Title Page

  • Site conducted

  • Inspection Date

  • PM Work Order Number for this Inspection

  • Retain until date

  • Inspector Name

  • Title

  • Container(s) Inspected ID

  • Regulatory Facility Name and ID Number

  • Location
  • Inspection Guidance:
    • This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable).
    • This periodic Inspection is intended for monitoring the external condition and its containment structure. This visual inspection does not require a Certified Inspector. It shall be performed by an owner’s inspector who is familiar with the site and can identify changes and developing problems. Note the non-conformance and corresponding corrective action in the comment section.
    • Retain the completed checklists for at least 36 months.

  • Container
  • Area

Portable Container Containment/Storage Area

  • 1. Are all portable container(s) within designated storage area?

  • 2. Is the containment and storage area free of excess liquid, debris, cracks or fire hazards?

  • 3. Are drain valves closed and in good working condition?

  • 4. Are containment egress pathways clear and any gates/doors operable?


  • 5. Is the container free of leaks?<br>Note: If "No", identify container and describe leak.

  • 6. Is the container free of distortions, buckling, denting or bulging?

Sign Off

  • Additional Comments

  • Inspector’s Signature

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.