Landfill Site Evaluation Checklist Form
Complete this checklist to assess the condition and operational compliance of the landfill site.
Landfill Site Name or ID
*
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
*
Access Control: Are site access points secure and clearly marked?
*
Yes
No
Partial
Waste Placement & Compaction: Rate the adequacy of waste placement and compaction observed.
*
1
2
3
4
5
Cover Material Condition: Select all issues observed with daily or intermediate cover.
*
Erosion
Insufficient Thickness
Cracks/Gaps
No Issues
Other
Leachate Control: Current status of leachate collection and management systems.
*
Fully Functional
Minor Issues
Major Issues
Not Applicable
Stormwater/Drainage: Rate the effectiveness of stormwater and surface drainage controls.
*
1
2
3
4
5
Odor, Pest, and Litter Issues: Check all observed during inspection.
*
Odor
Pests (birds, rodents, insects)
Litter
None Observed
Other
Overall Site Status & Follow-up Actions
*
Rows
Status
Follow-up Required
Access Control
Compliant
Minor Issues
Major Issues
Not Applicable
1
Waste Placement/Compaction
Compliant
Minor Issues
Major Issues
Not Applicable
2
Cover Material
Compliant
Minor Issues
Major Issues
Not Applicable
3
Leachate Control
Compliant
Minor Issues
Major Issues
Not Applicable
4
Stormwater/Drainage
Compliant
Minor Issues
Major Issues
Not Applicable
5
Odor/Pest/Litter
Compliant
Minor Issues
Major Issues
Not Applicable
6
Submit Evaluation
Should be Empty: