Title Page
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Site conducted
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Conducted on:
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Address / location:
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Officer's present:
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Is this PUBLIC LAND? (such as park land, or a road reserve)
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Reason for inspection
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Customer's name & contact details
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*STOP* Only investigate Dumped rubbish on PUBLIC LAND!
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Add note as to reasons why, if this is being investigated further!
Inspection / investigation
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Was the rubbish searched for ID?
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Reason for not searching
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Was any ID located?
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Photograph of ID located
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Did you interview the suspect identified using POEO caution in notebook
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Note book & page number (N____ & pg__)
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Reason for not interviewing suspect
- Suspect / Witness Refused
- Person/s NOT present at this time
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Name & contact details of suspect
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Was illegal dumping tape and/or stickers applied
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Reason for not taping and/or stickering
- No dumping tape and/or stickers available
- Extremely poor weather conditions
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Photograph of rubbish close up showing detail of items
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Photograph of rubbish at a distance showing its location
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Type of rubbish
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Type of residential building that the rubbish is suspected to be sourced from
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Did you interview the occupant using POEO caution in notebook
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Reason for not interviewing occupant
- Suspect / Witness Refused
- Person/s NOT present at this time
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Note book & page number (N____ & pg__)
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Type of commercial building that the rubbish is suspected to be sourced from
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Did you interview the occupant using POEO caution in notebook
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Note book & page number (N____ & pg__)
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Reason for not interviewing occupant
- Suspect / Witness Refused
- Person/s NOT present at this time
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Did you interview the site foreman using POEO caution in notebook
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Reason for not interviewing site foreman
- Suspect / Witness Refused
- Person/s NOT present at this time
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Note book & page number (N____ & pg__)
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Are there any witness?
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Is the witness the same person as the customer?
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Name and contact details of witness
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Was a witness statement taken in your notebook?
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Note book & page number (N____ & pg__)
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Reason for not taking a statement from the witness
- Suspect / Witness Refused
- Person/s NOT present at this time
Outcome
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Outcome of investigation
- Suspect Identified - REMAINS UNDER INVESTIGATION
- Unable to establish ID of suspect - MATTER FINALISED
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Proposed regulatory action
- NO ACTION
- WARNING - Verbal only (Low Level matters)
- CAUTION - Formal Warning Notice
- PENALTY - Penalty Infringement Notice
- PROSECUTION - Memo to commence proceedings
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Proposed Penalty Infringement Notice to be issued
- $4000 - Pollute land - Class 1 officer - Individual - 8421 - HRL - 36 - N - 142A(1)
- $8000 - Pollute land - Class 1 officer - Corporation - 34120 - EGH - 36 - N - 142A(1)
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Proposed Warning Notice to be issued
- $4000 - Pollute land - Class 1 officer - Individual - 8421 - HRL - 36 - N - 142A(1)
- $8000 - Pollute land - Class 1 officer - Corporation - 34120 - EGH - 36 - N - 142A(1)
Notification
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Notification of outcome to customer
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Reason for not notifying the customer of outcome
- Internal referral - Notification via email for collection
- Anonymous customer
- Can not reach customer on details provided
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Method of notification
- Telephone
- Voice Mail
- Text Message
- Other Electronic means (FB, Twitter, etc)
- Letter
- In person
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Risk to the public?
- LOW RISK - To be collected in due course
- HIGH RISK - To be collected as soon as practicable
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High risk factors include:-
- Possibly contains asbestos
- Possibly contains hazardous materials
- Likely to create a further pollution incident
- Dangerous position / location
- Other high risk
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Specify the high risk
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Collection details
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Report forwarded to all 3: cust.service2@urmgroup.com.au & cust.service6@urmgroup.com.au & cust.service8@urmgroup.com.au [IMPORTANT NOTE: All 3 emails must be used to ensure that one of the URM staff receive this request]
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Report forwarded to: streetcleaning@northsydney.nsw.gov.au
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Report forwarded to: ranger_tasks@northsydney.nsw.gov.au
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Other comments and/or follow up actions:
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Completed by: (Name & signature)
