Wastewater Risk Assessment Checklist Form
Use this checklist to assess and document key operational risks related to wastewater processes. Please complete all sections for a thorough evaluation.
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Facility / Site Name
*
Assessor's Full Name
*
First Name
Last Name
Are all wastewater treatment equipment and systems operating as intended?
*
Yes
No
Partially
Are chemicals stored and handled safely with proper labeling and containment?
*
Yes
No
Partially
Spill Response Preparedness
*
Rows
Status
Spill kits available and accessible
1
Staff trained on spill response
2
Spill reporting procedures posted
3
Personal Protective Equipment (PPE) Compliance
*
Rows
Compliant
PPE available for all relevant tasks
4
PPE used correctly by staff
5
PPE condition regularly inspected
6
Rate the overall risk level for current wastewater operations
*
1
2
3
4
5
Are environmental controls (such as alarms and sensors) functioning properly?
*
Yes
No
Partially
Additional Comments or Observations
Submit Assessment
Should be Empty: