Matrix Environmental Inspection Checklist 6

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

34. Noise

• 34.1. Nuisance or disturbance noise from site activities is being kept to a minimum and such work that causes such only being conducted during DA approved hours

  Safe

  At Risk

  N/A

35. Impacts on Water Quality

• 35.1. Storm water run off controlled<br><br>

  Yes

  No

  N/A

• 35.2. Storm water entry gullies have protection fitted (on & off site)

  Yes

  No

  N/A

• 35.3. Concrete trucks/pump wash-outs controlled<br>

  Safe

  At Risk

  N/A

• 35.4. Wash-outs for paints and solvents controlled<br>

  Safe

  At Risk

  N/A

• 35.5. Earthen batters have silt protection fitted

  Safe

  At Risk

  N/A

• 35.6. Stockpiles have silt protection fitted

  Safe

  At Risk

  N/A

36. Air Quality

• 36.1. Plant & Equipment exhaust emissions acceptable<br><br>

  Safe

  At Risk

  N/A

• 36.2. Dust suppression is adequate

  Safe

  At Risk

  N/A

• 36.3. Release of dust/fumes or vapors and Preventative measures against the release of CFC’s, asbestos fibres & chemical fumes

  Safe

  At Risk

  N/A

37. Erosion and Sediment Control

• 37.1. Water pump-out allowed to settle before discharge to storm water<br><br>

  Safe

  At Risk

  N/A

• 37.2. Water PH levels monitored as per the CESMP<br>

  Safe

  At Risk

  N/A

• 37.3. Project silt fencing in good repair and drains protected & protection serviced regularly

  Safe

  At Risk

  N/A

38. Cultural Heritage

• 38.1. If identified, protection and detection methods are being followed as per CESMP<br>

  Safe

  At Risk

  N/A

39. Chemical Storage

• 39.1. Spillage bunds suitable to materials and quantity being stored (110% largest container)<br><br>

  Safe

  At Risk

  N/A

• 39.2. Fire precautions considered at storage locations<br>

  Safe

  At Risk

  N/A

• 39.3. Only compatible substances stored adjacent to each other – See SDS for storage guidance

  Safe

  At Risk

  N/A

40. Site Contamination

• 40.1. Leaching Acid Sulphate controlled<br>

  Yes

  No

  N/A

• 40.2. Contamination treatment as per CESMP<br><br>

  Safe

  At Risk

  N/A

• 40.3. Site usage of paints, solvents and chemicals are not contaminating the site – Wash up & spillage

  Safe

  At Risk

  N/A

41. Flora & Fauna

• 41.1. If identified protection and detection methods are being followed as per CESMP<br>

  Safe

  At Risk

  N/A

• 41.2. Damage or disturbance to flora & fauna on site & in adjacent parklands/wetlands/forests are being controlled as per CESMP<br>

  Safe

  At Risk

  N/A

• 41.3. Cross contamination of noxious weeds/pests/fire ants/materials through transportation are controlled<br><br>

  Safe

  At Risk

  N/A

42. Vibration

• 42.1. Nuisance or disturbance vibration from site activities is being kept to a minimum and such work that causes such only being conducted during DA approved hours<br>

  Safe

  At Risk

  N/A

• 42.2. Damage to adjoining properties & utility services is being avoided<br><br>

  Safe

  At Risk

  N/A

43. Waste Management

• 43.1. General litter, pests & vermin controlled via closed top food scrap bins and emptied daily<br>

  Safe

  At Risk

  N/A

• 43.2. General building waste prevented from unintended release<br>

  Safe

  At Risk

  N/A

• 43.3. Controlled disposal of asbestos, CFC’s is as per CESMP and legal requirements<br>

  Safe

  At Risk

  N/A

• 43.4. Recycled materials are identified and treated as per the CESMP<br><br>

  Safe

  At Risk

  N/A

44. Energy

• 44.1. Electrical consumption used on a conservative basis<br>

  Safe

  At Risk

  N/A

• 44.2. Plant not being used is switched off<br><br>

  Safe

  At Risk

  N/A

45. PCBU Environmental Competence

• 45.1. Other PCBU’s are conforming to legal and other requirements imposed for environmental protection (actual harm)<br>

  Safe

  At Risk

  N/A

• 45.2. Other PCBU’s are conforming to required precautions to avoid environmental harm or potential environmental harm<br>

  Safe

  At Risk

  N/A

• 45.3. Other PCBU’s are maintaining records on the effectiveness of their environmental controls they put in place to avoid environmental harm

  Safe

  At Risk

  N/A

Sign off - Matrix personnel

• Additional comments by Matrix inspecting person

• Additional sketch area for Matrix inspecting person

  Drawing

• Name and Site Role of Matrix person conducting inspection

  Sign

• Note: Consult with both workers and Subcontractor PCBUs

• Note: Upload events on to Mango if they cannot be closed out on day of inspection.

Sign off - persons consulted during inspection

• Name, Occupation and PCBU name of person consulted during inspection

  Sign

• Name, Occupation and PCBU name of person consulted during inspection

  Sign

• Name, Occupation and PCBU name of person consulted during inspection

  Sign

• Name, Occupation and PCBU name of person consulted during inspection

  Sign

Sign off - Project Manager or Site Manager acknowledgment

• Name, position and signature of PM or SM

  Sign

• PM or SM comments