Inner West Council Environmental Health Investigation Report

• DWS NO: & Subject

• Conducted on

  Date

• Prepared by

• Personnel

• Location
  Address

Legislation

• Relevant Statutory Legislation

  Select Local Government Act Protection of the Environment Operations Act Food Act Environmental Planning & Assessment Act Public Health Act

  • Local Government Act
  • Protection of the Environment Operations Act
  • Food Act
  • Environmental Planning & Assessment Act
  • Public Health Act

• Other

Reason for Inspection

• Reason for Inspection

  Select Overgrown Vegetation Sewerage Noise Food Premises Complaint Stormwater Accumulated Waste Materials Odour Wood Smoke Water Polluton Asbestos Birds / Poultry / Pests / Vermin Other

  • Overgrown Vegetation
  • Sewerage
  • Noise
  • Food Premises Complaint
  • Stormwater
  • Accumulated Waste Materials
  • Odour
  • Wood Smoke
  • Water Polluton
  • Asbestos
  • Birds / Poultry / Pests / Vermin
  • Other

• Other

Inspection Details

• Site Contact

  Select Tenant Owner Real Estate Family Member Other

  • Tenant
  • Owner
  • Real Estate
  • Family Member
  • Other

• Site Contact Name:

• Site Contact Address:

• Site Contact Phone No:

• Site Contact E-mail:

• Inspection Findings

• Inspection Photographs

  Media

• Inspection Outcome

  Select No Further Action Notice Order Show cause Emergency Order Penalty Infringement Notice Refer to other Section Refer to Legal

  • No Further Action
  • Notice
  • Order
  • Show cause
  • Emergency Order
  • Penalty Infringement Notice
  • Refer to other Section
  • Refer to Legal

• Other

• Council Officer

  Sign

• Responsible Person

  Sign