General Inspection Information

PoM personnel undertaking inspection

Non-PoM personnel undertaking inspection

Site Activities

Site activities

Site activity

Description of site activity

Photo of site activity (if notable)

Environmental Documentation

Does the site have an Environmental Management Plan?

Indicate availability.

Indicate why the EMP is not available.

Does the site have any current EPA licences?

Details regarding EPA licence

EPA Licence

EPA licence type and EPA licence number

Other relevant licence details

Have there been environmental incidents on the site since the last documented inspection or past 1-2 years?

Incident

Description of incident

Photo of affected area (if visible)

Has the site been subject to any infringement notices, enforcement actions, fines or prosecutions?

Description

Photo of any relevant documentation if available

Site Features

Buildings (e.g. offices, warehouses, sheds, workshops)

Buildings

Description of building

Photo of building (if notable)

Environmental Checks

Are any dangerous goods and/or fuel stored or transferred on site?

Products

Description of product

Are MSDS's available for products stored?

MSDS's

Are they stored in a designated/signed location?

Storage

Are all hazardous/dangerous goods labelled?

Labelled

Is the tenant/operator/site personnel aware of any restrictions on hazardous/dangerous goods storage?
- knowledge of incompatible materials requiring separate storage, is there adequate ventilation?

Storage

Have any Hazardous/Dangerous goods handling procedures been developed?

Procedures

Is there adequate spill containment in place?
- evidence of nearby fire extinguisher, spill kit, bunding in good condition?

Spill containment

Are emergency access routes clear?

Access

Are fire extinguishes/systems available for use and do you know when was the last inspection/test date?

Fire extinguisher

Are there any signs of underground infrastructure (e.g. Fill points, vents, gatics etc)?

Underground infrastructure

Underground infrastructure

Description

Photo

Are there any washbays on site?

Washbay

Description

Photo

Are there any triple interceptor traps or oil water separators on site?

TIT

Description

Photo
Separator

Description

Photo

Are plant and equipment used on site?

Plant

Description (type)

Where is it maintained?

How is it fuelled?

Where is it refuelled (if applicable)?

Photo

Equipment

Equipment

Description (type)

Where is it maintained?

How is it fuelled?

Where is it refuelled (if applicable)?

Photo

Is there any visual signs or surface staining as evidence of chemical or fuel spills?

Chemical or fuel spill

Description

Photo

Are there any visual signs of recent excavation or demolition works? (Cross check with LIDAR or survey plans if available)

Filling or excavation

Description

Photo

Is waste managed on site?

Solid Wastes (receptacle types and locations)

Solid wastes

Description

Photo

Liquid Wastes (receptacle types and locations)

Liquid wastes

Description

Photo

Are any groundwater monitoring wells on site?

Is maintenance of any observed groundwater monitoring wells required?

Photo

Is dust managed appropriately onsite?

Is noise managed appropriately onsite?

General site amenity / housekeeping

Use slider to rate general site amenity / housekeeping
Where:
0: Low (e.g. Suggested area of improvement for all areas)
5. Average (e.g. some areas of suggested improvement but generally ok)
10: High (e.g No suggested areas for improvement)

Other comments or observations

Comments or observations

Comments or observations

Photo

Site Photographs

Take photographs at all photo points for the site

Photo point
Photo

Closing

Are there any follow up items or recommendations?

Follow up item

Suggestions

Signature of PoMC personnel
Signature of non-PoMC personnel (if present)
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.