Oil Spill Area Assessment Checklist
Use this checklist to assess an oil spill area, record visible conditions, document containment and response status, and note priority actions needed on site.
Site and Assessor Information
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessment Time
*
Hour Minutes
AM
PM
AM/PM Option
Spill Site / Location
*
Exact Area Inspected
*
Assessor Name
*
First Name
Middle Name
Last Name
Assessor Organization / Company
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Site Access Conditions
Spill Characteristics
Spill type/source
*
Crude oil
Diesel
Hydraulic oil
Lubricating oil
Unknown petroleum product
Other
Estimated spill start or discovery time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Estimated spill extent (area affected, sq ft)
Approximate volume spilled (gallons)
Source status
*
Active
Stopped
Unknown
Source details / notes
Area Impact Assessment
Surfaces or habitats impacted
*
Soil
Water
Shoreline
Vegetation
Paved surface
Wildlife area
Drainage channel
Other
Visible spread pattern
*
Concentrated near source
Linear along flow path
Pooled/contained
Widespread patchy
Downslope migration
Other
Thickness or sheen level
*
Heavy thickness
Moderate thickness
Light sheen
Trace sheen
No visible sheen
Severity rating
*
Minor
1
2
3
4
5
6
7
8
9
Severe
10
1 is Minor, 10 is Severe
Impact rating by category
*
Rows
Low
Moderate
High
Severity
1
2
3
Visibility
4
5
6
Environmental impact
7
8
9
Additional area impact notes
Containment and Response Status
Containment Status
*
Not started
In progress
Contained
Partially contained
Not possible yet
Response Actions Already Taken
Booms
Absorbents
Skimming
Excavation
Isolation
Other
Equipment or Materials on Site
Cleanup Crews Present
*
Yes
No
Area at Risk of Further Spread
*
Yes
No
Uncertain
Immediate Actions Required
Hazards, Priority, and Final Assessment
Observed hazards
*
Fire risk
Slipping hazard
Odor/vapor concern
Wildlife exposure
Waterway migration
Access limitation
None
Other
Cleanup priority level
*
Immediate
High
Moderate
Low
Recommended next steps
*
Overall assessment rating
*
1
2
3
4
5
Final checklist confirmation
*
Submit Assessment
Should be Empty: