• Conducted on

  • Lot/house number

  • Location

Business type

  • Add media

Business name

  • Add media

SITE CONTACT authorised to speak on behalf of company identified above

  • Add media

Is WASTE OR MATERIALS being stored in a manner likely to cause POLLUTION Or FIRE RISK.

  • Add media

Is there any asbestos on the site

  • Add media

Are LIQUIDS stored in appropriately sized BUNDED AREA

  • Add media

Is there appropriate SPILL KITS on site

  • Add media

Is there evidence of LAND CONTAMINATION

  • Add media

Is there any ODOUR being emitted from the premises

  • Add media

Is there APPROVALS for activity (consent or licence details

  • Council DA approval

  • EPA licence

  • No approvals found

Proposed ACTIONS

  • Show Cause letter (PIN)

  • NISO cease unauthorised business

  • Prevention Notice

  • Clean Up Notice

  • Education/Warning/Advice letter

  • Refer mater to EPA

Review and Sign-off

  • PCC Officer sign off

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.