Environmental Incident Investigation Report

• Site

  Select

• Reported By

• Job Title

• Date & Time Report Initiated

  Date

Incident Details

• Date and time of incident

  Date

• Weather Conditions

  Select Dry Light Rain Heavy Rain Slight Breeze Strong Breeze Unknown

  • Dry
  • Light Rain
  • Heavy Rain
  • Slight Breeze
  • Strong Breeze
  • Unknown

• Reported via the "First Bus Initial Notification of Incident" form

  Yes

  No

• Give a reason why it hasn't been reported.

• Upload copy of report if possible.

• Description of event (please include as much detail as possible)

• Vehicle Details (if applicable)

• Incident Type

  Select Uncontrolled release of liquids Contamination of atmosphere Contamination of water Contamination of land Noise Regulatory authority notification/investigation Fire Neighbour complaint

  • Uncontrolled release of liquids
  • Contamination of atmosphere
  • Contamination of water
  • Contamination of land
  • Noise
  • Regulatory authority notification/investigation
  • Fire
  • Neighbour complaint

• Incident Classification

  Severe

  Major

  Minor

  Near Miss

• Environmental incident classification types.

  

Location Details

• Location of incident

• Additional location details

• If a spill, has anything entered a drain with the potential to contaminate a watercourse? (E.g. a stream/river)

  Yes

  No

  Unknown

  Not Applicable

• Was the spill/leak on ballast/unmade ground?

  Yes

  No

  Unknown

  Not Applicable

Incident response

• Describe how the incident was dealt with?

• Was the 24/7 spill response initiated

  Yes

  No

• Please provide copy of 3rd party report.

  Media

• If necessary have the relevant authorities/regulators (e.g. water authorities and/or Environment Agency, SEPA) been contacted?

  Yes

  No

  N/A

• Authority contacted

• Name of contact

• Please detail reason for not contacting authorities.

Completion Details - only when report is complete enter the details below

• Date & Time

  Date

• Name

• Signature

  Drawing

• Tick box to notify Environmental Manager