• All containers (drums, boxes, bottles & cans) are in good condition?

  • Enter remedial action, date & time completed and initials

  • Containers not leaking?

  • Enter remedial action, date & time completed and initials

  • Containers adequately closed?

  • Enter remedial action, date & time completed and initials

  • No funnels in open drums?

  • Enter remedial action, date & time completed and initials

  • Containers have appropriate hazardous waste label?

  • Enter remedial action, date & time completed and initials

  • Containers have risk label, if appropriate?

  • Enter remedial action, date & time completed and initials

  • Container labels visible and readable?

  • Enter remedial action, date & time completed and initials

  • Containers have accumulation start date?

  • Enter remedial action, date & time completed and initials

  • Date of oldest container - longest accumulation time?

  • Enter remedial action, date & time completed and initials

  • All containers within the appropriate accumulation time frame?

  • Enter remedial action, date & time completed and initials

  • All waste separated and stored according to comparable waste categories?

  • Enter remedial action, date & time completed and initials

  • Secondary containment free of cracks, or other faults?

  • Enter remedial action, date & time completed and initials

  • Flammable waste stored in metal cabinet/container and labeled properly?

  • Enter remedial action, date & time completed and initials

  • At least 30 inches of aisle space between rows of containers?

  • Enter remedial action, date & time completed and initials

  • Waste collection and storage areas clean and free of debris or spilled material?

  • Enter remedial action, date & time completed and initials

  • All containers stored in secondary containment when appropriate?

  • Enter remedial action, date & time completed and initials

  • Appropriate spill management protocols and equipment available?

  • Enter remedial action, date & time completed and initials

  • Spill and contamination management performed properly?

  • Enter remedial action, date & time completed and initials

  • Fire suppression equipment available?

  • Enter remedial action, date & time completed and initials

  • Fire extinguisher charge current?

  • Enter remedial action, date & time completed and initials

  • Appropriate personnel protective equipment available?

  • Enter remedial action, date & time completed and initials

  • First aid kit available and stocked?

  • Enter remedial action, date & time completed and initials

  • Emergency communication equipment available and operational?

  • Enter remedial action, date & time completed and initials

  • Emergency contact information posted?

  • Enter remedial action, date & time completed and initials

  • Emergency response protocols available on site and current?

  • Enter remedial action, date & time completed and initials

  • Required tools and equipment available?

  • Enter remedial action, date & time completed and initials

  • Emergency eye wash functional?

  • Enter remedial action, date & time completed and initials

  • Emergency shower functional?

  • Enter remedial action, date & time completed and initials

  • Records of hazardous waste movement into and out of the accumulation location current and adequate?

  • Enter remedial action, date & time completed and initials

  • Comments:

  • Surveyor:

  • Date and time of survey:

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