Jenkins Academy of Applied Technology

EPA shipment and release-reporting checklist

HAZWOPER Site Cleanup — OSHA and EPA Requirements · v1.0.0 · October 22, 2026

Course developed by Todd Jerome Jenkins, MS, CSP.

Complete this worksheet using the actual workplace and current plan. A blank form or course score is not evidence that the action occurred. Record actual dates and observations. Print or save a completed copy before closing; entries are not automatically stored. Keep private health details out of this worksheet.

Project authority, responsible person and current regulatory/agency contactsApproved route, transporter, receiving facility and waste-specific authorizationCERCLA Off-Site Rule acceptability determination if applicable, date and evidenceRequired manifest/e-Manifest/DOT documents, trained signers and shipment recordReceiving confirmation, discrepancies/rejected loads, current follow-up/exception deadlines and assigned ownerRelease facts, time/quantity/substance/pathway, applicable RQ and exemptions evaluated by responsible personRequired immediate NRC/SERC/TERC/LEPC/TEPC and other notices, actual call times and recipientsWritten follow-up, incident documentation and retained records; do not delay urgent notice for a perfect form