Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Storage Drums of Maintenance Fluids: in good condition with covers and plugs intact?

  • Fuel Storage Tank: in good condition, no rust or damage; vent pipe intact; refilling pipe capped?

  • Fueling Station: hoses in good connections? no drips from fuel pump or hose connections

  • Storm Water Pond: sediment is not above the cleanout level; no erosion around inlet or outlet pipes?

  • Storm Water Channels: is sediment building up in the channels? Are the sides of channels eroding?

  • Material Storage and Handling Areas: evidence or potential of pollutants entering the drainage system? Are materials stored neatly with no trash lying around?

  • Vehicle and Equipment Maintenance, Cleaning; Processing Areas: evidence of spills? Are good housekeeping practices maintained?

  • Landscaping: are landscaped areas bare or eroding? Grass cut and landscaping maintained.

  • 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.)

  • Other Indicators of Contamination Access Roads: are roads in good repair? Dirt & mud tracked onto pavement and Centerville Turnpike?

  • Truck staging area @ working face

  • All weather access @ working face

  • Waste covered as required

  • Liter controlled and removed from working face and site

  • Leachate Tank: Check tank, test pumps & level reading.

  • Leachate Extraction Pumps: Test pumps and flow reading.

  • Leachate Extraction Pumps: Level readings

  • Leachate Witness Zone
  • Cell

  • Fire extinguishers checked and in working order

  • Exits marked and lights in working order

  • First aid kits checked and refilled as needed

  • Signs and posters placed as required and needed

  • Employee PPE in use and maintained in good repair

  • Equipment maintained and in good repair

  • Gas System checked and in working order

  • Odor control plan system weekly check

  • Gas monitoring completed for quarter

  • Storm water monitoring completed for quarter

  • Leachate monitoring completed for month

  • HRSD reports completed and submitted for month

SIGN OFF

  • Schedule for repair of work items noted above

  • Prepared by

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