Inspection Details

  • Conducted on

  • Inspection Type

  • Reinspection Number ...

  • CRM reference

  • ONO reference

  • Business Type

  • Business Sub-type

Business Details

  • Business Name

  • Proprietor Name

  • ABN

  • Business Address

  • Location
  • Business Telephone Number

  • Email


  • Stormwater Management

  • Does the business know the location of onsite storm water drains

  • Are all stormwater drains clean and free of pollutants?

  • Does the business have a spill kit?

  • Are any activities conducted in outdoor areas?

  • Chemical Storage

  • Are all liquids stored in a covered and bunded area?

  • Are any underground tanks tested for leaks?

  • Does the business have a chemical inventory/manifest (MSDS, volumes, container types)?

  • Does chemical storage conform to AS 1940?

  • Air Management

  • Is spray painting carried out at the premises?

  • Is all spray painting conducted inside a spray booth?

  • Does the spray booth conform to AS/NZS 4114?

  • Are filters of mechanical ventilation systems fitted and operating correctly?

  • Are all dust collection systems operating correctly

  • Waste Management

  • Are solid wastes kept covered?

  • Are liquid wastes stored in a covered and bunded area?

  • Are waste storage carried out in an environmentally satisfactory manner?

  • Is waste water disposed of in accordance with Sydney Water Trade Waste Agreement?

  • Are all air conditioning gases collected by a licensed person?

  • Is a waste tracking file kept for all trackable wastes?

  • Noise Management

  • Do hours of operation comply with conditions of consent?

  • Monday to Friday

  • Saturday

  • Sunday

  • Can any noise generating equipment be heard outside the premises?

  • Regulated Premises

  • Does the premises have an operational cooling tower?

  • Is the cooling tower registered with Council?

  • Is the premises a food premises?

  • Is the food premises registered with Council?

  • Is skin penetration carried out at the premises?

  • Is the skin penetration premises registered with Council?

  • Pollution

  • Is there evidence of land pollution?

  • Is there evidence of water pollution?

  • Is there evidence of air pollution?

  • Is there evidence of noise pollution?

  • Does the Business have an Environmental Management Plan (EMP)?

  • Are staff trained in environmental management?

  • Further Comments

Inspection Outcome

Inspection Outcome

  • What is the outcome of the inspection?

  • Action to be taken by Council

  • Proposed date of reinspection

Acknowledgement of Inspection

  • Signature of Officer

  • Signature of business owner/ representitive

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.