Phalcon Environmental Audit

• Audit Title

• Client / Customer

• Conducted on

  Date

• Prepared by

• Location
  Address

• Weather

  Sunny

  Partly Sunny

  Cloudy

  Rain/Snow

• Wind

  Heavy Gusts

  Windy

  Breezy

  Slight Breeze

  Calm

• Temperature

Erosion Controls

Silt Fencing

• Stakes are securely in the dirt and are not broken.

  Yes

  No

  N/A

• Rips or tears in the fence fabric.

  No

  Yes

  N/A

• Significant bulging in the fence fabric.

  No

  Yes

  N/A

Straw/Hay Bales

• Bales are bound with twine and are intact.

  Yes

  No

  N/A

Soil Stock Piles

• Soil stock piles are properly protected from runoff into environmentally protected areas.

  Yes

  No

  N/A

Heavy Equipment

• Spill kits are on site and available when heavy equipment is present on site

  Yes

  No

  N/A

• Refueling prohibited in wetland buffer areas

  Yes

  No

  N/A

• Spill kit is readily accessible at the refueling location

  Yes

  No

  N/A

Endangered Flora/Fauna

• Have the owners/General Contractor identified that there are endangered or rare species of plants or animals present that need additional controls/precautions?

  NO

  YES

Site Dewatering

• Is dewatering of the site being accomplished in accordance with the project Storm Water Pollution Prevention Plan?

  Yes

  No

  N/A

• Is there any evidence of silt runoff into the adjacent areas or waterways?

  NO

  YES

Concrete Washout

• Project is provided with an area to wash out concrete trucks

  Yes

  No

  N/A

Contaminated Soil

• Health and Safety Plan (HASP) on site and signed

• Proper PPE is being worn

• Medical Surveillance, if applicable

• Industrial Hygiene Sampling performed, if applicable

• HAZWOPER trained, if applicable

• Media

  Media

• Comments

• Signature of person performing the audit

  Sign