HomeMy WebLinkAboutBUSINESS PLAN 5/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
A _ H R S F I 900 'rruxtun Ave., Suite 210
FIRE Bakersfield, CA 93301
D ARTM Tel.: (661) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME t
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021-
Section 1: Business Plan and Inventory .Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
B'- ❑ APPROPRIATE PERMIT ON HAND
2 ❑ Business PLAN CONTACT INFORMATION ACCURATE
Y e
f
L7 ❑ VISIBLE ADDRESS
2 ❑ CORRECT OCCUPANCY
❑ VERIFICATION OF INVENTORY MATERIALS
2-111 VERIFICATION OF QUANTITIES
Qo- ❑ VERIFICATION OF LOCATION
Er— 11 PROPER SEGREGATION OF MATERIAL
Dom❑ VERIFICATION OF MSDS AVAILABILITY
Lilo�_❑ VERIFICATION OF HAZ MAT TRAINING
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
B--- ❑ EMERGENCY PROCEDURES ADEQUATE
❑ CONTAINERS PROPERLY LABELED
❑ HOUSEKEEPING
❑o--❑ FIRE PROTECTION
❑ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO / 'A U�'!,
EXPLAIN: t'4 �-_l C+<dt�CL1/ L
QUESyeo S REGARDING THIS INSPECTION? PLEASE CALL US AT (661).326 -3979
'� 11—A
Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05