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SWPPP Compliance Inspection Form Copy
SWPPP Compliance Inspection Form Copy
Jason Draper

SWPPP Compliance Inspection Form Copy Checklist

Construction Activities

Use this Digital Checklist
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Free SWPPP Compliance Inspection Form Copy Checklist

Use this Digital Checklist

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Section 1 - General Information:

Project Name:

Address:

Owner:

Operator:

Site Contact:

Contact Phone:

Contact Email::

Type of Inspection:
  • Scheduled Inspection
  • Complaint / Tip
  • Random
  • Drive-by
Inspector Name(s):
  • Greg Archuleta
  • Jason Draper
  • Anthony Garcia
  • Other
Date of last inspection:
Last inspected by:
  • Greg Archuleta
  • Jason Draper
  • Anthony Garcia
  • Other

Were any recommendations or deficiencies noted in previous inspection?

Recommendations/Deficiencies noted:

Corrective actions taken by Opertor:

Section 2 - Additional Information:

Permit Number:

UTR Number:

Permit Expiration Date:

Receiving Waters:

Weather:

Date of Last Rainfall:

Duration:

Approximate Rainfall

Other individuals present besides the Inspector?

Individual:

Individual

Name:

Title:

Contact Information:

Section 3 - Documentation

SWPPP Reviewed?

SWPPP Document Onsite?

City and State NOI in the SWPPP?

SWPPP site plan / Erosion Control Plan Onsite?

Has the SWPPP been updated to reflect the current site conditions (modifications dated & initialed on the site map, new BMPs, details and specifications, etc.)

Last updated?

Operator to update the Erosion Control Plan.

Site plan depicts each of the following items:

Location of Site BMPs

Location of Potential Discharges (fueling areas, trash containers, port-a-potty, concrete washout, etc)

Amendment Log

Other

Require ECP from Operator.

SWPPP Document not reviewed.

Comments:

Section 4 - Site Inspection
Check if BMP is installed, maintained, and compliant.
Include Photos and Description of any Deficiencies.
Erosion Controls

Perimeter Control - Silt Fence, Vegetative Buffer, Curb

Comments

Add media

Site Stabilization

Comments

Add media

Dust Control

Comments

Add media

Erosion Control Comments

Sediment Controls

Inlet Protection

Comments

Add media

Sediment Basin

Comments

Add media

Construction Entrance

Comments

Add media

Other

Comments

Add media

Sediment Control Comments

Housekeeping

Trash Control

Comments

Add media

Port a Potty

Comments

Add media

Chemicals Storage and Leak Controls

Comments

Add media

Concrete Washout

Comments

Add media

Other

Comments

Add media

Housekeeping Comments

Section 5 - Enforcement

Is the Operator presently under an informal/formal enforcement action by Salt Lake City?

Describe status:

Comments:

Additional Comments:

Section 6 - Inspection Summary
Inspection result:
  • No Deficiencies Observed
  • Deficiencies Observed
  • Non-Compliance
  • Significant Non-Compliance

Summary of all deficiencies:

Follow-up date

Summary of actions to be taken:

Additional photo
Additional photo
Additional photo
Additional photo
Additional photo

Signature

Certification:

I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system or those persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations.

Inspector Signature -
Date:
Operator Signature -
Date:
SWPPP Compliance Inspection Form Copy
Jason Draper

SWPPP Compliance Inspection Form Copy

Construction Activities

Use this Digital Checklist
Download as PDF
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.

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