WA-580 Port Terminal Inspection Checklist

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

WA-580 U.S. DEPARTMENT OF AGRICULTURE (10-31-11) 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 - as amended). The authority for requesting the information identified on this form is 7 CFR Part 735, 7 CFR Part 1423, the United States Warehouse Act (Pub. L. 106-472), and the Commodity Credit Corporation Charter Act (15 U.S.C. 714 et seq.). The information will be used to document port terminal inspections. The information collected on this form may be disclosed to other Federal, State, Local government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in applicable Routine Uses identified in the System of Records Notice for USDA/FSA-2, Farm Records File (Automated) and USDA/FSA-3, Consultants File.  Providing the requested information is voluntary. However, failure to furnish the requested information will result in a determination of ineligibility to obtain new licensing or retain existing licensing under the United States Warehouse Act and ineligibility to store and handle Commodity Credit Corporation interest commodities. 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. The provisions of appropriate criminal and civil fraud, privacy, and other statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO THE KANSAS CITY COMMODITY OFFICE, 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 of its programs 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, political beliefs, genetic information, 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, Assistant Secretary for Civil Rights, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, S.W., Stop 9410, Washington, DC  20250-9410, or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay).  USDA is an equal opportunity provider and employer.

WA-580 (10-31-11) 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)