Agricultural Operation Pollution Prevention Checklist
Farm/Operation Name
Location/Address
Date
Inspector Name
1. Soil and Fertilizer Management
Soil tested and fertilization adjusted accordingly
Fertilizers stored in secure, covered locations
Buffer strips/vegetation maintained near water sources
2. Pesticide and Chemical Use
Only approved pesticides/herbicides in use
Chemicals stored and disposed of safely
Application records maintained
3. Water Management
Watering systems checked for leaks and waste
Measures in place to control runoff & erosion
4. Waste Management
Manure properly stored and managed
Composting system in place for organic waste
Hazardous waste managed per regulations
5. Livestock Areas
Restricted livestock access to waterways
Animal waste collected regularly
6. Other Pollution Prevention Practices
Spill kits & response plans available
Staff training on pollution prevention
Comments / Notes
Signature