Monthly Stormwater Inspection Form

• Document No.

• Monthly Stormwater Inspection Form

• North Haven CT Site

• Inspected by

• Other Auditors

• Select date

  Date

• Weather condition and temperature

Main Building Roof

• No signs of staining on roof?

  Yes

  No

  N/A

• No outdoor storage of chemical / materials?

  Yes

  No

  N/A

Suture Loading Dock

• No signs of staining at loading dock?

  Yes

  No

  N/A

• Compactor not showing signs of leakage?

  Yes

  No

  N/A

• No liquid in compactor reservoir / pump enclosure?

  Yes

  No

  N/A

Finished goods Loading Dock

• No liquid in compactor reservoir enclosure?

  Yes

  No

  N/A

• Compactor not showing signs of leakage?

  Yes

  No

  N/A

• No signs of staining at loading dock?

  Yes

  No

  N/A

• All dumpsters covered / capped?

  Yes

  No

  N/A

• No outdoor storage of chemicals / materials? And

  Yes

  No

  N/A

• Kitchen grease dumpster not showing signs of leakage?

  Yes

  No

  N/A

Needles Building

• All dumpsters covered / capped?

  Yes

  No

  N/A

• No outdoor storage of chemicals / materials?

  Yes

  No

  N/A

PDBMF Building Roof

• No signs of staining on roof?

  Yes

  No

  N/A

• No outdoor storage of chemical / materials?

  Yes

  No

  N/A

PDBMF Receiving / Chemical Loading Dock

• No signs of staining at loading dock?

  Yes

  No

  N/A

• Compactor not showing signs of leakage?

  Yes

  No

  N/A

Main Building Receiving Loading Dock

• No signs of staining at loading dock?

  Yes

  No

  N/A

GENERAL COMMENTS

• Write here any other observations: