Title Page
-
Conducted on
-
Prepared by
-
Location
-
Number of containers in cage:
-
Signature
Hazardous Waste Containers
Container condition
-
Are any open?
-
Are any severely rusted?
-
Are any container heads bulging?
-
Are any leaking?
-
If any of these questions were marked yes, comments:
-
Describe actions taken to correct situation:
Container Marking
-
Accumulation start date marked on container:
-
Hazardous waste warning marking on container:
-
Contents marked on containers:
Accumulation Point
-
Is the accumulation point free of severe structural deterioration?
-
Is adequate aisle space present between drums to allow unobstructed movement for emergency response?
-
If any of these questions were marked no, comment:
-
Describe actions taken to correct situation:
Emergency Response Equipment
Emergency Horn
-
Is it easily accessible in case of an emergency?
-
Is it in working order?
Spill Control
-
Is an empty salvage drum nearby?
-
Is unused absorbent material nearby?
-
Is all PPE nearby?
Fire Protection
-
Is fire extinguisher readily accessible?
-
Is the fire extinguisher fully charged?
-
Is the fire extinguisher seal intact?
-
If any of these questions were marked NO, comment:
-
Describe actions taken to correct situation: