Title Page
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Facility
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Date
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Team Members
Evaluation
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The purpose of this evaluation exercise is to identify and rate business activities in order to enable the organization to determine which aspects pose a business or compliance risk. The following definitions should be used as guidance for completing the exercise: Aspect: operational process, equipment, or activity that can have an environmental impact Environmental Impact: any change to the environment, whether adverse or beneficial, resulting from a facility’s activities, products, or services
Control Measure: means of evaluating environmental performance (e.g., continuous metering, periodic visual inspection, etc.)
Significance Level: pseduo-quantified level severity of risk severity ; for this exercise, the risk level is calculated by multiplying the following ratings: Significance * Control Measure * Consequence
Environmental Aspect
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Category
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Process
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Environmental Aspect
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Environmental Impact Potential
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Potential consequence
- business disruption
- excursion from regulatory/permitted standards
- regulatory violation
- onsite release to environmental media
- offsite release to environmental media
- negative impact to business reputation
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Significance
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Control Measure - is the environmental aspect controlled?
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Describe the control method/measure for the aspect
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Risk
Completion
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Name & Signature of Person Responsible
