HomeMy WebLinkAboutHAZMAT INSP 6/2016UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
111.7 V`ev� a
FACILITY NAME
7�S7ECTI�ON DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
ADDRESS
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
...
❑ 'ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance OPERATION CERS
Violation
COMMENT
Viol
V= Violation; 1,11 Minor a
3010001 e
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) M
INESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)),; §.
J
BUS
1020002
VERIFICATION OF HAZ MAT TRAINING
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
CORRECT OCCUPANCY
(CBC: 401)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
(CFC: 304.1)
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
VERIFICATION OF LOCATION
(CCR: 2729.2)
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
i nature_ofR
ANY
HAZARDOUS
WASTE ON SITE? ❑ YES NO
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)),; §.
J
(CCR: 2732)
1020002
VERIFICATION OF HAZ MAT TRAINING
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
(CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
i nature_ofR
ANY
HAZARDOUS
WASTE ON SITE? ❑ YES NO
Explain:
Inspector: kl/ U 11
POST INSPECTION INSTRUCTIONS: i
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date
�z ; +e Rneinnce C'nrw Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 804)