E-Waste Recycling Facility Inspection

General Information

Facility Name Facility Address Date of Inspection Inspector Name(s)

Facility Conditions

Is the facility clean and orderly? Yes No N/A Are e-waste materials properly segregated? Yes No N/A Are hazardous materials properly labeled and stored? Yes No N/A

Safety & Compliance

Are employees wearing personal protective equipment (PPE)? Yes No N/A Are safety protocols clearly displayed? Yes No N/A Are emergency exits accessible? Yes No N/A

Documentation & Records

Are records of received and processed e-waste maintained? Yes No N/A Are permits and certificates up-to-date and available? Yes No N/A

Additional Notes

Observations Recommendations Inspector Signature