Landfill Leachate Collection Area Inspection Form

Landfill Site Name:

Inspection Date:

Inspector Name:

Weather Conditions:

Inspection Item	Condition	Comments
Collection Sump Free of Obstructions
Leachate Pump Operating Correctly
Pipes & Fittings Intact (No Leaks)
Storage Tank/Structure Intact
Secondary Containment Secure
Access Road/Paths Clear
Safety Equipment Present

General Comments/Findings:

Corrective Actions Taken (if any):

Inspector Signature:

Date: