Lumiform / Templates / Air Quality Self-Audit Checklist

Air Quality Self-Audit Checklist

This template enables quick and easy air quality walkthroughs. An in-house air quality technician or safety officer can use this checklist to ensure that the necessary permits for fossil fuel burning, incinerators, etc. have been obtained.

Downloaded 8 times

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Cut inspection time by 50%
Uncover more issues and solve them 4x faster
Select from over 4000 expert-proofed templates

★ ★ ★ ★ ★

Rated 5/5 stars on Capterra

Air Quality Self-Audit Checklist

Inspection

Do we have a permit for fossil fuel burning comfort-heating units?

Do we have a permit for permanent generators, turbines, or internal combustion engines with a power output of 150 horsepower?

Do we have a permit for incinerators?

Do we coordinate all refrigeration/air conditioning work with the Facilities & Services Refrigeration Shop?

Have we notified Facilities & Services Refrigeration Shop of all refrigeration/air conditioning units on site that have a capacity of ≥ 50 lbs?

Do we have a permit to be able to conduct open burning?

Do we have a permit for large scale printing operations?

Do we have a permit for degreasing operations?

Are degreasers closed when not in use?

Do we have a permit for a coating line that uses products containing volatile organic materials/compounds?

Do we have a permit for electroplating, anodizing, or electropolishing tanks?

Do we have a permit to melt or die cast metals?

Do we have a permit to melt or apply wax?

Do we have a license to apply adhesives within the facility?

Do we have a permit for extruders for metals, minerals, plastics, rubber or wood?

Sign off

Name of inspector

This template is also available in:

Previous template

Next template

Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.