Pollution Prevention

• Site conducted

  Select

• Conducted on

  Date

• Conducted by

• Location
  Address

• Applying the Source, Pathway, Receptor model can help to mitigate the risk of pollution incidents occurring on site. This checklist applies these principles.
  • Source - the source from which potential pollution can come from (e.g., fuel, oil, other COSHH)
  • Pathway - how the potential pollution can travel (i.e., drains/manholes, unmade ground)
  • Receptor - who or what could be affected (e.g., surface water river)

• Some questions require evidence to be provided which may be an explanatory note, picture etc. Pictures can be taken with phone/tablet camera or uploaded from the desktop PC.

• The attached document gives examples of key environmental aspects to look for during the inspection.

Source

• Is there a site plan clearly showing location of all potential sources of pollution - fuel/oil/other COSHH storage, refuelling areas, waste (skips) etc? If "Yes" please include evidence.

  Yes

  No

• Is all fuel/oil/other hazardous substance storage and refuelling areas away from open drains and gullies? If "No" please provide photo and brief reason.

  Yes

  No

• Is all fuel/oil/other hazardous substances stored with appropriate bunding (free from water ingress) and away from unmade ground? If "No" please provide photo and brief reason.

  Yes

  No

Pathway

• Is an up to date drainage plan available on site, showing all surface water and foul drains, manholes (including waste water sampling point(s)), interceptors/separators etc?

  Yes

  No

• Are all drains / manholes appropriately colour-coded (red - foul / blue - surface water)?

  Yes

  No

• Are all drains/gullies etc maintained and kept clear of silt?

  Yes

  No

• Does the Novati interceptor schedule for interceptor waste removal and cleaning accurately reflect the correct number, size (if known), and name/type of interceptors (and/or separators, silt traps) on site in accordance with the drainage plan? Is the frequency of visits appropriate? If 'No' please confirm that contact has been made with Novati to update the schedule.

  Yes

  No

• Novati - First Bus Interceptor Schedule

• If an inspection report is generated by the contractor when we emptying/cleaning the interceptors, please provide evidence, otherwise select "No".

  Yes

  No

• Is the Duty of Care documentation (Hazardous waste consignment notes) accessible to the local team via the Novati Portal? If yes please provide an example. If "No" please give a brief reason.

  Yes

  No

• All parts of the interceptors / separators must be regularly maintained every six months (or more frequent if required), or in accordance with manufacturer's instructions, by experienced and accredited Supplier personnel. Please provide evidence, otherwise select "No".

  Yes

  No

• Every 5 years interceptors/separators should be emptied and given a general inspection to test the integrity and performance of the system. Please provide evidence, otherwise select "No".

  Yes

  No

Receptor

• Are there any sensitive receptors adjacent/close to site (rivers / streams / woodland etc)?

  Yes

  No

• Does any surface water from site discharge to directly to watercourses (rivers/streams) or groundwater? If "Yes" please give brief information.

  Yes

  No

• Discharge consent in place for trade effluent to foul with [volume, pH, hydrocarbon etc] parameters set?

  Yes

  No

• Is waste water sampling (in regards waste water discharge) being undertaken with records retained? Whether a discharge consent (to foul and/or surface water) is in place or not. If "Yes" please include example. If "No" please give reason.

  Yes

  No

Site History

• Any previous environmental incidents on/adjacent to the site? If "Yes" please give brief details.

  Yes

  No

• Past liaison with Environmental Regulators?

  Yes

  No

• Did this result in enforcement action being taken? If "Yes" please give brief details.

  Yes

  No

Training and Compliance

• Are the requirements of BP-OP-005 Discharging to water being adhered to? Including staff responsible for the regular maintenance of any water treatment or storage facility (interceptor, oil trap, outfall etc.) being appropriately trained to understand?

  Yes

  No

• Spill training and drills undertaken with records retained and available? If "Yes" please give example of last training/drill.

  Yes

  No

Environmental Management System

• Does the Aspects & Impacts Register include all relevant aspects relating to pollution prevention measures. If "No" please give brief explanation.

  Yes

  No

• Are regular Environmental Audits and Inspections, including the aspects including in this document, being undertaken and recorded? If "Yes" please give date of last audit/inspection.

  Yes

  No

Communications

• Environmental noticeboard in place and kept up to date with relevant information? If "Yes" please include evidence.

  Yes

  No

• Spill management information and emergency contacts (inc 24/7 spill response support) clearly displayed on site at appropriate locations? If "Yes" please include evidence.

  Yes

  No

• Procedures for environmental incident reporting and notification known on site? (Environmental Incident Report via the Portal)

  Yes

  No

Inspection completed by:

• Name

• Position

• Signature

  Sign

• Has the form been fully completed?

  Yes