Abandoned Mine/HazMat Inventory Field Inspection Checklist

Form Template

Use the Abandoned Mine/HazMat Inventory Field Inspection Checklist mobile app to identify the area impacted by physical safety and/or environment hazards.

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Enter the latitude measurements. Enter the Universal Transverse Mercator (UTM) measurement in degrees or provide the latitude/longitude measurement. Identify ownership by whether it is Municipal (city or county government), Mixed (Private/Federal, State/Private, Corporation/Federal), Private (Individual or Corporation), Split Estate (Private/Corporation, State/Private), State (State solely), USFS (United States Forest Service solely), BLM (BLM solely), Unknown (Ownership is unknown), and Other (e.g. Native Indian). Identify the Feature Type (e.g. Illegal Dump –Solid Waste, Landfill, Caved Adit, Highwalls/Pits, or Tailings). Indicate if the Feature Type is a HAZMAT site or AML site. For another mine app, take a look at this mine daily inspection checklist.

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