# • DANGEROUS WASTE COMPLIANCE CHECKLIST/QUESTIONNAIRE, CHAPTER 173-303 WAC 

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## * i" ii, PART I: COVER INFORMATION This part of the checklist/questionnaire is applicable to all persons who handle dangerous waste. This cover information includes a review of the Notification Form and confirmation of other general information necessary to maintain accurate files and records. "1, "1, -!,

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## * i'\ ,,/, .,'\ 1. INSPECTOR INFORMATION WDOE Inspector: Inspector's Signature:
Office (circle'one): NW Date of THIS Inspection:

## ~. Date of LAST Inspection: Other Inspectors Present: SW C E IND Phone #:

Name: ,Agency:



## ------------ Phone #: ",. 2. BUSINESS INFORMATION Business Name Address:
Zip Code: _____________ EPA/State ID 

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County: Business Location (If: Other Than Address) Contact Person: Phone It:



# --------------------Business Representatives Present During Inspection: 

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3. NOTIFICATION FORM REVIEW Notification Form Filed: Yes Notification Form Revisions: Yes Title:

No No Date: Date: Date: Date: Phone II:'

Is the information provided in the most recent Notification Form still accurate? (If not, note any deficiencies in Comments, below.) Comments:



### 4. ADDITIONAL INSPECTION INFORMATION Time Inspector Entered Site: Left Site: Yes No 

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Were photographs taken during the inspection? Yes No If yes, how many? (Note: Abrief description of the pictures should be prepared and included in the inspection report.) Were any problems encountered regarding: Permission to enter the site: Permission to have access to any areas on the site: Permission to have access to any records: Other: 

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• Were samples taken during the inspection? Yes No If yes, where and of what were samples taken:

Were samples split with the owner/operator? Yes No Were chain of custody procedures follows? Yes No

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- Yes N Ne 'RA - Net Applicable e - See e-nt

1. Does the generator accumulate waste on-site in containers prior to transport? Ifyes, BnSfIer quest:ions 2 t:hrougb 5 'below. 2. Is the waste transported off-site for treatment, storage or disposal, moved to an on-site permitted storage area, recycled on-site, or treated in containers or tanks (with regional approval) within 90 days of generation? Ifno, was a 30-day ext:ension grant:ed by Ecology? 

### PERSONNEL TRAINING [330] 

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3. Does the owner/operator maintain a written training plan at the facility? a) Ifyes, does t:he plan include: 1) Job title and writtenjob description, employee name for each dangerous waste management related position? 

# o 2) Description of type and amount of training for ,each position? ... 3) Records documenting training completion? b) Are training records for former employees kept for five years from last date of employment? c) Is the training program directed by a person knowledgeable in dangerous waste handling practices? d) Is the training relevant to the positions in which the facility staff are employed?



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# • e) 

### Do facility personnel participate in an annual review of the training provided in the program? Y - Yes N - No IIA
- Not; Applicable

e - See eoa-nt;



# • f) Is training given within 6 months of employment or within 6 months-of an employee being assigned to a new position? g) Are new employees supervised until they complete the training program? h) Does the training program: 1) Teach personnel to perform their duties in a way that ensures compliance with WAC l73-303? 2) Instruct personnel on contingency plan implementation? 3) Familiarize personnel with emergency equipment and systems, and emergency procedures? 

### CONTINGENCY PLAN AND EMERGENCY PROCEDURES [350] 4. Is a contingency plan maintained at the facility? 

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### a) Is it a revised SPCC (or other emergency) plan? b) Does the contingency plan include: 

### 1) Adescription of actions facility personnel must take to comply with sections 350 and 360?



# • 2) For off-site facilities, a description of actions to be taken upon receipt of an unacceptable dangerous waste shipment which presents a hazard to public health and the environment? 3) Arrangements with local emergency response organizations? 4) Emergency coordinators' names, phone numbers, and -addresses?

185) List of all emergency equipment at facility, descriptions of equipment, and locations? , _Y-.-'les N - No .--'NA- Not Applicable-

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6) Evacuation plan for facility personnel? c) Were copies of the contingency plan and revisions submitted to local emergency organizations? d) Is the plan current? 5. Is there an emergency coordinator on-site or on-call at all times? [360]

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• DANGEROUSWASTE INSPECTION CHECKLIST

-- Narrative Explanation Sheet--
FACILITY NAHE:

_ INSPECTOR: INSPECTION DATE:

_ Please indicate which Part, Section, and question number your comments correspond to: