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Last Name of the Associate Conducting Inspection <br />Yes <br />A Designated HHM Associate, generally a member of <br />If No, Date Corrected <br />Have you ensured the area is clear, accessible, and unblocked? <br />management, should complete this form each <br />First Name of the Associate Conducting Inspection <br />Monday, Wednesday and Friday. The Facility <br />Have you ensured the area is free of leaking containers? <br />Manager should review the completed form and <br />ensure corrective action is completed. The Assistant <br />Role of the Associate Conducting Inspection <br />Manager or other Designated HHM Associate should <br />review the completed form and ensure corrective <br />storage area? Evacuation Map, Current Emergency, <br />Facility Number <br />action is completed when the Facility Manager is <br />Contact Information, FLAMMABLES Sign, No Smoking and <br />not on duty. Put an X in the Yes column if the answer <br />Hazardous Waste Storage Signs? <br />Date of Inspection <br />to the question is Yes. If you have not checked the <br />Have you ensured a properly stocked spill kit is located in the <br />Yes column, immediately report to the manager and <br />Central Storage Area? <br />Date of inspection <br />explain immediate corrective action. <br />Central Storage Area <br />:Questions <br />Yes <br />No <br />If No, Date Corrected <br />Have you ensured the area is clear, accessible, and unblocked? <br />Have you ensured the floor is free of spilled product? <br />Have you ensured the area is free of leaking containers? <br />Have you ensured all of the proper signs are posted in the <br />storage area? Evacuation Map, Current Emergency, <br />Contact Information, FLAMMABLES Sign, No Smoking and <br />Hazardous Waste Storage Signs? <br />Have you ensured a properly stocked spill kit is located in the <br />Central Storage Area? <br />Container Labeling <br />uestions <br />Yes <br />No <br />If No, Date Corrected <br />Have ou ensured that all containers have a waste label? <br />Have you ensured all information is complete on the label? <br />Have you ensured all labels are located on the side of the waste <br />containers and facing outward so they are viewable? <br />Have you ensured each waste container lid is securely sealed <br />and the bag liner is not showing on the outside? <br />Containerinventory <br />:':Questions <br />Yes <br />No <br />If No, Date Corrected <br />Does the total number of containers in the Central Storage Area <br />match what is listed on the waste inventory log (including <br />accumulation Containers)? <br />