Biosolids Management System (BMS) City of Santa Rosa Water Subregional Laguna Wastewater Treatment Facility Fall 2015 - Internal Audit Report Draft Completed 12/11/2015 References National Biosolids Partnership (NBP) Third Party Verification Auditor Guidance NBP National Manual of Good Practice City of Santa Rosa BMS Manual Table of Contents INTRODUCTION ............................................................................................................................................. 1 AUDIT SCOPE................................................................................................................................................. 1 DOCUMENT REVIEW & INTERVIEWS ............................................................................................................ 2 Reviewed documents................................................................................................................................ 2 Individuals Interviewed............................................................................................................................. 2 AUDIT RESULTS ............................................................................................................................................. 3 Non-conformances ................................................................................................................................... 3 Opportunities for Improvement ............................................................................................................... 3 Positive Observations ............................................................................................................................... 4 OUTCOMES ................................................................................................................................................... 5 2015 Goals & Objectives ........................................................................................................................... 5 CONCLUSIONS ............................................................................................................................................... 5 INTRODUCTION The City of Santa Rosa Subregional Water Resource Recovery System is responsible for conducting an annual Internal Biosolids Management System (BMS) Audit to maintain third party certification of the City’s BMS Program through the National Biosolids Partnership (NBP). The City also conducts Interim audits in years that a third party audit is not required. The purpose of BMS program audits is to identify areas of improvement within our system prior to and/or in between third party audits. The goal is to collect objective evidence that the City’s BMS is performing as intended, that procedures are being performed as documented, and that our BMS conforms to the NBP’s Code of Good Practice and internal audit program requirements. This audit was conducted against the standards presented by the National Biosolids Partnership (NBP) through their Biosolids Management Program. In order to meet the NBP Requirements the 2015 Fall Internal BMS Audit followed the procedure defined in Element 16 of the BMS manual for this audit. AUDIT SCOPE The City’s BMS Fall 2015 Internal Audit of the Utilities Subregional System was conducted from November 9 - December 4, 2015. The audit team was comprised of the following City of Santa Rosa employees: • Sean McNeil, Environmental Specialist (Lead Auditor) • Shawn Sosa, Water Resources Technician • Michelle Benson, Lab Analyst The scope of the 2015 Internal Audit included the review of the following elements: • Element 5: Goals & Objectives • Element 6: Public Participation & Planning • Element 9: Communication • Element 14: Non-conformances – Preventive & Corrective Action • Element 15: Biosolids Management Program Report • Element 17: Management Review 1 To determine the effectiveness of the City’s Biosolids Program the BMS, auditors reviewed the following activities related to the identified core element requirements: 1. Progress Towards Goals and Objectives 2. Response to Non-Conformances 3. Management Review 4. Public Participation 5. Contractor Activities DOCUMENT REVIEW & INTERVIEWS Documents were reviewed as necessary during the audit for compliance with requirements in the NBP’s Third Party Verification Auditor Guidance Manual, as well as conformance to the City’s BMS Manual. The following documents were reviewed during the audit. Reviewed documents • City of Santa Rosa Biosolids BMS Manual • NBP Third Party Auditors Guidance • Biosolids Standard Operation Procedures • Code of Good Practices • 2015 BMS Goals & Objectives • BMS Performance Report, March 2015 • BMS Agreements and Contracts (Poncia Fertilizer; Total Waste Systems; Jacobsen Ranches, Inc.) • City of Santa Rosa BMS website http://ci.santarosa.ca.us/departments/utilities/Projects/BMS/PR/Pages/default.aspx • BMS resource flier • General BMS flyer for events and tours • City of Santa Rosa internal (SharePoint) Biosolids/Compost web pages http://cityweb.srcity.org/departments/utilities/subreg/bio/Pages/default.aspx Individuals Interviewed City Staff • Zach Kay, Biosolids Coordinator • Edward Garcia, Utilities Technician • Denise Cadman, Environmental Specialist • Mike Prinz, Deputy Director Utility Operations • Kathy Stokes, Principal Laboratory Analyst 2 Regulators • None Contractors • Andy Poncia, Poncia Fertilizer Spreading - Biosolids Spreading Contractor • Brian Gilardi, Jacobsen Ranches Inc. - Biosolids Spreading Contractor AUDIT RESULTS The results of the document review and audit are described in three categories: nonconformances, opportunities for improvement, and positive observations. Non-conformances occur when the organization has not documented a procedure sufficiently, when it cannot demonstrate effective implementation of a procedure, when the non-conformances point to the possibility of a systematic failure, and when isolated problems that impact the implementation of the BMS occur. Opportunities for improvement are those that are not sufficiently problematic to be labeled as a non-conformance but that represent potential areas of improvement. Positive observations are made for those instances found throughout the course of the audit that deserve recognition. Non-Conformances None identified. Opportunities for Improvement Communications • Links in BMS manual need to be updated and point to new iNet webpage. The SOPs in the Table 3-4 and 3-5 do not link to the documents. • The Environmental Compliance Quality Assurance Plan that is linked in the BMS manual is not current. Audit Process • Staff conducting audits for the first time should be provided a tour of the Biosolids Program. Training should ensure that all auditors have a good understanding of the system that they are auditing. • Review SOPS and make sure all are current. Consider putting a last revised date on each. In particular, the Septage Receiving SOP may need to be updated. • May need to create a new SOP for the high strength waste program, or have it listed as an objective under a goal. 3 Public Participation • Consider posting advertisements for the compost material in the Press Democrat and make more compost fliers available at City sponsored events. Positive Observations Critical Control Points: • The biosolids value chain is well defined in the BMS manual and staff involved in the control points along the chain are knowledgeable about their role and how it fits into the larger program. • The management is highly supportive of the BMS program and is genuinely proud of the efforts that the City takes to protect the environment and recycle the water and solids from the wastewater system. Public Participation: • Public input is received via email or phone call (this information found on the public BMS website) or at the ends of tours given either of the plant (ending at belt press cake with a discussion of the BMS program) or the compost facility itself. There are forms online which can be filled out in the event of a grievance, however, there has been one in the last two years and once the customer spoke with the BMS team leaders and became more well-informed, she no longer had any complaint and actually prefers compost from the facility to any other. Communications: • Staff that were interviewed were knowledgeable about the BMS Program and were all aware to find any necessary information such as emergency preparedness plans, critical control points, performance points and objectives, BMS goals and objectives, and how to track any non-conformances. • When any employee starts employment at the Llano treatment facility, they must take a class about BMS. Mandatory refresher courses on the BMS system are done each year to communicate updates and insure staff remain knowledgeable about the system. • In addition to staff, outside contractors such as haulers and farmers- are contracted to attend a yearly BMS training. This training not only includes even the smallest detail in updates for the year but an emergency preparedness plan and their specific responsibilities. 4 OUTCOMES In 2015, the City’s BMS program established two goals and four objectives within those goals. The goals and objectives were developed by the Biosolids BMS Manager and the BMS Team and in consideration of potential public concerns. A critical component of the BMS program is to make progress towards accomplishing a significant measure of goals and objectives. The Santa Rosa BMS goals were established to increase energy capture from local waste streams and increase the number of acres of farmland fertilized with biosolids. In addition, the 2014 goals were established using Specific, Measurable, Achievable, Relevant, and Time Bound (SMART) criteria. The City’s performance relative to each of the above outcome groups is addressed below. 2015 Goals & Objectives GOAL 1: Increase energy capture from community waste streams. Objective Status 1.1 - Design and build a high strength waste Under construction. Commissioning is receiving station to receive waste streams for scheduled for April 2016. direct injection to anaerobic digesters by January 2016. 1.2 - Install SCR emissions systems on at least one CHP engines by July 2016. 1.3 - Upgrade digester gas flare to light automatically when gas is being flared by December 2014. This objective has been met. Project is in early design stage. Construction is expected before the end of 2016. Complete. GOAL 2: Increase farmland acreage by at least 75 acres for land application. Objective 2.1 - Locate and establish agreements with property owners to increase acreage of farmland for land application by December 2015. Status Timeline extended for one more year. City hired a Right of Way Agent to support this goal. CONCLUSIONS The City’s BMS team continues to make strides to improve their program. The next step is to correct the non-conformance identified in this report. Building on the many successes of this program and continuing to increase communication to staff and the general public should be continuous goals for 2016. Once corrective actions have been taken, the City will verify the results and continue to improve the BMS program. 5
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