HomeMy WebLinkAboutHAZMAT INSP 2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
( 1 c) Av
FACILITY CONTACT
Consent to inspect Name /Title
............ 'R ' 0" *U" 'T I 'N" ' 'E'* E"I" C 0", M B I N E D ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
BAKERSFIELD FIRE DEPT.
COMMENTS
Prevention Services
F. F �5 EA.
FIRE 2101 H Street
fARr
r
Bakersfield, CA 93301
.
Tel.: (661) 326-3979
Fax: (661) 852-2171
❑
HOUSEKEEPING
(CFC: 304.1)
INSPECTION DATE
INSPECTION TIME
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
FIRE PROTECTION
(CFC: 903 & 906)
Vi
❑
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO
NO OF EMPLOYEES
-Ef ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
BUSINESS ID NUMBER
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
7
............ 'R ' 0" *U" 'T I 'N" ' 'E'* E"I" C 0", M B I N E D ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
C V u=uornpiiance) OPERATION
COMMENTS
(CCR: 2731)
V=Violation
ED
❑
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CCR: 66262.34 (f); CFC: 5003.5)
❑ .01
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
HOUSEKEEPING
(CFC: 304.1)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
FIRE PROTECTION
(CFC: 903 & 906)
Vi
❑
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
(CCR: 2729.2 (3))
-Ef ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Explain: Signature of Receipt:_-
................. ....
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all viblations have been corrected as noted)
• Within 5 days of correcting all of the violations, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ED
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
Vi
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 471 NO
Explain: Signature of Receipt:_-
................. ....
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all viblations have been corrected as noted)
• Within 5 days of correcting all of the violations, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)