Information
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Document No.
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Building Number/Shop Number
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Organization/Shop Name
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Supervisor Name
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Conducted on
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Prepared by
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Is the PGP information and records binder onsite and up to date?
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Are inspection records current and up to date?
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Are all past inspection corrective actions completed?
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Have PGP coordinators received HW training? If NOT, are they scheduled?
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Is training documented with dates/instructor names for all PGP HW coordinators and a copy placed in PGP binder?
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Are PGP approval letters up to date and in PGP binder?
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Are PGP site coordinator and alternate appointment letters current and placed in PGP binder?
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Is a PGP sign posted on the PGP with the PGP number?
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Is a contingency plan posted at the PGP?
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Are HW containers properly segregated?
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Are containers properly closed and tightened, except when necessary to add or remove waste?
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Is the PGP area free of leaks, stains, and spills?
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Are containers intact without any evidence of heat generation?
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Are containers properly labeled?
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Are all containers within storage time limits (less than 270 days)?
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Are ignitable waste separated from source of ignition or reaction?
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Are "NO SMOKING" signs posted?
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Are warning signs posted and in good condition?
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Are gloves, face shield, boots, respirator, and protective apron available and in good condition?
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Is spill containment equipment available?
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Do personnel follow proper emergency response and cleanup procedures?
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Are personnel aware of environmental and health hazards associated with applicable MSDS?
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PGP Manager
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Inspector Name