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
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All containers (drums, boxes, bottles & cans) are in good condition?
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Enter remedial action, date & time completed and initials
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Containers not leaking?
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Enter remedial action, date & time completed and initials
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Containers adequately closed?
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Enter remedial action, date & time completed and initials
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No funnels in open drums?
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Enter remedial action, date & time completed and initials
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Containers have appropriate hazardous waste label?
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Enter remedial action, date & time completed and initials
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Containers have risk label, if appropriate?
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Enter remedial action, date & time completed and initials
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Container labels visible and readable?
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Enter remedial action, date & time completed and initials
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Containers have accumulation start date?
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Enter remedial action, date & time completed and initials
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Date of oldest container - longest accumulation time?
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Enter remedial action, date & time completed and initials
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All containers within the appropriate accumulation time frame?
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Enter remedial action, date & time completed and initials
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All waste separated and stored according to comparable waste categories?
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Enter remedial action, date & time completed and initials
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Secondary containment free of cracks, or other faults?
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Enter remedial action, date & time completed and initials
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Flammable waste stored in metal cabinet/container and labeled properly?
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Enter remedial action, date & time completed and initials
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At least 30 inches of aisle space between rows of containers?
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Enter remedial action, date & time completed and initials
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Waste collection and storage areas clean and free of debris or spilled material?
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Enter remedial action, date & time completed and initials
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All containers stored in secondary containment when appropriate?
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Enter remedial action, date & time completed and initials
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Appropriate spill management protocols and equipment available?<br>
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Enter remedial action, date & time completed and initials
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Spill and contamination management performed properly?<br>
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Enter remedial action, date & time completed and initials
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Fire suppression equipment available?<br>
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Enter remedial action, date & time completed and initials
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Fire extinguisher charge current?
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Enter remedial action, date & time completed and initials
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Appropriate personnel protective equipment available?
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Enter remedial action, date & time completed and initials
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First aid kit available and stocked?
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Enter remedial action, date & time completed and initials
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Emergency communication equipment available and operational?
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Enter remedial action, date & time completed and initials
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Emergency contact information posted?
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Enter remedial action, date & time completed and initials
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Emergency response protocols available on site and current?
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Enter remedial action, date & time completed and initials
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Required tools and equipment available?
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Enter remedial action, date & time completed and initials
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Emergency eye wash functional?
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Enter remedial action, date & time completed and initials
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Emergency shower functional?
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Enter remedial action, date & time completed and initials
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Records of hazardous waste movement into and out of the accumulation location current and adequate?
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Enter remedial action, date & time completed and initials
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Comments:
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Surveyor:
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Date and time of survey:
