Inspection Log and Schedule - SPCC Tier 1 Attachment 3.1

• Site

• Inspected by

• Conducted on

  Date
• Location
  Address

• This log is intended to document compliance with §§112.6(a)(3)(iii), 112.8(c)(6), 112.8(d)(4), 112.9(b)(2), 112.9(c)(3), 112.9(d)(1), 112.9(d)(4), 112.12.(c)(6), and 112.12(d)(4), as applicable.
  
  This SPCC plan template for tier 1 qualified facility is based on this link from USEPA.
  https://www.epa.gov/sites/production/files/2014-05/documents/tier1template.pdf

Table G-16 Inspection Log and Schedule

• + Inspection Log

Inspection Log

• Date of Inspection

  Date

• Container/Piping/Equipment

• Describe Scope (or cite Industry Standard)

• Observations

• Photo (optional)

  Media

• Name and Signature of Inspector

  Sign

• Records maintained separately? (If records of facility inspections are maintained separately at this facility.)

  Yes

  No

  N/A