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Environmental Inspection · Pro

Industrial Environmental Compliance Inspection Checklist

Streamline industrial facility environmental inspections with this comprehensive checklist covering air emissions, permits, CEMS, and LDAR compliance monitoring.

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Industrial Facility Environmental Compliance & Emissions Inspection Checklist

Inspection Report Number

· · ·

Lead Inspector Name

· · ·

Inspector Email Address

· · ·

Submit

The Industrial Facility Environmental Compliance & Emissions Inspection Checklist is a structured digital form designed to help environmental inspectors, compliance officers, and facility managers conduct thorough on-site inspections. It captures essential inspector and facility details, permit status, and covers critical air emissions checks including CEMS calibration, stack emission limits for NOx, SOx, PM, CO, and VOCs, as well as air pollution control device maintenance.

This template is ideal for environmental health and safety (EHS) teams, regulatory inspectors, and industrial facility operators across manufacturing, chemical, energy, and processing sectors. It ensures every inspection follows a consistent, audit-ready process aligned with EPA and local environmental permit requirements, including Leak Detection and Repair (LDAR) program compliance for fugitive emission sources.

By digitizing your environmental compliance inspections, you eliminate paperwork errors, accelerate reporting turnaround, and maintain a timestamped record of every inspection. Use this free template to protect your facility from violations, reduce environmental liability, and demonstrate proactive regulatory compliance to authorities.

4 Pages

39 Questions

~13min To complete

Free No credit card needed

Field types Single Choice ×13 Short Text ×4 Long Text ×4 File Upload ×3 Full Name ×2 Date ×2 Dropdown ×2 Signature ×2 Email Phone Time Picker Address Priority Selection Star Rating termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 Facility & Inspector Information 13 questions

Facility & Inspector Details

1 Inspection Report Number * Short Text

2 Lead Inspector Name * Full Name

3 Inspector Email Address * Email

4 Inspector Contact Phone * Phone

5 Inspector Certification/License Number * Short Text

6 Inspection Date * Date

7 Inspection Start Time * Time Picker

8 Facility Name * Short Text

9 Facility Permit/License Number * Short Text

10 Facility Address * Address

11 Facility Environmental Contact Person * Full Name

12 Facility Type * Dropdown

13 Inspection Type * Dropdown

Page 2 Air Emissions & Stack Compliance 8 questions

Air Emissions & Stack Inspection

1 Are all required air emission permits current and posted on-site? * Single Choice

2 Are continuous emissions monitoring systems (CEMS) operational and calibrated? * Single Choice

3 Are stack emissions within permitted limits (NOx, SOx, PM, CO, VOCs)? * Single Choice

4 Are air pollution control devices (scrubbers, filters, baghouses) properly maintained? * Single Choice

5 Are fugitive emission sources (valves, flanges, pumps) monitored per LDAR program? * Single Choice

6 Is visible emissions opacity within regulatory thresholds? * Single Choice

7 Air Emissions Observations & Deficiencies Noted Long Text

8 Upload Air Monitoring Data or Photos File Upload

Page 3 Wastewater, Stormwater & Hazardous Materials 9 questions

Water Discharge & Hazardous Materials Compliance

1 Is the facility's wastewater discharge permit (NPDES/equivalent) current? * Single Choice

2 Are wastewater treatment systems functioning within permitted parameters (pH, BOD, TSS, metals)? * Single Choice

3 Is the stormwater pollution prevention plan (SWPPP) implemented and current? * Single Choice

4 Are stormwater outfalls free from illicit discharges or contamination? * Single Choice

5 Are hazardous waste storage areas properly labeled, contained, and within accumulation time limits? * Single Choice

6 Are Spill Prevention, Control, and Countermeasure (SPCC) plans in place and adequate? * Single Choice

7 Are chemical storage tanks equipped with secondary containment and leak detection? * Single Choice

8 Water & Hazardous Materials Observations & Deficiencies Noted Long Text

9 Upload Discharge Records, Lab Results, or Photos File Upload

Page 4 Overall Compliance Summary & Sign-Off 9 questions

Inspection Summary & Corrective Actions

1 Overall Facility Compliance Status * Priority Selection

2 Overall Environmental Management Rating (1 = Critical Non-Compliance, 5 = Full Compliance) * Star Rating

3 Summary of Key Findings & Non-Compliance Items * Long Text

4 Required Corrective Actions & Deadlines Long Text

5 Corrective Action Deadline (if applicable) Date

6 Upload Additional Supporting Documentation or Evidence Photos File Upload

7 I certify that this inspection was conducted in accordance with applicable environmental regulations and that the findings documented herein are accurate to the best of my knowledge. * termsandconditions

8 Inspector Signature * Signature

9 Facility Representative Signature * Signature

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.