HomeMy WebLinkAbout09) September
, -.
,
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JEFFERSONVILLE
WASTEWATER
TREATMENT F ACIL.I
Monthly Operations ReI
September 2001
Prepared for:
Peggy Wild~r
October 22, 2001
www.geocities.com/emc_jej
ENVIRONMENTAL
MANAGEMENT
CORPORATION
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October 22, 2001
701 CHAMPION ROAD
JEFFERSONVillE, INDIANA 47130
812-285-6451
FAX 812-285-6454
Peggy Wilder
CITY OF JEFFERSONVILLE
City / County Building
Jeffersonville, IN 47130
Dear Ms. Wilder:
Enclosed please find Environmental Management Corporation's (EMC) "Operations Report"
for the month of September 2001, containing information on the following:
1.0 Effluent Quality
2.0 Design Loading Limits
3.0 Facility Operations
3.1 Pretreatment
4.0 Preventive and Unscheduled Maintenance
4.1 Maintenance & Repair Expenditures
4.2 Repair & Replacement Expenditures
4.3 Electrical Expenditures
5.0 Facility Safety and Training
6.0 Sewer Collection System
6.1 Monthly Collections Analysis Report
6.2 Monthly Sewer Call Report
As always, we appreciate the opportunity to be of service to the City of Jeffersonville, and we
are available to discuss this report, or any other aspect of our operations, at the convenience of
the City.
Sincerely,
ENVIRONMENTAL MANAGEMENT CORPORATION
-/~/ ~
~~ 1. Crawf
Regional Manager
JET;sb
',<,
ENVIRONMENTAL
MANAGEMENT
CORPORATION
701 CHAMPION ROAD
JEFFERSONVILLE, INDIANA 47130
812-285-6451
FAX 812-285-6454
Monthly Operation and Maintenance Report
September 2001
Plant
);> Effluent quality was within NPDES permit limits for all parameters,
);> There were 15 wet days (defined as a day having at least 0.1 inch of rainfall and three
days afterward) resulting in an average plant flow of 5.041 MGD, and 15 dry days with -
an average flow on.558 MGD.
);> Additional equipment for the Clarifier valve replacement project has been ordered. We
are waiting for direction from the City.
);> We have made improvements to the digester process and we are starting to notice
improvement in the satiability.
Pretreatment
);> Met with representatives of the Dallas Group concerning their discharge of magnesium
into the sewer system and its potential effect on the operation of the wastewater treatm~mt
facility. They are looking into methods of decreasing the amount of discharge.
);> Met with representatives of George Pfau's concerning the high levels of ammonia in their
discharge. They are looking into modifications in their operations to help minimize th~~
strength -Of their discharge.
Liftstations and Collection System
);> We cleaned 1,210 feet of sanitary sewer and 640 feet of storm sewer. We also televise
780 feet sanitary sewer lines.
);> We hand-cleaned 18 and Vactor-cleaned 10 catch basins.
);> There were no sewer tap inspections.
);> We witnessed 2 air tests.
);> A total of 19 service calls and 146requestsfor sewer locates were received.
Odor Complaints 1
Main Back-ups 1
Resident Back~ups 15
Storm 0
Other 0
Catch basin 2
);> There were no CSO events.
Timothy L. Crawford ~.
Facility Manager
EMC/City of Jeffersonville
~
October 22, 2001
RE:
Enclosedyoti will find a co~y ofthe Septembe{bisc~geMonitoring Reportfor theCi~ of
JeffersonviiieWastewate~ 'Treatrnent Facility, This report includes: . ,
MOJ;}thly Operations Report
Discharge Monitoring Report
IvIetals Analysis. Report
CSO Report
If you have any questions or need~dditionaljnf()~t~():I,1. 'please contact me at(812) 285-6451.
.;
Sincerely,
Enclosure
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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
CSO .DISCHARGE MONITORING REPORT (DMR)
MONITORING PERIOD:
September 2001
MonthlYear
NO CSO DISCHARGES OCCURRED:
NAME: Jeffersonville WWTP PERMIT NUMBER: IN0023302
ADDRESS: 701 Champion Rd.
CITY: Jeffersonville STATE: IN ZIP CODE: TELEPHONE: (812) 285-6451
47130
Precipitation Precipita CSO Discharge Time Discharge Time Discharge
Event tion Outfall Event Date Begins: Stops:
Date/Time: (In Number Specify either Specify either
Inches) Actual (A) Actual (A) Estimate (E)
Estimate (E)
No CSO Discharges
.
'..
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. .. .,. .. .. ...... .. ...... . .... "-....' ..... ..
Typed or Printed
[CERTIFY UNDER PENALTY OF LAW THAT I HAVE
PERSONALLY EXAMINED AND AM F &\1ILIAR WITH TIlE
J};l'ORlvlA TION SUBMITTED HEREIN &'ID BASED ON MY
INQUIRY OF THOSE INDIVIDUALS IMlVfE[)IA TElY
RESPONSIBLEFOR OBTAINING THE l1'<'FORMATION, I
BELIEVE THE SUBMITTEDlNFORMA nON IS TRUE,
ACCURATE &'ID COMPLETE. I A.M AWARE THAT THERE
ARE SIGNIFICA."IT PENAL TIES FOR Sl[BMITTING FALSE
INFORMATION INCLUDING THE POSSIBILITY OF Fll'IE AND
IMPRISONMENT. SEE 18 u.s.e. !l1001 k'ID 33 use. !l1319
(Penalties under these slall/,les may include fines up (oSIO,OaD I.Uld
or maximum imprisonme,Jlfoj befHIeen 6 months and 5 yecrrs.)
DATE
Namerritle Principal Executive Officer
Thomas Galligan
IO 22 01
Mayor, City of Jeffersonville
Mo. Day Year
~
JEFFERSONVILLE
MONTHLY METALS RESULTS.
September. 2001
INFLUENT
(1 R-1) 9/4/2001
Cr 0.006
Cu 0.07
Zn 0.085
CN <.005
(1 R-2) 9/1812001
Cr 0.006
Cu 0,074
Zn 0,099
CN <.005
* units expressed in mg/L
"-
EFFLUENT
(1 CI-1) 9/412001
Cr 0.001
Cu 0.01
Zn 0.036
CN <0.005
(1CI-2) 9111/2001
Cr 0.001
Cu 0.006
Zn 0.019
CN <.005
(1CI-3) 9/18/2001
Cr 0.001
Cu 0.029
Zn 0.058
CN <.005
(1 C14) 912512001
Cr 0.001
Cu 0.007
Zn 0.026
CN <.005
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a.
Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
1.0 EFFLUENT QUALITY
r
L.
During September, effluent quality was within NPDES permit limits for CBOD, TSS and NH-3,
Table 1.1 summarizes the effluent quality data, Attachment A contains Time Series Plots of
Carbonaceous Biochemical Oxygen Demand (CBOD) and Total Suspended Solids (TSS) values,
Attachment B contains Time Series Plots of Aeration Mixed Liquor Suspended Solids (MLSS) and
Sludge Volume Index (SVI),
p Carbonaceous Biochemical
t Oxygen Demand (CBOD 15 5
Total Suspended Solids 30 5
(TSS)
E-Coli 125 59
Chlorine Residual 0.01 0.01
Ammonia 1.5 0,077
Average Dry Weather 5.2 See Table 1.2
Flow
e ea er vs. 'ry eat er
Number of Wet Days * 15
Average Flow of Wet Days 5,041 MGD
Number of Dry Days 15
Average Flow of Dry Days 3,558 MGD
, Table 1.2
W tWth D W h
*Wet Day = Rain (>0,1 in) and three days after
2.0 DESIGN LOADINGS LIMITS
the Flows and Loadings report for September 1994 through September 200 I can be found in
Attachment C,
lof5
Jeffersonville Wastewater Treatment Facility
Monthly Operations .Report
3.0 FACILITY OPERATIONS
Attaclnp.ent D contains a list of septic haulers that discharged at the facility during the month of
September,
During September, the treatment processes performed very well, The facility experienced normal
rainfall for the month, The sludge settleability and Sludge Volume Indexes (SVls) in the
secondary treatment process were above normal for the month, This problem is being addressed
and should be resolved soon,
3.1 PRETREATMENT
Pretreatment activities for the month include:
. Met with representatives of the Dallas Group concerning their discharge of magnesium into
the sewer system and its potential effect on the operation of the wastewater treatment
facility, They are looking into methods of decreasing the amount of discharge,
. Met with representatives of George Pfau's concerning the high levels of ammonia in their
discharge, They are looking into modifications in their operation to help minimize the
strength of their discharge,
4.0 PREVENTIVE AND UNSCHEDULED MAINTENANCE
Preventive Maintenance was performed on all equipment as scheduled for September, There were
17 unscheduled maintenance tasks performed, All repairs were minor.
4.1 SEWER MAINTENANCE CALLS
Table.4,2 represents all sewer maintenance calls for the month,
Table 4.2
Month) Sewer Call Re ort
Pi
J!1l 9/7/01 Ms, Fortune 951 E. 7 Street Backup Resident
\-".,)
9/10/01 Mr. Young 1581 Plank Road Backup Resident
9/10/01 Ms. Lyttle 1805 Spring Street Catchbasin Catchbasin
9/10/01 Mr. Miller 10 & Wall Streets Catchbasin Catchbasin
9/10/01 Mr, Connell 1706 Northhaven Drive Backup Resident
9/11/01 Mr. Goode 504 W. 14 Street Backup Resident
9/11/01 Mr. Pritchard 55 Artic S rings Backup Resident
1m 9/12/01 Mr. Calais 2513 Bishop Circle Slow Drains Resident
'I i .~ 9/13/01 Handyman Appliance 1066 Keyhole Lane Backup Resident
~Lj.
9/13/01 Ms, Muffler 2016 St, Andrews Road Backup Resident
[] 9/19/01 Precision Sewer 1806 Utica Pike Backup Resident
l.~ 9/19/01 Mr, Higdon 815 E, Larkspur Backup-Street Main
2of5
Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
9/21/01 RB Carriers 2822 Sable Mill Road Odor Resident - Ta
9/24/01 Ms, Garrett 54 Louise Street Backup Resident
9/25/01 Mr, Woods 2621 Darian Drive Backup Resident
9/25/0 I Ms, Holloway 1518 Elliott Avenue Backup Resident
9/26/01 Mr. Rigsby 1322 Ridgeway Drive Backup Resident
9/26/0 I Ms, Nifong 1518 Elliott Avenue Backup Resident
9/26/01 Mr, Stoner 821 Morris Avenue Backup Resident
4.3 MAINTENANCE & REPAIR EXPENDITURES
Maintenance & Repair expenditures are detailed in Attachment F, Table 4.4 represents the amount
expended in September,
n
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, It
August
$4,759.34
Y ear- To-Date
$25,755.64
$21,000.00
($4,755.64)
4.5 REPAIR & REPLACEMENT EXPENDITURES
Repair & Replacement expenditures are detailed in Attachment G, Tabl~ 4,6 represents the
amount expended in September,
August
$1,977.02
$14,510.64
September
Y ear- To-Date
$57,176.62
($15,506.62)
3of5
nl
....1\
Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
4.7 ELECTRICAL EXPENDITURES
Table 4,8 represents the facility electrical expenditures for the month providing a year to date total
also,
September
August
Y ear- To-Date
$64,765.00
($7,521.60)
5.0 FACILITY SAFETY & TRAINING
A safety inspection was conducted on September 31, 200 I, The rating was 96%, There were no
deficiencies reported. Our plant is still in excellent shape,
A copy of the Safety Inspection Report is included as Attachment I.
6.0 SEWER COLLECTION SYSTEM
During the month, there were 19 sewer calls, The calls were related to the following problems,
Please see table 4,2, Monthly Sewer Call Report and table 6,1, Monthly Collection Analysis
Report, for a more detailed breakdown of monthly sewer maintenance.
. Residential
. Blockages in the City's Main
. Catchbasins
. Odor Complaints
. Roots
. Other Reasons
. Storm Related
. Backup
15
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Collection system personnel have been cleaning and televising as needed, There was a draw down
test performed at Port Road I Lift Station for Jacobi, Toombs & Lanz and PEH Engineers for the
upgrade of the lift station, Inspection of gates to the wetwell at lOth Street Lift Station for repairs
are still being performed, The No, 2 pump at Spring Street Lift Station has been pulled, repaired
and reinstalled, General maintenance of lift stations and groundskeeping have also been taken care
of during the month of September, Catchbasins have been checked and cleaned as needed,
Troublespots were also taken care of,
4of5
Jeffersonville Wastewater Treatment Facility
Monthly Operations Report
Feet of Sanitary Sewer 1,395
Cleaned
Feet of Storm Sewer 640 400
Cleaned
Catchbasins Cleaned 21 18
Catchbasins Vactored 10 8
Catchbasins Raised 0 0
Feet of Sanitary Sewer 780 1,855
Televised
Sewer Tap Inspections 2 0
Dye Tests 0 0
Manhole Castings 0 0
Replaced
Air Tests 2 5
Manholes Sealed 0 0
ATTACHMENTS
A. Time Series Plots - CBOD & TSS
B. Time Series Plots - MLSS & SVI
C. Flows & Loadings Report - September 1994 through September 200 I
D. Septic Haulers Report
E. Maintenance & Repair Expenditures
F. Repair & Replacement Expenditures
G. Safety Inspection Report
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Hauler
Rumpke of Indiana
TOTAL
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Hauler
SEPTIC HAULERS REPORT
September 2001
Hauler Total (YTD)
43
43
Rumpke of Indiana
TOTAL
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Hauler Total (YTD)
51,400
51,400
Jeffersonville Wastewater Treatment Facility
Maintenance & Repair Expenditures
P.O. DATE Phase Code Vendor Description Amount
9/12/2001 4400 GRAPHIC CONTROLS FLOW CHARTS $115.12
9/12/2001 4400 HEUSER BA TTERIES $12.56
9/12/2001 4400 HEUSER BULBS $7.10
r-. 9/12/2001 4400 HEUSER PLANT SUPPL Y $3.62
t 9/12/2001 4400 HEUSER PLANT SUPPL Y $6.07
~
9/12/2001 4400 HEUSER PLANT SUPPL Y $11.91
9/12/2001 4400 HEUSER PLANT SUPPL Y $20.13
9/12/2001 4400 HEUSER PLANT SUPPL Y $23. 17
9/12/2001 4400 HEUSER WIRE FOR PLANT $3.62
9/12/2001 4400 OFFICE DEPOT PLANT SUPPL Y $37.34
9/12/2001 4400 PETTY CASH MISC. PLANT ITEMS $173.87
9/12/2001 4402 ASHBROOK RUBBER SEAL FOR PRESS $151.05
9/12/2001 4402 SPENCER MACHINE SHEAR PINS FOR CLARIFIER $109.00
9/12/2001 4443 CONTRACTOR'S SAFETY COLLECTIONS SYSTEM STOCK $186.69
9/12/2001 4443 HEUSER COLLECTIONS SYSTEM STOCK $10.49
9/12/2001 4443 HEUSER COLLECTIONS SYSTEM STOCK $15.26
9/12/2001 4443 HEUSER COLLECTIONS TOOLS $187.90
9/12/2001 4443 PETTY CASH SAFETY EQUIPMENT MAINT. $69.89
r 9/12/2001 4460 HEUSER VEHICLE MAINTENANCE (CLEANING $51.24
l SUPPLY)
9/28/2001 4400 HEUSER HOSE $52.49
9/28/2001 4400 HEUSER MEASURER $0.62
9/28/2001 4400 HEUSER ROPE $11.34
9/28/2001 4400 HEUSER S02 & CL2 MA TERIALS $5.65
9/28/2001 4400 OFFICE DEPOT SUPPLY $55.30
9/28/2001 4402 ALBERT CRUSH EFFLUENT WA TER PUMP $210.76
9/28/2001 4402 LIVING WATERS CALlBRA TlON OF CL2 / S02 $234.00
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~tl 9/28/2001 4441 DEL TA EASTBROOK L.S. REPAIR $129.00
9/28/2001 4441 FALLS CITY LIFT STATION REPAIR $214.61
9/28/2001 4441 NEW ALBANY PLUMBING SUMP PUMP AND MA TERIALS $130.82
9/28/2001 4443 HEUSER COLLECTION SYSTEM STOCK $52.58
9/28/2001 4443 HOME DEPOT MISC. SUPPLY FOR RICK HILLS $185.10
TRUCK
9/28/2001 4443 SEARS COLLECTION SYSTEM STOCK - $196.33
RICK HILLS
9/28/2001 4460 MARYSVILLE TRUE VALUE MOWER BLADES $207.30
Total 2,881.93
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Jeffersonville Wastewater Treatment Facility
Repair & Replacement Expenditures
P.O. DA TE Phase Code Vendor Description Amount
9/12/2001 4492 GENERAL RUBBER DIGESTER (LIME) $34.86
9/1212001 4492 OFFICE DEPOT REPAIR & REPLACEMENT $314.99
9/28/2001 4492 GENERAL RUBBER MISe. ITEMS FOR DIGESTER (LIME) $34.86
9/28/2001 4492 SPENCER MACHINE REPAIR #1 PUMPT AT SPRING $1,592.31
STREET
Total 1,977.02
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ENVIRONMENTAL MANAGEMENT CORPORATION
MONTHLY SAFETY INSPECTION
CHECKOFF SHEET
JEFFERSONVILLE W ASTEW ATER TREATMENT FACILITY
701 CHAMPION ROAD
JEFFERSONVILLE, IN 47130
(812) 285-6451
PERSON COMPLETING INSPECTION:
Joseph Hembree
I. Personnel Safety
A. Personal Protective Clothing
1. Safety Helmets Provided
(for Personnel & Visitors).........,........................
2, Hearing Protection
(for High Noise Areas)..............................,.......,
3. Eye Protection - Goggles, etc.
(for Personnel & Visitors)..................................
4. Gloves
(for Personnel).., ............. ... ... ....,... .....,.. ..... ... .....
5, Rubber Boots with Steel Toes
(provided for Personnel)........................,............
6, Rain Suits Provided
(for Personnel)....... .,... ........... ... .,..,... ........ ..... ....
7, Is Respiratory Protection Provided including
ventilators and hoods over high dust areas, dust
masks, etc. (for Personnel)................................
B. Safety Devices and Equipment
1. Non-sparking Tools in areas where flammable
or explosive gases may be present? ....................,
2. Oxygen Deficiency, Toxic, & Explosive Gas
indicator..............,..... .......,.... ,..........,......,.. ,.,.....
3, Self-contained Breathing Apparatus for entry
to chlorine room....,.....,...............................,.....,
4, Confined Space Entry Equipment Available
such as and including Safety Harness, Portable
Wench, Hoist, etc...............................................
5. First Aid Kits with proper & adequate supplies
readily available for any First Aid Emergency....
September 30. 2001
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes ,/ NO N/A
Yes'/ NO N/A
Yes'/ NO
N/A
Yes'/ NO
N/A
Yes'/ NO
N/A
Yes'/ NO
N/A
Yes'/ NO
N/A
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21. Are tripping hazards eliminated at all doors
(threshold plates in good repair, etc,)......,.......
22, Is safety glass provided in all doors.................
23. Are handrails provided on stairs (Both sides
if necessary).... ,............................,...............,
24. Are ladders properly anchored........,..............
25. Are fixed ladders provided with safety cages
or safety side rails.........................................
26. Are all elevation differences between floors
clearly defined and properly lighted................
27. Are portable ladders in good condition...........
28. Kick boards in place ifneeded........................
29. No Broken steps............................................
30. Are ashtrays provided and emptied regularly..
31. Are trash cans covered and emptied regularly.
32, Are portable hoists for lifting heavy equipment
in good repair...,.......,..,.......,.......,...............".
33. Are plant personnel immunized for tetnus.......
34. No electrical cords stretched over tanks....,.....
35. No gas leaks....................................,..............
36, Fuel supply tank in good condition.................
37, No excessively hot operating temperature on
machinery or equipment................................
38. No excessive vibration of machinery or
equipm~t.,.....,',.,..."...,.,.,.,.,"",..,...".,..,.,."
39. No water or oil being "slung" from equipm~t
40. No worn or cracked equipment..................,..
41. No excessive dust on equipment...................
42. Adequate dehumidifier and heaters where
needed..,...,...........,.................,..,.........,....... .
43, Emergency Medical Information on all
employees available for determination of job
assignments.".....,.. ,.........,................... ,........
44. Cross connections have been eliminated
between potable water supply and non-potable
source:
a, Pump & Mixer Seals...........................,.....
b. Digester Heating System Makeup Water,..
c. Vacuum Filter Water Sprays.....,...............
d. Chemical Mixing Tank.............................,.
e. Chlorinator Water Source...........................
f. De-Chlorination Water Source....................
g. Yard Hydrants................,...........................
h. Other......,... ,......, ,. ,..... ,...,.,........, ,.......... ,. ,..
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III, Electrical Safety
YesII' NO N/A
Yes'/ NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO N/A
YesII' NO
YesII' NO
YesII' NO
YesII' NO
YesII' NO
YesII' NO
YesII' NO
YesII' NO
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
1. Is all electrical circuitry enclosed and identified, Yes'/ NO N/A
2. Is all wiring in good condition.......................... YesII' NO N/A
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3. Are the number of outlets adequate..................
4. Is equipment properly grounded or insulated....
5. Are extension cords in good condition and
used properly............,........ ,....................,.. ,.....
6, Is electrical test equipment available, Such as
voltmeter, ampmeter, etc.................................
7. Are dielectric rubber mats presents for
electrical work...., ,.,....,.......,..,..... .., ....,.....,....
8. All control panel switches in good condition..
9. All control panels unobstructed......................
10. Are dielectric rubber gloves available.............
11. Are ground fault interrupters used,................,
12, Are warning or caution signs posted...............
13, Is control panel area clean and dry....,.............
14. Are all needed fuses or breakers in place.........
15, Are all contacts clean and dust free.....,...........
16, Is there emergency stop buttons on all
machines and equipment................................,
17. Are personnel familiar with the electrical safety
such as lock out/tag out procedures................
18. Is power supply locked out/ tagged out on
equipment presently being repaired.................
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IV. Chlorine & Dechlorination Safety
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1. All standing cylinders chained in place and/or
ton cylinders chocked......................................
2. All personnel rained in the use ofCLz,.,...........
3, Appropriate repair kits available......................
4. Chlorine & dechlorination leak detector tied
into the facility alarm system.............,.......,.....
5. Ventilator fan with outside switch present and
either comes on when door opens or manually
with switch at entrance door............,..............
6, Ammonia and Sulphur for checking chlorine &
dechlorination leaks available..........................
7. Are all safety precautions posted.....................
8. Proper Chlorine wrench available to open
valves......,....,..,....,..............,..".,..........,........ .
9. Chlorine protected from direct sunlight, cool
and dry."............ ....,..,........ ..........,..... ...........
10, No petroleum or other chemicals store in
chlorine room......,..........,.......,.., ,...,..,............
11. Spare lead washers available on site................
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V. Process Chemical Safety
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1. Are personnel trained to handle all chemicals
properly....., ,...,..,.,.............,.,..'.....,... ,....,...,...
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Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO N/A
Yes'/ NO
N/A
n 2, Is proper safety clothing present for the
chemical to be handled............,...................... YesII' NO N/A
3. Are all containers, vats, and tanks properly
labeled..................,..............., ,....... ......."........ YesII' NO N/A
4. Is employee exposure within accepted limits.... YesII' NO N/A
5. Are there proper containment of storage areas,
including curbing. .,...,....,..... ... ..... ..,..... .,.,....,.. YesII' NO N/A
6. Are management & employees aware of the
hazards ofthe materials being used................,. YesII' NO N/A
7. Knows proper response to an accidental spill,.. YesII' NO N/A
8. All MSDS available and easily accessible......... YesII' NO N/A
9. Has complied with the 6 employer
responsibilities of the Worker Right to Know
Law? (SARA).... ........ ........ ............................. YesII' NO N/A
10. Emergency Action Plan on file with local Fire,
Police Deparbnents and appropriate Emergency
Agency........,..,.,.....................,...,...,......., ,., ..... YesII' NO N/A
VI. Tools & Equipment
1. Are hand tools in good repair and stored
properly.., ,..........,....,........ .................,..,... ,..... YesII' NO N/A
n 2. Are power tools stored properly and in good
condition - cords, plugs, etc............................ YesII' NO N/A
I 3. Are the tools adequate for the tasks to be
performed..... ,..... ,. ....,..".......... ,....,................. YesII' NO N/A
n 4. Are defective tools replaced as needed..........., YesII' NO N/A
I; 5, Are tool guards in place.....,......,..........,.......... YesII' NO N/A
6. Are employees trained in the proper use of the
fll various tools they are expected to use............, YesII' NO N/A
il 7. Are employees given additional instruction and
~.!J periodic reviews of specialized tools and
equipment.......,................. ........................ ,....,. Yes'/ NO N/A
8. Are proper lifting techniques used by
employees................................. .............,......... YesII' NO N/A
VII. Fire Safety & Protection
1. Are fire/emergency evacuation plans posted...... Yes'/ NO N/A
2, Are employees familiar with fire/emergency
evacuation plan,......,... ,......... ,............,..... ........ Yes'/ NO N/A
3. Are there sufficient number and types of fire
extinguishers...,..........,..... .....,....,.., ........ ,...'..... YesII' NO N/A
4, Are the fire extinguishers properly located and
identified,...............,.........,...................,........ ,., Yes'/ NO N/A
5, Are the fire extinguishers checked annually...... YesII' NO N/A
6. Are all of the fire extinguishers in working
condition.... ,.... ,............. ........... ............. ,.,....... YesII' NO N/A
7, Are employees trained in the proper use of the
extinguishers to be used.......,........................... YesII' NO N/A
8. Are smoke detectors in working order............. Yes NO N/ All'
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