Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Building Exterior
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Housekeeping complete?
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Exterior lighting functioning?
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Any signs physical damage to building?<br>
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Doors free of obstruction?<br>
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Hazard signs posted?<br>
Staircases
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Staircases in good working order and free of obstructions?<br>
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Guardrails and handrails in place and in good working order?<br>
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Stair grating clear and in good condition?<br>
Fire Pump House
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Housekeeping maintained?
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Fire extinguishers inspection tags up to date?
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Emergency lighting functioning ?
WWTP Facility Review
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Is there excessive scum build-up, grease, foam, sludge in or on any of the treatment units?<br>
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Is there any evidence of severe corrosion on any piping or equipment?<br>
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Are there any breaks or leaks in any chemical feed lines or other piping?<br>
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Are drains clear and free of obstruction?<br>
Record Keeping
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Is a logbook kept which documents all plant activities on a daily basis?<br>
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Copy of food Handling (water plant) permit up to date and on display?<br><br>
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Are operator permits up to date and on display?
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Water sampling data readily available for review?
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Delivery drivers signing off on JSA prior to loading/unloading from WWTP
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Delivery logs being maintained for potablable water delivery?
Chemical Storage
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Chemicals labelled?<br>
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MSDS available for chemicals in use?<br>
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Spill kit for chemicals available?<br>
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Eye wash station mounted and visible ?<br>
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Chemical PPE available?
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Chemicals stored with containment ?
Emergency Response
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Exit signs illuminated?<br>
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Fire extinguisher inspected (monthly) and mounted?<br>
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Emergency Lighting working?<br>
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Written procedures for responding to emergencies available?<br>
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Written list of contacts for emergencies?<br>
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Are alarms sent to qualified personnel who can respond immediately to remedy the problem?<br>
Preventative Maintenance
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Are routine and preventive maintenance scheduled performed and recorded?
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Does the facility maintain an inventory of spare parts, either at the facility or close by, sufficient to keep all of its treatment units operational?
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Log of all preventative maintenance available for review?<br>
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Are electrical cords inspected and tagged?<br>
Effluent Loading Area
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Effluent signage in place ?
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Loading logs kept up to date?<br>
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Housekeeping maintained?
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Drip Pans available for use?<br>
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Valve properly closed and not leaking?<br>
General observation\comments
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General observation
Corrective Action Required
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Action Owner Due Date
Inspection Review
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Front line supervisor Review
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Management Review
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HSE Review
