Monthly Universal Waste Inspection Form

• Monthly Universal Waste Inspection
  
  Winston-Salem Merchandising Displays

• Month and Year of Inspection (ex. May 2013)

• Conducted on

  Date

• Prepared by

Forklift shop

• Are waste batteries stored and labeled correctly?

  Yes

  No

  N/A

• Add media

  Media

5940 Maintenance shop

• Are waste lamps, ballasts, and batteries stored correctly?

  Yes

  No

  N/A

• Add media

  Media

5950 Maintenance shop (on mezzanine)

• Are waste lamps, ballasts, and batteries stored correctly?

  Yes

  No

  N/A

• Add media

  Media