Title Page

  • Conducted on

  • Inspector

Inspect For

OVERALL PLANT OUTSIDE AREAS

All areas

  • Spilled materials

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Grassed areas

  • Bare spots or soil erosion

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Catch Basins and Drains

  • Debris or clogging

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Areas where spills have occurred in the past

  • Signs of spillage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Material storage areas

  • Spill potential

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Old equipment & metal recycling areas

  • Spill potential

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Shipping & Receiving areas

  • Potential contaminants

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Outfalls

  • Clear of debris,plant material,culverts

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**Corroded drums or drums without plugs or covers

  • Spill potential

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Corroded or damaged tanks, tank supports, tank drain valves

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**Corroded or leaking pipes

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Leaking or improperly closed valves and valve fitting

  • Spill potential

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Leaking pumps or hose connections

  • Spill potential

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**Electrical Transformers

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

** Hydraulic Systems

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

All areas

  • Wind blown dry material

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**Facility fencing, security, lighting

  • Intact and working

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**Spill kits

  • Adequately provisioned

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**ABOVEGROUND STORAGE TANKS

Containment structures

  • Signs of cracks, damage or leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Valves, fill lines, vents, connections, loading areas

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Aboveground storage tanks

  • Signs of leakage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

**SHIPPING / RECEIVING AREAS

Shipping & receiving areas

  • Signs of spillage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Drainage facilities

  • Blockage or debris

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

Curbing or other stromwater diversion structures

  • Damage

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

ROOF AREAS

All plant roofs

  • Materials exhausted through vents

  • COMMENTS/ACTION NEEDED

  • Responsible Person

  • Corrective Action Taken

  • Date Resolved

  • ** Also satisfies requirements for SPCC Inspections, Tests and Records

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.