**Environmental, Public Health and Safety (EPHS) Checklist**

**Facility Name:________________________________________________________________**

**Tribe:_______________________________________________________________________**

**Tribal Contact Person for EPHS Issues:___________________________________________**

**(attach sign-in sheet to identify other personnel who were present at the inspection or provided answers to EPHS questions)**

**NIGC Safety and Occupational Health Manager: ________________________________________________________**

**Date of Inspection:_____________________________________________________________**

This checklist will be used by NIGC during Environmental, Public Health and Safety (EPHS) inspections at Indian gaming facilities.  The results of NIGC EPHS inspections will be maintained at the Regional and/or Headquarters Offices.  Following an EPHS inspection, NIGC personnel (compliance officers, EPHS Safety and Occupational Health Manager, NIGC attorney, etc.) will review the checklist, document findings and concerns, and prepare recommendations.  The findings, concerns and recommendations will be communicated with the tribal gaming commission.  The primary intent of this process is to maintain or improve the environmental, public health and safety conditions at Indian gaming facilities.  

The NIGC also encourages tribes to use the checklist to periodically review the EPHS conditions at their gaming facilities.

Please provide samples of the most recent (within the last three years), documents listed below for review relating to the EPHS Assessment:

1. List and access to the tribe’s adopted EPHS codes, laws, ordinances and regulations i.e., fire codes, life safety codes, building codes, electrical codes, food codes and OSHA, if applicable.

2. Written Safety and Health program containing a training program and standard operating procedures for handling hazardous material and an example of a training document.  

3. An example of an active Safety Data Sheet (SDS). (lists of chemical information in case of exposure).

4. If applicable, hazardous waste disposal Environmental Protection Agency (EPA) ID #. 

5. Hazardous waste disposal documentation.  

6. If applicable, a permit/regulation/procedure for how wastewater is discharged or otherwise disposed of. 

7. If applicable, an on-site treatment plant, documentation that wastewater treatment plant operators are trained (if treated on-site) 

8. If applicable, for on-site septic tanks or lagoons, documentation or evidence of maintenance. 

9. If applicable, documentation of maintenance of underground or above ground storage tanks. 

10. Copy of biohazard disposal program and written training records. 

11. Copy of COVID/communicable/infectious disease plan. (have available for review on site in lieu of emailing large file)

12. Example of First Aid/CPR employee training records.  

13. Copy Emergency Preparedness Plan 

14. Copy of water safety testing and procedure if water quality falls below standards. 

15. Copy of employee food handler training.  

16. Copy of food inspection and testing program. 

17. Copy of emergency evacuation/fire drill training.  

18. Copy of fire sprinkler testing if applicable. 

19. Copy of facility maintenance inspection plan or checklist. 

20. List of codes used for original construction of the facility i.e. Building, Plumbing, Electrical and Mechanical.  

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Version: October 5, 2023

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