MTACC QUARTERLY ENVIRONMENTAL AUDIT

• Project

• Quarter

  Q1

  Q2

  Q3

  Q4

• Contract Number

  Select C2B (C-26010) C3 (C-26006) C4C (C-26011) C5C (C-26012) C6 (C26009) CM005 CM005 CM006 CM007 CH057 CH057A CQ032 CS179 CM014B

  • C2B (C-26010)
  • C3 (C-26006)
  • C4C (C-26011)
  • C5C (C-26012)
  • C6 (C26009)
  • CM005 CM005
  • CM006
  • CM007
  • CH057
  • CH057A
  • CQ032
  • CS179
  • CM014B
• Location
  Address

• Attendees

  Select Jennifer Wuotinen Rose-May Touissant-Portes Bobby Li Joanne Liu Apollo Lin Vera Eckna Alain Noel Amir Ibrahim Nancy Oliver Sandeep Singh Joe Rogosich Brandon Fuld Mike Simpson Tenzin Lhundup Mike Rosel Anton Gallas

  • Jennifer Wuotinen
  • Rose-May Touissant-Portes
  • Bobby Li
  • Joanne Liu
  • Apollo Lin
  • Vera Eckna
  • Alain Noel
  • Amir Ibrahim
  • Nancy Oliver
  • Sandeep Singh
  • Joe Rogosich
  • Brandon Fuld
  • Mike Simpson
  • Tenzin Lhundup
  • Mike Rosel
  • Anton Gallas

• Additional Attendees

• Conducted on

  Date

• Prepared by

• Project Description

1.0 Air Quality

• Are dust control methods being used, such as misting systems, dust boss, and ventilation to minimize dust being generated?

  Yes

  No

  N/A

• Is equipment >not = to 50 hp fitted with a DPF or other emission control device, or use a tier4 engine?

  Yes

  No

  N/A

• Are all pieces of equipment inventoried with an MTACC sticker?

  Yes

  No

  N/A

• Are Camp meters in place upwind and downwind of where the work is happening?

  Yes

  No

  N/A

• Issues Found

Item

• Add media

  Media

• Air Quality Score

2.0 Noise and Vibration

• Are noise readings being taken for all pieces of equipment?

  Yes

  No

  N/A

• Are noise blankets, mufflers being used in loud areas?

  Yes

  No

  N/A

• Are backup alarms community sensitive?

  Yes

  No

  N/A

• Issues found

Item

• Description

• Photos

  Media

• Noise and Vibration Score

3.0 Stormwater/ Erosion and Sediment Control/ Dewatering

• Are all catch basins protected with filter fabric or other device?<br>

  Yes

  No

  N/A

• Is ground water being collected and managed with a NYC deposit permit? <br>

  Yes

  No

  N/A

• Are daily flows and pH being recorded?

  Yes

  No

  N/A

• Are stockpiles covered to minimize Sediment from leaving the work site?

  Yes

  No

  N/A

• Issues found

Item

• Description

• Photos

  Media

• Stormwater and Erosion Control Score

4.0 Waste Management

• Are spill/drip pans used under equipment such as cranes and pipe threaders?

  Yes

  No

  N/A

• Are raw materials stored on pallets and open materials stored on spill pallets?

  Yes

  No

  N/A

• Are all containers labeled with contents and waste drums/containers labeled properly?

  Yes

  No

  N/A

• Are roll off containers covered at the end of the shift?

  Yes

  No

  N/A

• Is used oil being generated?

  Yes

  No

  N/A

• Is the storage tank registered with the DEC?

  Yes

  No

  N/A

• Is used oil stored in drums?

  Yes

  No

  N/A

• Is the oil drum in secondary containment?

  Yes

  No

  N/A

• Issues found

Item

• Description

• Photos

  Media

• Waste Management Score

5.0 Spill Prevention and Response

• Are spill kits available and accessible?

  Yes

  No

  N/A

• Issues found

Item

• Description

• Photos

  Media

• Spill Prevention and Response Score

6.0 General Site Conditions

• Is housekeeping being performed and site generally clean?

  Yes

  No

  N/A

• Is standing water on site being addressed?

  Yes

  No

  N/A

• Is vector control in place?

  Yes

  No

  N/A

• Are boxes being labeled and maintained?

  Yes

  No

  N/A

• Issues found

Item

• Description

• Photos

  Media

• General Site Conditions Score

Conclusion and auditor's comments

• Date of audit completed

  Date

• Signature of auditor

  Sign

• Date of auditor's signature

  Date

• Signature of auditee

  Sign

• Date of auditee's signature

  Date