MBAC Construction Site EMP Implementation Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Audit information

• Specific documents and practices audited - double tap to add findings to those applicable

• Potable water purity records

  Yes

  No

  N/A

• MBAC waste manifest forms for municipal waste disposal

  Yes

  No

  N/A

• MBAC waste manifest forms for sewage waste treatment/disposal

  Yes

  No

  N/A

• MBAC waste manifest forms for hazardous waste (including medical waste) disposal

  Yes

  No

  N/A

• Waste manifest summary log

  Yes

  No

  N/A

• Hazardous materials inventory record

  Yes

  No

  N/A

• MSDS records (correspondence with inventory)

  Yes

  No

  N/A

• Work site environmental inspection records

  Yes

  No

  N/A

• Training records (training topics and attendance sheets

  Yes

  No

  N/A

• Other documents and records as indicated in the applicable contractor EMP

Field Implementation

• Specific field areas inspected included. Double tap to add findings and comments to those applicable

• Hazardous materials storage area

  Yes

  No

  N/A

• Hazardous waste storage areas

  Yes

  No

  N/A

• Potable water supply tank farm and distribution

  Yes

  No

  N/A

• Municipal waste skip holding areas

  Yes

  No

  N/A

• U/G sewage holding tank areas

  Yes

  No

  N/A

• Additional areas, if any

General comments on field and document audit findings, if any

• Documentation findings

• Field implementation findings

Documentation, Reporting and Recordkeeping

• Item 1 - Hazardous Materials Inventory

• Approved EMP Reference:

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close-out initials

  Sign

• Item 2 - Hazardous Waste Inventory

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 3 - MSDS Sheets

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 4 - Hazardous Waste Generation Ledger

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 5 - Municipal Waste Generation Ledger

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 6 - Inert Stockpile Log

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 7 - Concrete Washout Procedure

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 8 - Wastewater Storage

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 9 - MBAC Waste Manifest Log

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 10 - Sampling and Analysis Records

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 11 - Greenhouse Gas Log

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 12 - SWMP Inspection and Audit Records

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 13 - SWMP Training Records

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 14 - SPCC Training Records

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 15 - Spill Reports

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 16 - Training Records

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 17 - Maps and Drawings

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 18 - Vehicle Service

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 19 - SPCC Risk Assessment

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 20 - SPCC Spill Prevention

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 21 - SPCC Emergency Spill Response

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 22 - Biodiversity

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 23 - Air Quality Management

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 24 - Noise Monitoring

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 25 - Potable Water Storage

• Approved EMP Reference

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

Field Implementation

• Item 1 - Inert Stockpile Area

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 2 - Concrete Washout Area

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 3 - Hazardous Materials Storage

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 4 - Hazardous Waste Storage

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 5 - Wastewater Storage

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 6 - Spill Kit Inventory

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 7 - Wastewater Treatment Area

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 8 - Vehicle Service Area

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign

• Item 9 - Potable Water Distribution

• Discrepancy / Finding

• Observation

• Follow-up Action

• Action Due Date

  Date

• Satisfactory Close-out Date

  Date

• Suggestions / Comments

• Auditor Close- out Initials

  Sign