Automotive service lift
  • Balers
  • Compactors
  • Dock levellers
  • Non-PCB transformers
  • Revolving doors
  • Other

• Other:

• Photo(s)

  Media

• Notes

Storage Tanks

Tank

• Tank type

  AST

  UST

• Ownership

  Property

  Tenant

• Location onsite

• Volume (L)

• Material

  Select Aluminum/stainless steel Concrete Fibreglass Plastic Steel/metal Unknown Other

  • Aluminum/stainless steel
  • Concrete
  • Fibreglass
  • Plastic
  • Steel/metal
  • Unknown
  • Other

• Other:

• Construction

  Select Belly tank Bench oil tank Double wall Single wall Unknown Other

  • Belly tank
  • Bench oil tank
  • Double wall
  • Single wall
  • Unknown
  • Other

• Other:

• Contents

  Select Automatic transmission fluid Bulk motor oil Diesel fuel (main tank) Diesel fuel (day tank) Gasoline fuel Glycol Heating fuel oil Propane Waste cooking oil/grease Waste glycol Waste motor oil Empty Unknown Other

  • Automatic transmission fluid
  • Bulk motor oil
  • Diesel fuel (main tank)
  • Diesel fuel (day tank)
  • Gasoline fuel
  • Glycol
  • Heating fuel oil
  • Propane
  • Waste cooking oil/grease
  • Waste glycol
  • Waste motor oil
  • Empty
  • Unknown
  • Other

• Other:

• Year manufactured

• Usage

  Select Chemical storage Emergency backup Equipment refuelling Fire life safety Out of service Retail fuel sales Spill containment Waste storage Other

  • Chemical storage
  • Emergency backup
  • Equipment refuelling
  • Fire life safety
  • Out of service
  • Retail fuel sales
  • Spill containment
  • Waste storage
  • Other

• Other:

• Labelled

  Yes

  No

  Tank only

  Piping only

• Spill control measures

  Select Cathodic protection (e.g. corrosion prevention) Continuous monitoring (e.g. vacuum monitor, inventory monitor, etc.) Curbing/dike/concrete block enclosure Double wall Leak detection system Pan/tray Periodic monitoring (e.g. dip test, integrity test, etc.) Room enclosure/configuration Tub Other

  • Cathodic protection (e.g. corrosion prevention)
  • Continuous monitoring (e.g. vacuum monitor, inventory monitor, etc.)
  • Curbing/dike/concrete block enclosure
  • Double wall
  • Leak detection system
  • Pan/tray
  • Periodic monitoring (e.g. dip test, integrity test, etc.)
  • Room enclosure/configuration
  • Tub
  • Other

• Other:

• Spill response measures

  Select Absorbent material Spill control procedure posted Spill kit Other

  • Absorbent material
  • Spill control procedure posted
  • Spill kit
  • Other

• Other:

• Photo(s)

  Media

• Notes

• Hydraulic Reservoirs

  Yes

  No

• Are there oil reservoirs on site?

  Yes

  No

Oil Reservoirs

Reservoir

• Type of reservoir

  Dock Leveller

  Hydraulic Elevator

  Electrical Transformer

  Other

• Location/usage of reservoir

• Ownership

  Property

  Tenant

• Location of reservoir

• Volume (L)

• Material

  Select Aluminum/stainless steel Concrete Fibreglass Plastic Steel/metal Unknown Other

  • Aluminum/stainless steel
  • Concrete
  • Fibreglass
  • Plastic
  • Steel/metal
  • Unknown
  • Other

• Other:

• Year installed

• Spill control measures

  Select Cathodic protection (e.g. corrosion prevention) Curbing/dike/concrete block enclosure Double wall Leak detection system Oil loss monitoring program Pan/tray Room enclosure/configuration Tub Other

  • Cathodic protection (e.g. corrosion prevention)
  • Curbing/dike/concrete block enclosure
  • Double wall
  • Leak detection system
  • Oil loss monitoring program
  • Pan/tray
  • Room enclosure/configuration
  • Tub
  • Other

• Other:

• Spill response measures

  Select Absorbent material Spill control procedure posted Spill kit Other

  • Absorbent material
  • Spill control procedure posted
  • Spill kit
  • Other

• Other:

• Floor Drains?

• Visible Staining?

• Leaking?

• Photo(s)

  Media

• Notes

• Notes

• Air emissions onsite

  Yes

  No

• Approvals in place (where required, for all applicable equipment)

  Yes

  No

Major Emission Equipment

Equipment

• Type

  Select Cooling towers Diesel fuel-fired emergency generators Diesel fuel-fired fire pump Natural gas-fired furnaces (e.g. HVAC, air make-up units, etc.) Natural gas-fired hot water boilers Natural gas-fired hot water tanks Natural gas-fired humidifiers Other

  • Cooling towers
  • Diesel fuel-fired emergency generators
  • Diesel fuel-fired fire pump
  • Natural gas-fired furnaces (e.g. HVAC, air make-up units, etc.)
  • Natural gas-fired hot water boilers
  • Natural gas-fired hot water tanks
  • Natural gas-fired humidifiers
  • Other

• Other:

• Ownership

  Property

  Tenant

• Quantity

• Size (max BTU or kW)

• Location

• Approval type required

  C of A

  ECA

  EASR

  Not req'd

  Unknown

• Photo(s)

  Media

• Notes (e.g. new, modified, registration number)

• Notes

Other Emission Equipment

• Type

  Select Bathroom exhausts Kitchen exhausts Mechanical room exhausts Natural gas-fired kitchen equipment Parking garage exhausts Plumbing ventilation Other

  • Bathroom exhausts
  • Kitchen exhausts
  • Mechanical room exhausts
  • Natural gas-fired kitchen equipment
  • Parking garage exhausts
  • Plumbing ventilation
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. ownership, location, Approval type required)

• Notes

• Chemicals onsite

  Yes

  No

• MSDS available

  Yes

  No

• MSDS up-to-date

  Yes

  No

• Photo(s)

  Media

Chemical Inventory

• Small quantity (20L or less)

  Select Janitorial supplies (e.g. bleach, floor wax, etc.) Acids Adhesives Aerosol products Alcohols Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.) Compressed gases Diesel fuel Gasoline Glycols Oils/lubricants Paints Printer inks/dyes Soaps/degreasers Solvents (e.g. thinners, Varsol, degreaser, etc.) Water treatment chemicals (e.g. biocides, inhibitor, etc.) Other

  • Janitorial supplies (e.g. bleach, floor wax, etc.)
  • Acids
  • Adhesives
  • Aerosol products
  • Alcohols
  • Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.)
  • Compressed gases
  • Diesel fuel
  • Gasoline
  • Glycols
  • Oils/lubricants
  • Paints
  • Printer inks/dyes
  • Soaps/degreasers
  • Solvents (e.g. thinners, Varsol, degreaser, etc.)
  • Water treatment chemicals (e.g. biocides, inhibitor, etc.)
  • Other

• Other:

• Photo(s)

  Media

• Large quantity (more than 40L)

  Select Janitorial supplies (e.g. bleach, floor wax, etc.) Acids Adhesives Aerosol products Alcohols Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.) Compressed gases Diesel fuel Gasoline Glycols Oils/lubricants Paints Printer inks/dyes Soaps/degreasers Solvents (e.g. thinners, Varsol, degreaser, etc.) Water treatment chemicals (e.g. biocides, inhibitor, etc.) Other

  • Janitorial supplies (e.g. bleach, floor wax, etc.)
  • Acids
  • Adhesives
  • Aerosol products
  • Alcohols
  • Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.)
  • Compressed gases
  • Diesel fuel
  • Gasoline
  • Glycols
  • Oils/lubricants
  • Paints
  • Printer inks/dyes
  • Soaps/degreasers
  • Solvents (e.g. thinners, Varsol, degreaser, etc.)
  • Water treatment chemicals (e.g. biocides, inhibitor, etc.)
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. quantity, volume, location)

• Spill control measures

  Select Curbing/dike/concrete block enclosure Leak detection system Pan/tray Room enclosure/configuration Spill pallets Tubs Other

  • Curbing/dike/concrete block enclosure
  • Leak detection system
  • Pan/tray
  • Room enclosure/configuration
  • Spill pallets
  • Tubs
  • Other

• Other:

• Spill response measures

  Select Absorbent material Spill control procedure posted Spill kit Other

  • Absorbent material
  • Spill control procedure posted
  • Spill kit
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. staining, chemicals near open floor drain)

Chemical Storage

• Chemical storage room onsite

  Yes

  No

• Room equipped with

  Select Blow out panel Curbing/dike/concrete block enclosure Explosion proof lighting Fire suppression system Grounding Leak detection system Room enclosure/configuration Spill tank Sumps Ventilation Other

  • Blow out panel
  • Curbing/dike/concrete block enclosure
  • Explosion proof lighting
  • Fire suppression system
  • Grounding
  • Leak detection system
  • Room enclosure/configuration
  • Spill tank
  • Sumps
  • Ventilation
  • Other

• Other:

• Photo(s)

  Media

• Storage cabinet(s) onsite

  Yes

  No

• Contents

  Select Janitorial supplies (e.g. bleach, floor wax, etc.) Acids Adhesives Aerosol products Alcohols Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.) Compressed gases Diesel fuel Gasoline Glycols Oils/lubricants Paints Printer inks/dyes Soaps/degreasers Solvents (e.g. thinners, Varsol, degreaser, etc.) Water treatment chemicals (e.g. biocides, inhibitor, etc.) Other

  • Janitorial supplies (e.g. bleach, floor wax, etc.)
  • Acids
  • Adhesives
  • Aerosol products
  • Alcohols
  • Automotive maintenance products (e.g. brake cleaner, car wash chemicals, etc.)
  • Compressed gases
  • Diesel fuel
  • Gasoline
  • Glycols
  • Oils/lubricants
  • Paints
  • Printer inks/dyes
  • Soaps/degreasers
  • Solvents (e.g. thinners, Varsol, degreaser, etc.)
  • Water treatment chemicals (e.g. biocides, inhibitor, etc.)
  • Other

• Other:

• Photo(s)

  Media

• Notes

• Notes

• Waste onsite

  Yes

  No

• Disposal companies

• Hazardous waste onsite (e.g. maintenance wastes, tubes, amalgam)

  Yes

  No

• Property registered

  Yes

  No

  N/A

• Generator number

Hazardous Wastes

• Common hazardous wastes

  Select Amalgam wastes (e.g. mercury) Biomedical wastes (e.g. sharps) Fluorescent tubes (e.g. mercury) Pharmaceutical wastes (expired medication) Photo processing wastes (e.g. silver) Registrable maintenance wastes X-ray wastes (e.g. silver) Other

  • Amalgam wastes (e.g. mercury)
  • Biomedical wastes (e.g. sharps)
  • Fluorescent tubes (e.g. mercury)
  • Pharmaceutical wastes (expired medication)
  • Photo processing wastes (e.g. silver)
  • Registrable maintenance wastes
  • X-ray wastes (e.g. silver)
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. service contractor, disposal company)

Hazardous waste

• Type

  Select Acid wastes Alkaline wastes Antifreeze/coolant (e.g. glycol) Compressed gases Fuels (e.g. gasoline, diesel, asphalt) Oils, lubricant, sludges Paints, pigment, coating Pesticides/herbicides Pathological wastes Petroleum distillates (e.g. Varsol, thinners, etc.) Soaps/detergents Solvents (e.g. parts wash, dry cleaning, degreaser, etc.) Other

  • Acid wastes
  • Alkaline wastes
  • Antifreeze/coolant (e.g. glycol)
  • Compressed gases
  • Fuels (e.g. gasoline, diesel, asphalt)
  • Oils, lubricant, sludges
  • Paints, pigment, coating
  • Pesticides/herbicides
  • Pathological wastes
  • Petroleum distillates (e.g. Varsol, thinners, etc.)
  • Soaps/detergents
  • Solvents (e.g. parts wash, dry cleaning, degreaser, etc.)
  • Other

• Other:

• Ownership

  Property

  Tenant

• Onsite

  Yes

  No

• Frequency of collection (e.g. as needed)

• Photo(s)

  Media

• Notes (e.g. container type, quantity, volume, location, staining, not reg'd)

• Notes

Non-Hazardous Wastes

• Types

  Select Beverage containers Cardboard Cooking oils and grease Electronics Fine paper Glass Ink cartridges Metal Mixed refuse Organics and food scraps Plastic Used batteries Used car tires Wood/lumber (e.g. skids) Other

  • Beverage containers
  • Cardboard
  • Cooking oils and grease
  • Electronics
  • Fine paper
  • Glass
  • Ink cartridges
  • Metal
  • Mixed refuse
  • Organics and food scraps
  • Plastic
  • Used batteries
  • Used car tires
  • Wood/lumber (e.g. skids)
  • Other

• Other:

• Photo(s)

  Media

• Notes

Documentation

• Waste audit conducted (N/A if less than 10,000 sq-m or 107,000 sq-ft in Ont)

  Yes

  No

  N/A

• When

  Date

• By whom

• Diversion rate

• WRWP (waste reduction work plan) developed

  Yes

  No

• When

  Date

• Plan or summary posted

  Yes

  No

• Source separation program

  Yes

  No

  N/A

• Photo(s) of relevant documents

  Media

• Notes

• Notes

• Are there water management issues on site?

  Yes

  No

General

• Monitoring wells

  Yes

  No

• Photo(s)

  Media

• Notes

Water Supply

• BPDs (backflow prevention device) onsite

  Yes

  No

• Where

  Select Boiler Cooling tower Irrigation Main supply Sprinkler Other

  • Boiler
  • Cooling tower
  • Irrigation
  • Main supply
  • Sprinkler
  • Other

• Other:

• All BPDs tested (in the last 12 months)

  Yes

  No

• When

  Date

• By whom

• Photo(s)

  Media

• Water saving devices

  Select Flow reducer traps Low-flow toilets/urinals No-touch sensors Sink aerators Other

  • Flow reducer traps
  • Low-flow toilets/urinals
  • No-touch sensors
  • Sink aerators
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. incomplete tags)

Water Discharge (stormwater)

• System

  Select Catch basins Drainage ditch Elevator sump pits Parkade drain Roof drain Sand/grit interceptor Storm drains Storm water sump pits Other

  • Catch basins
  • Drainage ditch
  • Elevator sump pits
  • Parkade drain
  • Roof drain
  • Sand/grit interceptor
  • Storm drains
  • Storm water sump pits
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. presence of oil)

Water Discharge (sanitary)

• Sanitary sump pits

  Yes

  No

• Water treatment devices

  Select Amalgam separators Grease traps Oil/water interceptors Silver recovery units Other

  • Amalgam separators
  • Grease traps
  • Oil/water interceptors
  • Silver recovery units
  • Other

• Other:

• Notes (e.g. service contractor, frequency, tenants, location)

• Blowdown

  Yes

  No

  N/A

• Process

  Select Boiler/cooling tower water surface blowdown Compressor condensate Sprinkler water testing Other

  • Boiler/cooling tower water surface blowdown
  • Compressor condensate
  • Sprinkler water testing
  • Other

• Other:

• Photo(s)

  Media

• Notes (e.g. surcharge agreement, approval obtained, presence of oil)

• Notes

Tenant list and Operations

Tenant

• Tenant

• Operation/Activities

• Address/Unit