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HomeMy WebLinkAboutRISK MANAGEMENT PLAN-ES INSP CHECKLIST 12/2/2003 CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.,3rd Floor, Bakersfield, Ca93301 w~ q ~ Phone: (661) :526-:3979 Fax: (661) :326-0576 FACILITY NAME .~h~Aff~ ~dC~-~'ff ~SPECTION DATE [~['~03 LOCATION ~ ~(~v ~co~ PR~~V~L~ Section 7: California Accidental Release Program (Ca~) ~sk~Management PI~ ' ~ Routine ~ Comb~ed ~ Joint Agency. ~ Multi-~gency ~ Comment~ ~ Re-inspection ~SK ~NAGEMENT PLAN - PREVENTION PROGR~ C V COMMENTS Compliance Audits 5 Year Accident Histo~ ~0 ~ Incident Investigation gO~ Emergency Response Program H~ard Assessment Safe~ Info~ation /~ ~ ~ ~~ ~ ~ Training Documentation ~ ~ ~ O~emting Procedures ~ ~ ~ / ~ Maintenance Procedures ~ Mechanical Integrity ~ M~agement of Change ) Pre-Smn Up Review ~ ff~/~ ? ~ ~ Employee Participation ~ ,' ~ ~ ~ ~ , Hot Work Pemit ~ ~ ~ Contractor Safe~ C=Compliance V=Violation Commen~: ~~ ~~ 05~ ~ t~ ~&o~ ~~A. ~0 ~~ Office of Environmental Services (661) 326-3979 Busi~ness~Site Responsible Party White - Env. Svcs. Pink - Business Copy O Fire Dep HAZARDOUS MATERIALS DIVISIC Date ComPleted / o~--/- ~ ."-/ Business Name: ~/5'/~' /~/'-~ Location: ._5-'-1,.')-~"- "~), &./--/f Business Identification No. 215-000 ,~ ~ ~'/~ ~ (Top of Business Plan) Station No. / '~ Shift ~- Inspector Adequate Inadequate Verification of Inventory Materials I~ ~ RECEi~/ED Verification of Quantities ~ r~ D~c 0 5 1994 ...... fL at' ~] ~] HAZ ~'f4T. DIV. verll'lCatlon o oc Ion 1 Proper S~gregation of Material ments: ~ Verificatiol of MSDS Availablity .d,~./Number of Employees Verificatiol of Haz Mat Training Comments: , Verification of Abatement S,upplies & Procedures Comments: Emergenc~y Procedures Posted I~ ~] Containers Properly Labeled Comments: VerificatiOn of Facility Diagram Special Hazards Associated with this Facility: Violations: ./~/fc~f_ ~/~-o~ 7~ //~ v-~-2/ -~_ .~,,,~ ~-,~.,./ All Items O.K. ~ Correction Needed /~ Business Owner/Manager FD 1652 (Rev. 1-90) White-Haz Mat Div, Yellow-Station Copy Pink. Business Copy