Title Page

  • Client/Project Name

  • Property Address

  • Property Occupant(s)

  • Primary Contact(s): Phone/Email

RECONNAISSANCE DETAILS

  • Impact7G Personnel

  • Recon Date & Time

  • Property Escort: Title/Role

  • Weather Conditions

  • Primary Use(s) of Property

  • Limiting Conditions or Other Reconnaissance Gaps (Describe any limiting conditions, such as snow cover, pavement, vehicles, or access limitations)

  • Site Map (Upload site map prior to use "Media" to take photo of a site map)

INSTRUCTIONS

  • ALWAYS ask permission from Property contact/manager prior to photographing the Property – especially any sensitive or potentially confidential areas.
    - Mark locations of key features on a site map or aerial photograph.
    - Excluded areas – DO NOT need to observe conditions on rooftops, under floors, above ceilings, behind walls

  • To the extent practicable, Property photographs should include, but not be limited to, the following for Exterior Areas:
    - AT the Property, from all corners or directions
    - FROM the Property, from all corners or directions
    - All sides of site buildings and adjoining surfaces
    - Electrical transformers
    - Raw material storage areas and containers
    - Trash/waste storage areas and containers
    - Possible wells and septic structures
    - Bulk storage tanks or evidence of possible storage tanks or similar features
    - Stained areas or evidence of contamination
    - Stressed vegetation
    - Drains, surface water, and similar features
    - Any unknown features
    - Environmental conditions/concerns on adjoining sites (from subject Property or public roadway)

PROPERTY SETTING

  • Surface Topography of Property and Surrounding Areas (Direction and approximate degree of slope on the Property, and regionally)

  • Surface Water (Describe surface water type, location, condition, etc.; Include possible wetlands)

  • Geologic or Hydrogeologic Conditions (Ground surface, type of soil, any bedrock or outcrops, sinkholes, etc.)

  • Area Utilities or Possible Vapor Pathways (Note and map the locations of storm drains, drainage ditches, and other buried utilities in vicinity of Property)

  • Description of Roads and Parking Areas (Locations, construction materials, condition, etc.)

PROPERTY EXTERIOR OBSERVATIONS

  • Exterior General Uses, Operations, and Conditions

  • Aboveground Storage Tanks (ASTs) (List ALL tanks & include construction material, capacity, age, and location on the Property, where available)

  • Underground Storage Tanks (USTs) (List ALL tanks & include construction material, capacity, age, and location on the Property, where available)

  • Drums, Totes, & Other Bulk Storage Containers (Include rough inventory of number of drums, contents, conditions, etc.)

  • Waste Containers and Storage Areas (Including drum storage, trash and recycle dumpsters, debris piles, scrap heaps, etc.)

  • PCB-Containing Equipment (exterior areas or nearby) (e.g., electrical transformers, other hydraulic equipment)

  • Pits, Ponds, or Lagoons

  • Stained Soil or Pavement (Describe probable cause and extents of staining; photograph and show on map)

  • Stressed Vegetation (Note location and possible cause, other than from conditions due to insufficient water)

  • Strong, Pungent, or Noxious Odors (Include likely or possible source of odors)

  • Evidence of Solid Waste Disposal (Buried trash/materials, construction debris, or landfilling)

  • Industrial Process Water or Wastewater Discharge (including stormwater) (Describe any industrial wastewater discharges, including stormwater drainage or runoff)

  • Standing Surface Water and Pools or Sumps (Note standing water locations, sources, and conditions, including possible presence of contaminants)

  • Wells (Evidence of likely or possible wells, including groundwater monitoring wells; photograph and show locations)

  • Septic Systems or Cesspools

  • Other Notable Observations

ADJACENT SITE USE AND OBSERVATIONS

NORTH of the Property

  • General Use/Zoning

  • Topography (Relative to the Property)

  • Owner/Company (Name & Operations)

  • Address(es)

  • Environmental Considerations (Storage Tanks, surface water, hazardous chemicals/wastes, environmentally sensitive operations, etc)

EAST of the Property

  • General Use/Zoning

  • Topography (Relative to the Property)

  • Owner/Company (Name & Operations)

  • Address(es)

  • Environmental Considerations (Storage Tanks, surface water, hazardous chemicals/wastes, environmentally sensitive operations, etc)

SOUTH of the Property

  • General Use/Zoning

  • Topography (Relative to the Property)

  • Owner/Company (Name & Operations)

  • Address(es)

  • Environmental Considerations (Storage Tanks, surface water, hazardous chemicals/wastes, environmentally sensitive operations, etc)

WEST of the Property

  • General Use/Zoning

  • Topography (Relative to the Property)

  • Owner/Company (Name & Operations)

  • Address(es)

  • Environmental Considerations (Storage Tanks, surface water, hazardous chemicals/wastes, environmentally sensitive operations, etc)

OTHER NOTES OR OBSERVATIONS

  • OTHER NOTES OR OBSERVATIONS

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.