Information
COVER PAGE
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Date:
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Facility Name
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Address:
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LOB/Yard #
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Date of Last Quarterly Audit:
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Date of Last Environmental Audit:
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Yard Manager:
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Prepared by Auditor(s)
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Personnel Present for Audit:
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Audit start time
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Audit end time
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Auditors summary
A - Previous inspection
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Has the last inspection been reviewed, items corrected and documented?
1. FACILITY INFORMATION: For each item that is applicable to your facility complete the related sections on the following pages. Check boxes for all applicable items.
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(A) FUEL/ OIL STORAGE
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(B) PAINTING
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(C) SANDBLASTING
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(D) EQUIPMENT MAINTENANCE
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(E) LONG TERM EQUIPMENT STORAGE:
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(F) WASTE MANAGEMENT
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(1) AEROSOL CANS
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(2) ANTIFREEZE
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(3) ASBESTOS MATERIALS ( including used asbestos brake blocks)
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(4) BATTERIES
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(5) BUCKETS
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(6) FILTERS
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(7) OIL
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(8) RAGS/SORBENTS
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(9) RUBBER GOODS ( other than tires )
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(10). SOIL (Contaminated)
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(11). TIRES
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(12). TRASH
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(13). WIRE ROPE
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(14). PAINT WASTE
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(15). BLASTING GRIT
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(16). UNIVERSAL / OTHER WASTE
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(17). DRUMS
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(18).PARTS WASHERS
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(G). NATURALLY OCCURRING RADIOACTIVE MATERIAL (NORM)
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(H). SPILL PREVENTION CONTROL AND COUNTERMEASURE PLAN (SPCC PLAN) APPLICABLE ONLY IF YOU STORE 1320 GALLONS OF PETROLEUM IN ANY CONTAINER OF 55 GALLONS OR GREATER INCLUDING TANKS ( TOTAL FACILITY STORAGE).
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(I). STORM WATER POLLUTION PREVENTION PROGRAM (SWPP PLAN).
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(J). HAZCOM PLAN
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(K). HAZARDOUS WASTE
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(L). PIT(S)-PERMITTED OR UNPERMITTED
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(M). SWD
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(N). GENERAL INSPECTION
(2). DOCUMENT REVIEW ( NOT ALL OF THESE ITEMS WILL BE APPLICABLE TO YOUR FACILITY, HOWEVER IF ANY OF THESE DOCUMENTS SHOULD BE AT YOUR FACILITY AND THEY ARE MISSING THEN THAT IS A DEFICIENCY).
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(A). SPCC PLAN
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(B). SWPP PLAN
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(C). RECOMMENDATION LETTER(S) FROM PLAN(S)
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(D). NOV'S FROM A STATE AGENCY SINCE THE LAST STATE AUDIT
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(E). SPILL REPORTS ( SINCE THE LAST AUDIT)
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(F). SWD INJECTION PERMIT
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(G). PIT PERMIT
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(H). TANK REGISTRATIONS FOR FUEL TANKS OWNED OR OPERATED BY KEY
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(I) NPDES OR STORM WATER PERMIT
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(J). HAZARDOUS WASTE GENERATOR (EPA REGISTRATION )
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(K) PERMIT BY RULE
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(L). ANY OTHER PERMITS ( IF YES, PLEASE LIST).
(3). TRAINING
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(A). DOES THIS FACILITY MAINTAIN AN ORGANIZED SYSTEM OF FILING ENVIRONMENTAL RECORD AND DOCUMENTS?
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WHERE ARE THE RECORDS MAINTAINED?
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DOES THE FACILITY CONDUCT /RECEIVE THE FOLLOWING TRAINING?
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HAZCOM PROGRAM
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SPCC PLAN
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SWPP PLAN
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KEY ENERGY ENVIRONMENTAL POLICIES
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NORM
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(C). DO EMPLOYEES RECEIVE YEARLY TRAINING FOR THESE PROGRAMS?
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- NO
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HOW IS THE TRAINING DOCUMENTED?
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(D). ARE ENVIRONMENTAL ISSUES DISCUSSED DURING SAFETY MEETINGS?
(4). CONTRACTORS
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DO YOU HAVE CONTRACTORS BESIDE SAFETY KLEEN REMOVE WASTE FROM YOUR FACILITY?
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- NO
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IF SO PLEASE PROVIDE THEIR NAME?
27.0 Environmental
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Do you conduct weekly documented hazardous waste area inspections?
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Is hazardous waste labeled legibly and properly with contents, accumulation start date and EPA I.D.?
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Have employees that handle hazardous waste been trained for spill or leak procedures?
DEFICIENCIES AND RECOMENDATIONS
(I) FACILITY INFORMATION
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FOR ALL DEFICIENCIES AND RECOMMENDATIONS, PLEASE NOTE THE SUBSECTION NUMBER AND LIST ISSUES HERE. PLEASE NOTE THE ANTICIPATED DATE TO COMPLETE EACH TASK:
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1. FACILITY INFORMATION
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(2). DOCUMENT (FOR ANY MISSING DOCUMENTATION PLEASE CONTACT THE ENVIRONMENTAL RESOURCE TEAM).
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(3). TRAINING (NOTE ANY ISSUES)
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(4). CONTRACTORS ( NOTE ANY ISSUES).
