Title Page
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Title of Investigation
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Completed by
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Position of Completing Officer
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Commenced on
Investigation
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Participating Officers
- Greg Perry - Senior EHO
- Lyndal Gray - EHO
- Lily Escreet - Cadet EHO
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Type of Investigation
Complainant's Details (leave blank for anonymous)
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Name
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Address
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Email
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Phone Number
Nature of the Complaint
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What is the complaint related to?
- Excessive Wood Smoke (residential heaters)
- Open Burning (smoke)
- Offensive Noise
- Unhealthy Condition of Premises
- Odour
- Illegal Dumping / Unlawful Depositing of Waste
- Dust
- Erosion & Sediment Control
- Other
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Description of the complaint
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Is the address relating to the cause of the complaint known?
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Address
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Description of the area
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Description of the timing of the alleged unlawful activity (dates, times, frequency), if known.
Records of conversations
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Conversation with Complainant
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Time and Date of Conversation
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Purpose of conversation
- Notify of Investigation Commencement
- Evidence gathering
- Notify of actions taken
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Notes from conversation
Conversation with alleged offender
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Time and Date of conversation
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Alleged Offender's Name
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Alleged Offender's Address (if known)
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Alleged Offender's Contact Number (if provided)
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Purpose of conversation
- Evidence gathering
- Education
- Warning
- Enforcement Action
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Notes from conversation
Conversation with witness
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Time and Date of conversation
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Witness Name
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Witness Address (if known)
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Witness Contact Number (if provided)
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Notes from conversation
Observations: Notes and Photographs
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Observation
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Description
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Time and Date of Observation
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Photo (when possible)
Conclusions
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Summary of Findings
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Recommended enforcement action
- Nil - activity confirmed to be lawful or baseless complaint
- Education and Verbal Warning
- Written Warning (requires Senior EHO approval)
- Issue an Order or Notice (requires Manager approval)
- Issue a Penalty Notice (requires Manager approval)
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Completing Officer's Signature
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Time of Completion
Staff Member's Details
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Name
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Position
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Email
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Phone Number
Nature of the Complaint
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What is the complaint related to?
- Excessive Wood Smoke (residential heaters)
- Open Burning (smoke)
- Offensive Noise
- Unhealthy Condition of Premises
- Odour
- Illegal Dumping / Unlawful Depositing of Waste
- Dust
- Erosion & Sediment Control
- Other
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Description of the complaint
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Is the address relating to the cause of the complaint known?
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Address
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Description of the area
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Description of the timing of the alleged unlawful activity (dates, times, frequency), if known.
Records of conversations
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Conversation with referring Staff Member
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Time and Date of Conversation
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Purpose of conversation
- Notify of Investigation Commencement
- Evidence gathering
- Notify of actions taken
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Notes from conversation
Conversation with alleged offender
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Time and Date of conversation
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Alleged Offender's Name
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Alleged Offender's Address (if known)
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Alleged Offender's Contact Number (if provided)
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Purpose of conversation
- Evidence gathering
- Education
- Warning
- Enforcement Action
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Notes from conversation
Conversation with witness
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Time and Date of conversation
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Witness Name
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Witness Address (if known)
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Witness Contact Number (if provided)
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Notes from conversation
Observations: Notes and Photographs
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Observation
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Description
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Time and Date of Observation
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Photo (when possible)
Conclusions
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Summary of Findings
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Recommended enforcement action
- Nil - activity confirmed to be lawful or baseless complaint
- Education and Verbal Warning
- Written Warning (requires Senior EHO approval)
- Issue an Order or Notice (requires Manager approval)
- Issue a Penalty Notice (requires Manager approval)
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Completing Officer's Signature
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Time of Completion
Incident Report Details
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Type of Incident
- Water Pollution (known non-HAZMAT)
- Water Pollution (known HAZMAT or unknown substance)
- Dumping of Asbestos Waste
- Air Pollution (burning of hazardous or waste material)
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Address of pollution source or description of source area
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Description of the extent of the affected area
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Is the person who made the report known?
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Reporter's Name (first and last name)
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Reporter's Phone Number
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Reporter's Email
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Reporter's Address
Records of conversations
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Conversation with Reporter
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Time and Date of Conversation
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Purpose of conversation
- Notify of Investigation Commencement
- Evidence gathering
- Notify of actions taken
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Notes from conversation
Conversation with suspected polluter or other responsible party
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Time and Date of conversation
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Nature of the person being spoken to
- Suspected Polluter
- Person who contributed to the pollution
- Manager or Director of the company suspected of polluting or contributing to the pollution
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Name of Individual
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Is the individual representing a company or other organisation?
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Have they confirmed they may speak on behalf of the company/organisation?
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Proceed with the conversation.
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Company/Organisation ABN (if known)
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Company/Organisation Address (if known)
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Company/Organisation Contact Number (if known)
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Conversation may still be had, but you should avoid questions about company/organisation policies, procedures, business details, or the nature of their employment. Focus on the individual until an appropriate contact for the organisation is found.
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Individual's Address (if known)
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Individual's Contact Number (if provided)
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Purpose of conversation
- Evidence gathering
- Education
- Warning
- Enforcement Action
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Notes from conversation
Conversation with witness
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Time and Date of conversation
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Witness Name
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Witness Address (if known)
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Witness Contact Number (if provided)
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Notes from conversation
Incident Observations: Photos and Notes
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Observation
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Description
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Time and Date of Observation
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Photo (if possible)
Containment
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Were containment measures required?
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What teams were involved in installing containment measures
- Concrete and Drainage
- Water and Sewer
- Water Treatment
- Environmental Health
- NSW Fire and Rescue
Containment Measure
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Description
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Time and Date of installation
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Photo (if possible)
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Why was containment not required?
Clean-Up
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Is clean-up action required?
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Has a verbal Clean-Up Notice been issued to the responsible party/parties?
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Who was it issued to?
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What did the clean-up Notice require them to do?
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Is the responsible party taking clean-up actions themselves, or engaging Council to do so on their behalf? (knowing they will be billed for the costs associated)
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Monitor the clean-up works and continue to liaise with responsible parties to ensure the clean-up is effective.
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What teams are involved in clean-up action?
- Concrete and Drainage
- Water and Sewer
- Water Treatment
- Environmental Health
- NSW Fire and Rescue
- Private Waste Contractor (e.g. Polpure)
Clean-Up Action
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Time and Date of Commencement
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Description
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Photo (if possible)
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Is the responsible party unknown?
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Issue the verbal clean-up Notice to the responsible party and ask if they can arrange clean-up themselves or would like to engage Council to do so on their behalf. Advise Council will charge them for the associated costs.
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Council to commence clean-up action until a responsible party can be identified.
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Why was clean-up not required?
Conclusions
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Summary of Incident and actions taken
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Recommended enforcement action
- No further action
- Compliance Cost Notice only for clean-up works
- Issue a Penalty Notice (Manager approval required)
- Commence Legal Proceedings (Director approval required)
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Completing Officer's Signature
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Time Completed