MDO ENVIRONMENTAL CONTACT INSPECTION - In-pit Refuelling Facility

• Areas inspected

• Department

• Conducted on

  Date

• Prepared by

• Inspection team

• Was the in-pit refuelling facility inspected?

  Yes

  No

• Are there any outstanding action items arising from previous Contacts, Internal Audits, Inspections etc?

  Yes

  No

  N/A

• If yes, have they been adequately addressed/closed out?

  Yes

  No

  N/A

• Stormwater ingress onto the refuelling pad is managed.

  Compliant

  Non-compliant

  Potentially non-compliant

• Contaminated water runoff from pad is prevented by rollover bunds and suitable gradients.

  Compliant

  Non-compliant

  Potentially non-compliant

• Refuelling liner buried and intact.

  Compliant

  Non-compliant

  Potentially non-compliant

• No evidence of large spills/leaks.

  Compliant

  Non-compliant

  Potentially non-compliant

• No leaks from pipework and fittings.

  Compliant

  Non-compliant

  Potentially non-compliant

• Waste products segregated and disposed of correctly.

  Yes

  No

  N/A

Summary of actions

• Are actions required to be raised?

  Yes, actions required

  No actions required
Action

• Action Number

Sign offs

• Area owner representative

  Sign

• Environmental representative

  Sign