OSAG Monthly Facility Inspection
Inspection Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time:
*
Hour Minutes
AM
PM
AM/PM Option
Spill Prevention Control and Countermeasure Plan (SPCC)
Rows
Condition
Remediations
Chemical / Additive Storage
OK
Not OK
Yes
No
OK
Not OK
Yes
No
New / Used Oil Drum Storage Area
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Loading Area for Oils / Diesel
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Location for Diesel Oil Transfers
OK
Not OK
Yes
No
OK
Not OK
Yes
No
System Used for Washing Parts
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Tire / Vehicle washing Area
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Oil and Lubrication Changing Location
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Workshop
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Garbage / Dumpster Areas
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Storage of Non - Hazardous Solid Waste (Metal)
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Facility Entrance
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Dust Suppression System
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Retention / Sediment Ponds
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Rainwater Discharge Points
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Erosion and Sediment Control Measures (All)
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Diesel / Gasoline Storage
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Aggregate Storage Site
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Others
OK
Not OK
Yes
No
OK
Not OK
Yes
No
Inspector:
Signature:
Reviewed by:
Signature:
Weather at time of inspection log
Location: Oriental Sand and Gravel, Inc.
Department of Environmental, Health and Safety
Rev. August 2008
Submit
Should be Empty: