WA-580 Port Terminal Inspection Checklist

This form is available electronically. Form Approved - OMB No. 0560-0120

WA-580 U.S. DEPARTMENT OF AGRICULTURE (04-08-08) Farm Service Agency PORT TERMINAL INSPECTION CHECKLIST

NOTE:

The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. 7 CFR Part 1423.9 authorizes the collection of the following data. This information will be used to determine eligibility of warehouses for storing Government-owned or loan commodities. Furnishing the requested information is voluntary; however, without it the Commodity Credit Corporation may cancel the applicable Storage Agreement. This information may be furnished to any agency responsible for enforcing the provisions of the contract. This information may be provided to other agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 U.S.C. 286, 287, 371, 641, 651, 1001, 15 U.S.C. 714m, and 31 U.S.C. 3729, may be applicable to the information provided. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0120. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO KANSAS CITY COMMODITY OFFICE (KCCO), WAREHOUSE LICENSE AND EXAMINATION DIVISION, STOP 9148, P.O. BOX 419205 KANSAS CITY, MO 64141-6205.

1. Terminal:

     

2. Code:

     

3. Location:

     

4. Name of Port:

     

5. Examiner:

     

6. Inspection Date:

     

PART A – TERMINAL INFRASTRUCTURE

ITEM

REQUIREMENT

PASS

FAIL

N/A

OBSERVATIONS

1

Terminal warehouse construction suitable for proper storage and handling of commodities.

 

 

 

     

2

Outside premises are well drained.

 

 

 

     

3

Terminal warehouse structures properly maintained to protect commodities in storage.

 

 

 

     

4

Adjoining property or nearby water source does not constitute an undue physical hazard to commodities in store.

 

 

 

     

5

Terminal premises and grounds are free of weeds, clutter, trash, unused equipment, or spilled commodities.

 

 

 

     

6

Dock areas are clean with a minimal accumulation of dust.

 

 

 

     

PART B – COMMODITY STORAGE CONDITIONS

1

Commodities stored in an orderly manner.

 

 

 

     

2

Commodities stored in currently approved space.

 

 

 

     

3

Commodities stored and handled according to specific commodity storage requirements.

 

 

 

     

4

Commodities in store properly marked or identified.

 

 

 

     

5

Commodities are clean and protected from bird droppings, dust, filth, and stains.

 

 

 

     

6

Proper dunnage is used.

 

 

 

     

7

Adequate and clean pallets are used.

 

 

 

     

8

Storage areas are kept dry.

 

 

 

     

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program.  (Not all prohibited bases apply to all programs.)  Persons with disabilities who require alternative means for communication of program information ( Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).  To file a complaint of Discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).  USDA is an equal opportunity provider and employer.

WA-580 (04-08-08) Page 2 of 2

PART B – COMMODITY STORAGE CONDITIONS (Continued from Page 1)
ITEM	REQUIREMENT		PASS	FAIL	N/A	OBSERVATIONS
9	Warehouse is clean and proper housekeeping practices are used.		 	 	 	     
10	Warehouse is free of objectionable odors.		 	 	 	     
11	Hazardous materials or contaminants are not stored near commodities.		 	 	 	     
12	Damaged or nonconforming products are removed from the commodity storage areas.		 	 	 	     
PART C – PEST CONTROL
1	Warehouse is free of pests or insects.		 	 	 	     
2	Doors, windows and entry points are maintained to discourage bird entry.		 	 	 	     
3	Dock doors are closed during periods of warehouse inactivity.		 	 	 	     
4	Records are maintained of pest and insect control actions and inspections.		 	 	 	     
5	Warehouse is inspected for rodent activity and infestation on a routine and frequent basis.		 	 	 	     
6	EPA registered pesticides used exclusively.		 	 	 	     
7	Inspections and applications performed by qualified individuals or companies.		 	 	 	     
PART D - SECURITY
1	Access is granted for authorized personnel only.		 	 	 	     
2	Security of the physical structures and grounds is adequate.		 	 	 	     
3	All buildings can be locked.		 	 	 	     
4	The port facility certifies that it has implemented a U.S. Coast Guard approved security plan.		 	 	 	     
PART E - SIGNATURE
1. NAME OF WAREHOUSE EXAMINER		2. SIGNATURE OF WAREHOUSE EXAMINER					3. DATE (MM-DD-YYYY)