Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Chemical Building Inspection

  • If any "No" is checked, please indicate the area, tank number, product, and any corrective action taken to correct the condition in the "Comments" box at the end of this inspection.

  • Are tanks free of damage and deterioration?

  • Are tanks properly labeled and identified? [Labeling: serial number or other identifying code, product label, EPA establishment number and net contents.]

  • Are all valves in good condition and show no signs of wetting, discoloration, corrosion, and leakage?

  • Are all pipes free of damage and show no signs of wetting, discoloration, corrosion, or damage?

  • Are all pipes properly supported?

  • Are all valves closed and locked on the pesticide storage container(s) or the facility is locked whenever the facility is unattended?

  • Are hoses free of signs of wetting, discoloration, blistering, bulging, cracks, or other signs of damage or leakage?

  • Is containment free of cracks and in good condition? [Pesticides or pesticide residues must not escape the containment.]

  • Is area clean and free of noticeable spills? [Cleanup must occur no later than the end of the day on which the pesticide was spilled or leaked.]

  • Is containment free of excessive water accumulation?

  • Are there any comments about the chemical building inspection?

Chemical Storage in Other Warehouses

  • Does your facility store chemicals in buildings other than the main chemical building?

  • If any "No" is checked, please indicate the area, product, and any corrective action taken to correct the condition in the "Comments" box at the end of this inspection.

  • Are shuttles free of damage and deterioration?

  • Are shuttles properly labeled and identified? [Labeling: serial number or other identifying code, product label, EPA establishment number and net contents.]

  • Is area clean and free of noticeable spills? [Cleanup must occur no later than the end of the day on which the pesticide was spilled or leaked.]

  • Are there any comments about the chemical building inspection?

Signature

  • Inspector 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.