Information

  • Document No.

  • Job Name / Job Number

  • Conducted on

  • Prepared by

  • Location
  • Date and Time of Inspection:

  • Date Report Written:

Part I. General Information

  • Site Information

  • Construction Site Name:

  • Construction Stage and Completed Activities:

  • Approximate Area of Site That is Exposed:

  • Photos Taken:

  • Photo Reference ID's:

Weather

  • Estimate Storm Beginning: (Date and Time)

  • Estimate Storm Duration: (Hours)

  • Estimate Time Since Last Storm: (Days or Hours)

  • Rain Gauge Reading and Location: (Inches)

  • Is a "Qualifying Event" Predicted or Did One Occur (i.e., 0.5" Rain with 48-hrs Between Events)?

  • If Yes, Summarize Forecast:

  • Exemption Documentation (explanation required if inspection could not be conducted). Visual inspections are not required outside of business hours or during dangerous weather conditions such as flooding or electrical storms.

Inspection Information

  • Inspector Name and Title:

Part II. BMP Observations. (Describe Deficiencies in Part III)

Good Housekeeping for Construction Materials

  • Inventory of products (excluding materials designed to be outdoors)

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implemented Date:

  • Stockpiled construction materials not actively in use are covered and bermed

  • Failure or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • All chemicals are stored in watertight containers with appropriate secondary containment, or in completely enclosed storage shed.

  • Failure or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Construction Materials are minimally exposed to precipitation

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

Good Housekeeping for Waste Management

  • Wash/rinse water and materials are prevented from being disposed into the storm drain system

  • Failures or other Short Comings?

  • Action Required?

  • Action Implemented Date:

  • Portable toilets are contained to prevent discharges of waste

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implemented Date:

  • Sanitation facilities are clean and with no apparent leaks or spills

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Equipment is in place to cover waste disposal containers at the end of business day and during rain events

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Discharges from waste disposal containers are prevented from discharging to the storm drain system / receiving water

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Stockpiled waste material is securely protected from wind and rain if not actively in use

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Procedures are in place for addressing hazardous and non-hazardous spills

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Appropriate spill response personnel are assigned and trained

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Equipment and materials for cleanup of spills is available onsite

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Washout areas (e.g., concrete) are contained appropriately to prevent discharge or infiltration into the underlying soil

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

Good Housekeeping for Vehicle Storage and Maintenance

  • Measures are in place to prevent oil, grease, or fuel from leaking into ground, storm drains, or surface waters

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • All equipment or vehicles are fueled, maintained, and stored in a designated area with appropriate BMP's

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Vehicle and equipment leaks are cleaned immediately and disposed of properly

  • Failures or Other Short Comings?

  • Action Required?

  • Action Implementation Date:

  • Minimum BMP's for Risk Level_________ Sites

Good Housekeeping for Landscape Materials

  • Stockpiled landscape materials such as mulches and topsoil are contained and covered when not actively in use

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Erodible landscape material has not been applied 2 days before a forecasted rain event or during an event

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Erodible landscape materials are applied at quantities and rates in accordance with manufacturer reccomendations

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Bagged erodible landscape materials are stored on pallets and covered

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Good Housekeeping for Air Deposition of Site Materials

  • Good housekeeping measures are implemented onsite to control the air deposition of site materials and from site operations

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Non-Storm Water Management

  • Non-storm water discharges are properly controlled

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Vehicles are washed in a manner to prevent non-storm water discharges to surface waters or drainage systems

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Streets are cleaned in a manner to prevent unauthorized non-storm water discharges to surface waters or drainage systems

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Erosion Controls

  • Wind erosion controls are effectively implemented

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Effective soil cover is provided for disturbed areas inactive (i.e., not scheduled to be disturbed for 14 days) as well as finished slopes, open space, utility backfill, and completed lots

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • The use of plastic materials is limited in cases when a more sustainable, environmentally friendly alternative exists

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Sediment Controls

  • Perimeter controls are established and effective at controlling erosion and sediment discharges from the site

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Entrances and exits are stabilized to control erosion and sediment discharges from the site

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Sediment basins are properly maintained

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Linear sediment control along toe of slope, face of slope and at grade breaks (Risk Level 2 & 3 Only)

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Limit construction activity to and from site to entrances and exits that employ effective controls to prevent offsite tracking (Risk Level 2 & 3 Only)

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Ensure all storm drain inlets and perimeter controls, runoff control BMP's and pollutant controls at entrances and exits are maintained and protected from activities that reduce their effectiveness (Risk Level 2 & 3 Only)

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

  • Inspect all immediate access roads daily (Risk Level 2 & 3 Only)

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Run-On and Run-Off Controls

  • Run-on to the site is effectively managed and directed away from all disturbed areas

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Other

  • Are the project SWPPP and BMP plans up to date, available on-site and being properly implemented?

  • Adequately Designed, Implemented and Effective?

  • Action Required?

  • Action Implementation Date:

Part III Descriptions of BMP Deficiencies

  • Repairs Implemented:
    Note: Repairs must be within 72 hours of identification and complete repairs as soon as possible.

  • Deficiency:

  • Photo(s):

  • Start Date:

  • Action:

  • Deficiency:

  • Photo(s):

  • Start Date:

  • Action:

  • Deficiency:

  • Photo(s):

  • Start Date:

  • Action:

  • Deficiency:

  • Photo(s):

  • Start Date:

  • Action:

Part IV. Additional Pre-Storm Observations

  • Note the presence or absence of floating and suspended materials, sheen, discoloration, turbidity, odors, and source(s) of pollutant(s)

  • Do storm water storage and containment areas have adequate freeboard? If no, complete Part III.

  • Are drainage areas free of spills, leaks, or uncontrolled pollutant sources? If no complete Part VII and describe below.

  • Notes:

  • Are storm water storage and containment areas free of leaks? If no, complete Parts III and/or VII and describe below.

  • Notes:

Part V. Additional During Storm Observations.

  • If BMP's cannot be inspected during inclement weather, list the results of visual inspections at all relevant outfalls, discharge points, and downstream locations. Note odors or visible sheen on the surface of discharges. Complete Part VII (Corrective Actions) as needed.

  • Outfall, Discharge Point, or Other Downstream Location

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

  • Location:

  • Description:

  • Photo(s):

Part VI. Additional Post-Storm Observations.

  • Visually observe (inspect) storm water discharges at all discharge locations within two business days (48 hours) after each qualifying rain event, an observe (inspect) the discharge of stored or contained storm water that is derived from and discharged subsequent to a qualifying rain event producing precipitation of 1/2 inch or more at the time of discharge. Complete Part VII (Corrective Actions) as needed.

  • Discharge Location, Storage or Containment Area:

  • Visual Observation:

  • Photo(s):

  • Discharge Location, Storage or Containment Area:

  • Visual Observation:

  • Photo(s):

  • Discharge Location, Storage or Containment Area:

  • Visual Observation:

  • Photo(s):

  • Discharge Location, Storage or Containment:

  • Visual Observation:

  • Photo(s):

  • Discharge Location, Storage or Containment:

  • Visual Observation:

  • Photo(s)

  • Other Discussions:

  • Diagrams:

  • Qualified SWPPP Practitioner

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.