Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Storage Drums of Maintenance Fluids: in good condition with covers and plugs intact?
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Fuel Storage Tank: in good condition, no rust or damage; vent pipe intact; refilling pipe capped?
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Fueling Station: hoses in good connections? no drips from fuel pump or hose connections
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Storm Water Pond: sediment is not above the cleanout level; no erosion around inlet or outlet pipes?
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Storm Water Channels: is sediment building up in the channels? Are the sides of channels eroding?
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Material Storage and Handling Areas: evidence or potential of pollutants entering the drainage system? Are materials stored neatly with no trash lying around?
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Vehicle and Equipment Maintenance, Cleaning; Processing Areas: evidence of spills? Are good housekeeping practices maintained?
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Landscaping: are landscaped areas bare or eroding? Grass cut and landscaping maintained.
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Spill Response Equipment: Oil-dry and absorbent boom available on-site? Are there any potential pollutants on-site that are not currently listed in the SWPPP? (examples include a new storage tank, a changed location for storing equipment, etc.)
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Other Indicators of Contamination Access Roads: are roads in good repair? Dirt & mud tracked onto pavement and Centerville Turnpike?
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Truck staging area @ working face
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All weather access @ working face
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Waste covered as required
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Liter controlled and removed from working face and site
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Leachate Tank: Check tank, test pumps & level reading.
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Leachate Extraction Pumps: Test pumps and flow reading.
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Leachate Extraction Pumps: Level readings
Leachate Witness Zone
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Cell
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Fire extinguishers checked and in working order
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Exits marked and lights in working order
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First aid kits checked and refilled as needed
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Signs and posters placed as required and needed
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Employee PPE in use and maintained in good repair
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Equipment maintained and in good repair
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Gas System checked and in working order
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Odor control plan system weekly check
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Gas monitoring completed for quarter
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Storm water monitoring completed for quarter
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Leachate monitoring completed for month
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HRSD reports completed and submitted for month
SIGN OFF
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Schedule for repair of work items noted above
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Prepared by