Information

  • Document No.

  • Building Number/Shop Number

  • Organization/Shop Name

  • Supervisor Name

  • Conducted on

  • Prepared by

  • Is the PGP information and records binder onsite and up to date?

  • Are inspection records current and up to date?

  • Are all past inspection corrective actions completed?

  • Have PGP coordinators received HW training? If NOT, are they scheduled?

  • Is training documented with dates/instructor names for all PGP HW coordinators and a copy placed in PGP binder?

  • Are PGP approval letters up to date and in PGP binder?

  • Are PGP site coordinator and alternate appointment letters current and placed in PGP binder?

  • Is a PGP sign posted on the PGP with the PGP number?

  • Is a contingency plan posted at the PGP?

  • Are HW containers properly segregated?

  • Are containers properly closed and tightened, except when necessary to add or remove waste?

  • Is the PGP area free of leaks, stains, and spills?

  • Are containers intact without any evidence of heat generation?

  • Are containers properly labeled?

  • Are all containers within storage time limits (less than 270 days)?

  • Are ignitable waste separated from source of ignition or reaction?

  • Are "NO SMOKING" signs posted?

  • Are warning signs posted and in good condition?

  • Are gloves, face shield, boots, respirator, and protective apron available and in good condition?

  • Is spill containment equipment available?

  • Do personnel follow proper emergency response and cleanup procedures?

  • Are personnel aware of environmental and health hazards associated with applicable MSDS?

  • PGP Manager

  • Inspector Name

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.