Oldcastle Environmental Continuous Improvement Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Water - (Stormwater, Water Use, Discharge, etc.)

• Status:

  Good Work

  Attention

  At-Risk

  Non-Applicable

• Permit Number(s):

• Comments/Coaching:

• Pictures:

  Media

2. Air Quality

• Status:

  Good Work

  Attention

  At-Risk

  Non-Applicable

• Permit Number(s):

• Comments/Coaching:

• Pictures:

  Media

3. Petroleum/Chemical Storage

• SPCC Plan Required?

  Yes

  No

• Status:

  Good Work

  Attention

  At-Risk

  Non-Applicable

• Comments/Coaching:

• Pictures:

  Media

4. Housekeeping

• Status:

  Good Work

  Attention

  At-Risk

  Non-Applicable

• Comments/Coaching:

• Pictures:

  Media

5. Mining & Reclamation

• Status

  Good Work

  Attention

  At-Risk

  Non-Applicable

• Mine Site #:

• Leased or Owned:

  Leased

  Owned

  Combo

  Unknown

• Lease Expiration Date:

  Date

• Comments/Coaching:

• Pictures:

  Media

6. Other Requirements/Notes

• Comments/Coaching:

• Pictures:

  Media

7. Overall

• Comments/Coaching: