Audit - Level A,B,C with dynamic fields

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Inspection Details

• Last inspected

  Date

• Inspection Reason

• Inspection Level

  Level A

  Level B

  Level C

Registered Operator Details

• Registration Certificate No. and/or Development Approval No.

• Environmentally Relevant Activity (number & name):

General Description of the location and surrounding environment.

• Description

• Site Map and Photos of surrounds.

  Media

History of the Activity/ERA at the site

• History

Industry Specific Hazards

• Hazards to look for on perimiter inspection - Means of entry/exit, Ground - uneven, slipper, soft, stable, Water hazards - ponds or dams, Flash Flood hazards - creek bed

  Safe

  At Risk

  N/A

• Structures - Hazardous means of access or exit, platforms/stairs/walkways, obstacles without guards or barriers from groud level to head heigh, warning signs on fences, tanks etc.

  Safe

  At Risk

  N/A

• Biological hazards - insects, snakes, gaurd dogs, tick dead fish or vegetation, aggressive or violent people?

  Safe

  At Risk

  N/A

• Hazardous substances - dust, spray, unusual odours, gas from pipes or containers, pesticides, asbestos, leaking or damaged drums, discoloured liquid, vapour clouds or oil slicks

  Yes

  No

  N/A

• Machinery - use of heavy plant and equipment, overhead gantries, cranes and hoists, steam outlets/hotpipes/vents, air water steam hoses, electrical cables, housekeeping - sotrage of materials.

  Yes

  No

  N/A

PPE requirements.

• Safety Helmet required?

  Yes

  No

  N/A

• Hearing Protection Required?

  Yes

  No

  N/A

• Eye Protection Required?

  Yes

  No

  N/A

• Protective Clothing Required?

  Yes

  No

  N/A

• Protective Footwear Required?

  Yes

  No

  N/A

• Respiritory Protection Required?

  Yes

  No

  N/A

• Arrange safety induction training with occupier of site before any work is done

  Yes

  No

  N/A

Inspection plan including opening meeting checklist for Level B and C inspections

• Is a pre inspection meeting required? (level B and C inspections should have a pre inspection meeting)

  Yes

  No

  N/A

• Outline objectives and scope.

• Were the objectives and scope outlined in the opening meeting?

  Yes

  No

  N/A

• Proposed start time.

  Date

• Proposed end time.

  Date

• Audit team, Roles and responsibilities.

• Onsite staff accompanying audit/inspection team (names and positions)

Methods and procedures to be used

• Ipad

• Digital camera (photo register)

• GPS device

• Appropriate documentation (licence and legislation)

• Site documentation

• Records (exhibit list)

• Water Quality Sampling Guidelines (sampling equipment)

• Kit bag

Conditions for assessment.

General Conditions

• Are General Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
General Condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Air

• Are Air Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Air condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Water

• Are Water Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Water Condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Stormwater Management

• Are Stormwater Management Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Stormwater Management Condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Land application

• Are Land Application conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Land Application

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Noise

• Are Noise Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Noise

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Waste Management

• Are Waste Management Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Waste Management Condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

Self Monitoring and Reporting

• Are Self Monitoring and Reporting Conditions to be assessed as part of this audit?

  Yes

  No

  N/A
Self Monitoring and Reporting Condition

• Does the operation comply with the condition?

  Yes

  No

  N/A

• Recommended Actions.

• Client agreement?

  Yes

  No

  N/A

On site observation - general items

• Are general items to be assessed in this audit?

  Yes

  No

  N/A

Raw materials/final products

• What types of raw or final product materials are on the site? Are the materials stored in a satisfactory manner?

  Yes

  No

  N/A

• What are the approximate volumes? Is this allowed under the license?

  Yes

  No

  N/A

• What is the location of these materials on site? Is the location satisfactory?

  Yes

  No

  N/A

Waste storage, treatment and disposal

• What types of waste materials (general/regulated) are on site? Is this allowable under the license?

  Yes

  No

  N/A

• What are the approximate volumes? Is this allowable under the license?

  Yes

  No

  N/A

• What is the location of these materials on site (include details of containment system, proximity to waters, etc)? Is the location suitable?

  Yes

  No

  N/A

• Is the site free of any evidence of spills/leaks/other emissions?

  Yes

  No

  N/A

• Does the facility discharge to a sewer and have a trade waste agreement?

  Yes

  No

  N/A

• What waste contractor does the facility use?

• Other details (recycling ect)?

  Yes

  No

  N/A

Chemical Management

• Are flammable/combustible materials stored on-site

  Yes

  No

  N/A

• Does the facility have an appropriate licence for the flammable materials?

  Yes

  No

  N/A

• Are bunds being maintained?

  Yes

  No

  N/A

• Are chemical containers or drums safely stacked, stored inside, and stored away from stormwater drains?

  Yes

  No

  N/A

• Are all bags and drums sealed?

  Yes

  No

  N/A

• Are refuellling areas free from diesel and oil staining?

  Yes

  No

  N/A

• Are all chemical containers correctly labelled?

  Yes

  No

  N/A

• Is there an appropriate, accessible spill kit on site?

  Yes

  No

  N/A

Stormwater Management

• Describe the stormwater controls onsite

• Bunding

• Sediment Trap

• Oil/Water seperator

• First flush capture

• Sluce Gate

• Other?

• Are the controls free from staining, sedimentation and litter ect?

  Yes

  No

  N/A

• Are the controls operating as they should, ie not blocked, overflowing ect?

  Yes

  No

  N/A

• Have any samples been taken by either the facility or the Department?

  Yes

  No

  N/A

• Are the yards, car parks and outside surfaces of the facility free from contaminants and debris?

  Yes

  No

  N/A

• Are containers being washed down where runoff is excluded from stormwater drains?

  Yes

  No

  N/A

• Are the drains on site free of evidence of contaminants entering? Ie stains ect

  Yes

  No

  N/A

Other issues

• While on site was the faciltiy free of noticieable dust/noise/odour issues?

  Yes

  No

  N/A

• Were all ERA activities on site appropriately licensed?

  Yes

  No

  N/A

Inspection results summary

• General Observations

• Compliance Level

  Fully compliant/best practice

  Compliant

  Environmental nuisance/minor non-compliance

  Actual or risk of serious harm

  Actual or risk of material harm/repeat non-compliance

• Environmental Risk

  Very Low

  Low

  Moderate

  High

  Very High

The Departments actions taken/recommended.

• Enforcement measures taken during the inspection?

• Any further enforcement measures required?

• Details of any further information to be supplied by the operator?

Natural Justice

• The person has been provided with the opportunity to put their side of the story forward?

  Yes

  No

  N/A

• List any defences provided

• Has the Department considered the information and or defences provided?

  Yes

  No

  N/A

• Are the decision-maker and environmental officer are free from bias or the perception of bias?

  Yes

  No

  N/A

Approval

• Auditor

  Sign

• Supervisor

  Sign

• Does the deligate approve or reject the reccomendations

  Approve

  Reject

• Reasons for decision.

• Delegate

  Sign