Yearly Assessment Checklist

Activities – Check each activity present at the site.

Effectiveness Rating*
Vehicle and Equipment Fueling:

1. Fueling area is designed to prevent runoff of Stormwater and of spills

2. Employees are trained in proper fueling and cleanup procedures

3. Absorbent materials are used on small spills rather that hosing them down

4. Daily inspections.

5. Pump island is inspected regularly for spills and/or leaks

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

Vehicle and Equipment Washing / Steam Cleaning

1. A designated wash area is used

2. The wash area is equipped with a clarifier and is connected to sanitary sewer

3. The designated was area is properly designed

4. The clarifier is cleaned regularly

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Vehicle and Equipment Maintenance and Repair

1. Maintenance is done in a designated area only

2. Equipment is kept clean, with no build-up of oil and grease

3. Drip pans and containers are used under areas that may drip

4. Used oil and oil filters, antifreeze, batteries, fluids, etc. are recycled

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Outdoor Loading / Unloading of Materials

1. Delivery vehicles are parked so spills and leaks can be contained

2. The loading / unloading dock is covered to reduce exposure of materials to rain

3. The loading / unloading area is designed to prevent stormwater runoff

4. Fork lift operators are properly trained

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Outdoor Container Storage of Materials

1. Materials are covered to protect from rainfall

2. Materials are protected for run on and runoff of stormwater

3. Waste dumpsters are covered

4. Hazardous materials are stored in a properly designed storage area

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Outdoor Process Equipment O & M

1. The area is covered with a permanent roof

2. Berming and drainage routing is used to minimize contact of stormwater

3. The equipment area is swept after each use of machine or at the end of the day

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Outdoor Storage of Raw Materials / Products

1. The storage area is covered with a roof

2. Materials are covered with a temporary plastic covering

3. Berms and curbing are used to prevent materials from entering the storm drain system

4. Parking lots and /or other surface areas are swept regularly near the materials storage area

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Waste Handling and Disposal

1. Usage and disposal inventory is used to limit waste generation

1 2 3 4 5

2. Materials are recycled whenever possible

3. Wastes are segregated and separated

4. Storage area is covered, enclosed and bermed

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Building and Grounds Maintenance

1. Pesticides and fertilizers are used and stored properly

2. Paved areas are swept instead of washed down

3. Wash water, sweepings and sediments are disposed of properly

4. Planting of natural vegetation reduces water, fertilizer and/or pesticide needs

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Building Repair, Remodeling and Construction

1. Materials used in repair and remodeling (paints, ect.) are stored properly

2. Soil erosion control techniques are used

3. Good Housekeeping practices are used

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5
Contaminated or Erodible Surface Areas

1. Erosion can be controlled by preservation of natural vegetation

2. Surface area is regularly inspected to determine if re-vegetation is needed

3. Geo-synthetics are used as an alternative for the surface area

4. Sandbags or berms are needed to prevent Stormwater pollution

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

*

1 No BMPs used and stormwater pollution is likely

2 Some BMPs used but not effective

3 Some BMPs used and moderately effective

4 Source Control BMPs used and very effective / structural BMP’s needed

5 All necessary BMPs used and very effective

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Yearly Assessment Checklist

garyw

2007-03-07

City Of Grand Island