Attachment E - Facility Inspection.pdf

OFFSITE RECYCLING/DEMILITARIZATION FACILITY

INSPECTION FORM

FIRM:

ADDRESS:

CONTACT(S):

TELEPHONE: FACSIMILE:

PART A - WORKING PAPERS

1. Purpose/Scope of Inspection:

Pre-Award Inspection

2. Method of Inspection:

Post-Award Inspection

Interview Site Survey

3. Facility has been in operation (years):

4. List all permits, authorizations, permit/authorization limitations, date of permit, and expiration date.

a. Permits Granted By:

b. Dates:

5. Permitted Processes:

6. Date and results of most recent compliance inspection (if any):

PART B - FACILITY PROCESSES

1. Description of operations and processes:

2. What types of equipment are on-site and will be used in this operation:

3. Describe the following mechanics/logistics of:

a. How much material is accepted yearly:

b. How material is accepted from other sources besides the government:

c. Is there an area where the government material can be stored separate from other material:

PART C - FACILITY CONTROLS AND INTERNAL OPERATIONS

1. SECURITY:

Does facility have adequate security through: Yes No N/A

a. 24 Hour surveillance system (e.g. TV monitoring or guards), or security system - electronic motion detectors:

b. Artificial or natural barrier around facility (e.g.,fence or cliff):

c. Means to control entry through entrances (e.g., attendant, TV monitors, locked entrance, controlled roadway access):

2. GENERAL INSPECTION REQUIREMENTS:

Does the owner/operator inspect the following: Yes No N/A

a. Monitoring equipment?

b. Safety and emergency equipment?

c. Security devices?

d. Operational and structural equipment?

e. Types of problems with equipment?

(malfunction, operator error, discharges)

If yes to the above, how frequent are the inspections:

PART D - PREPAREDNESS AND PREVENTION

1. Is there evidence of fire, explosion, or contamination of the environment?

2. Is the facility equipped with:

a. An alarm system?

b. Telephone or two way radio to call emergency response?

c. Portable fire extinguishers, fire control equipment?

d. Is a contingency plan maintained at the facility?

Yes No N/A

PART F - INSPECTORS COMMENTS AND REMARKS

1. Any other comments/remarks or observations not otherwise identified on this form:

PART G - INSPECTOR'S SIGNATURES

Signature Field

Date

Signature Field

Date