Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

General

  • Permit Verified?

  • Site notice posted at job-site in public view?

  • Concrete washout pit created and maintained regularly?

  • SWPPP: manual and plan on site in trailer

  • MS4 operator copied: permit and notice of intent

  • General housekeeping in order

  • Streets: swept,clean and in proper order

  • Construction entrance installed and maintained?

Erosion and sediment control measures

  • BMP'S implemented and maintained?

  • Silt Fencing installed and maintained?

  • Inlet protection installed and maintained?

  • Hydro-Seeding required on top soil untouched for more than 14 days

  • Hay bales,berms,dykes adequate?

  • Slopes adequately protected

  • Check dams adequate?

  • Sediment traps or basins adequate?

  • Diversion berms or ditches adequate?

Disturbed Areas

  • Evidence of disturbed areas?

  • Evidence of erosion "on" or "off" site?

  • BMP'S initiated to correct erosion ?

  • Topsoil managed properly? must have vegetation established in undisturbed for more than 14 days

Off site storm discharge

  • Adjacent creeks,ponds,lakes protected?

  • Strom sewer inlets properly protected?

  • Stream crossings protected?

  • Stream inlet turbidity in check?

  • Stream embankment protected?

Storage Areas and Pollution Protection

  • Materials properly labeled and maintained?

  • Any evidence of contaminated soil?

  • Temporary toilets in proper order?

  • On site fuel stored properly?

  • Fuel storage on site over 1320 gallons, SPCC Plan required

  • Fuel/Chemical storage properly maintained?

  • Fuel/Chemical spill plan in place

  • Solid Waste Handling properly maintained?

Changes to original SWPPP plan

  • Changes made to SWPPP Plan

  • Date and time of changes made to plan

  • Photos of erosion controls in place and or changes to original SWPPP plan

  • Date and time of rainfall event

  • Enter rain fall amount

  • Inspector Signature:

  • Superintendent Signature:

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.