Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Completed questionaire information
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Date property acquisition due diligence report completed
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Completed by (include position and phone number)
Site Lease Arrangements
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Is the site currently leased?
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When does the lease expire?
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What is the lease duration?
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Is there an option to renew the lease?
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If yes, what is the option?
Site History
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Year of first land development (if developed):
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Status prior to development (swamp, wetland, marsh, greenfield, woodland, farm land, other):
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Have prior environmental site assessments been conducted or this property?
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If yes, provide copies of any reports
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Are there any past, threatened or pending law suits or administrative proceedings related to any release or health, safety, environment and/or security concerns known?
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If yes, specify events and dates. Provide copies of investigation reports, where available.
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Does the owner or occupant of the property have any knowledge of environmental liens or governmental notification relating to past or current violations of environmental laws?
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If yes, specify events and dates. Provide copies of any correspondence.
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Have there been any contamination investigation or remediation (cleanup) at the site?
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If yes, specify events and dates. Provide copies of any correspondence
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Is there any evidence or knowledge of drums or waste buried on site?
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If yes provide details
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Is there any evidence of historic on-site activities ( other than present) potentially having involved hazardous substances?
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If yes, provide details
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Are there any known incidents of past chemical spills or fires potentially having caused environmental impact?
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If yes, provide details
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Is there a transformer, capacitor or any other equipment for which there are any records indicating the presence of poly chlorinated biphenyl (PCB's)
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If yes, provide details
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Do any areas contain or are suspected to contain asbestos or asbestos containing materials?
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If yes is there an Asbestos Management Plan available?
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Are copies of the asbestos register available?
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Are asbestos containing materials clearly identified?
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Are any areas of the facility known to contain or are suspected to contain lead-based paint?
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If yes, provide details
Current Site Activities and Practices
Chemical Storage
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Are hazardous chemicals stored or used on site( oil, solvents, paint, heavy metal solutions, pesticides, volatile organic compounds(VOCs), flammable s, corrosives, etc.)?
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If yes, provide details
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Are chemicals mixed, blended or transferred on site?
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If yes, provide details
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Are chemicals stored in designated chemical storage area(s)?
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If yes, provide details
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Has the facility ever been classified as a Major Hazard Facility?<br>(MHF due to quantities of chemical stored exceeding non reporting limits)
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If yes, provide details
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Has an Environmental Relevant Activity (ERA) licence been issued for activities undertaken on site ( current or previously)?
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If yes, provide details
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Is LPG gas stored on site in quantities that exceed normal forklift / heating use?
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Is LPG gas decanted on site?
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If yes, provide details
Underground Storage Tanks
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Are any chemicals, oils or vehicle fuels stored in underground Storage Tanks (USTs)?
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Are there any vents or fill pipes protruding from the ground on the property or to any structure located on the property?
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Have there been any USTs removed or closed in place (based on site evidence including interviews and records)?
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If yes, provide details including location, volume, contents any registration or removal information
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Location
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Volume
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Contents
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Registration or removal information
Sumps / Drains / Oil Water Seperators
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Have there been any floor drains, sumps or oil / water seperators used for industrial activities?
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Do any sumps, pits or similar structures now contain or have previously contained hazardous materials such as solvents or oils?
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Are floor drains blocked or clogged( look for collapsed drains)?
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If yes, provide the following information for these units
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Location(s)
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Contents
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Discharge information
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Currently active or inactive
Above Ground Storage Tanks
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Are hazardous chemicals, oils or vehicle fuel stored in above ground storage tanks of 100 litres or more?
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Have any halogenated hydrocarbons or chlorinated hydrocarbon based solvents been used at the property or within the facility?
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If yes, provide the following information for all tanks: Location, volume, contents and is containment (bunding) present
Waste
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Have wastes been stored in locations other than present storage areas (e.g. Pits, ponds, surface impoundments, lagoons, landfills, container storage areas)?
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Has waste ever been disposed on site through burning, dumping or buying?
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Are wastes stored in designated waste storage area(s)?
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Are wastes or wastewater treated on site prior to shipment or disposal?
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If yes, describe the treatment process and applicable permits
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Provide a list of wastes generated, existing vendor and disposal location(s)
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Type of waste
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Waste vendor
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Disposal location
Groundwater
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Are there known restrictions on water use in the area?
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Is groundwater a source for drinking water in the area ( I.e., local / residential drinking water via wells )
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Are any ground, extraction or monitoring wells on site?
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Are any injection wells / percolation beds / septic systems or leach fields on site?
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Have soil / groundwater samples Ever been analysed?
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Are there any direct discharges of water collected on site, other than public sewer?
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In the past, has industrial wastewater, sanitary wastewater and storm water been discharged to an on site system, land or surface waters?
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List events and include all relevant information
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Describe discharge systems (sanitary, storm water, industrial wastewater):
Air Quality
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Are there any current or past air emission sources?<br>
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Parts washer / degreaser<br>
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Grain / seed storage and transfer<br>
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Fertiliser storage and transfer<br>
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Fuel storage and dispensing<br>
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Chemical storage and transfer<br>
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Engines or generators <br>
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Dust collectors<br>
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Other<br>
Building condition
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Is the internal / external paint in good condition?
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Is mould or other health concern(s) present?
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Is roofing, guttering and down pipes in good condition?
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Do office, warehouse and retail areas have adequate ventilation?
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Are facility flooring and general structures in good condition and free from trip hazards?
Health, Safety and Security
Electrical and lighting
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Are electrical services in safe and adequate condition (including electrical panels, transformers, junction boxes and wiring)?
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Is the site covered by an electrical current device (RCD)?
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Are electrical cables in good condition, secure and safely located?
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Is the facilities internal and external lighting sufficient to ensure safe completion of all tasks?
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If yes to any of the above describe concerns
Site security
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Has the site been broken into in the past?
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Is the facility fenced to prevent unauthorised entry?
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Does the facility use a third party security company?
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Does the facility have an of electronic alarm system?
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Has the site been broken into in the past?
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Are all doors and windows equipped with locks?
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If yes to any of the above describe concerns
Traffic management
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Is there a traffic management plan in place for the site?
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Are pedestrians and vehicles segregated?
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Is there adequate parking for customers and staff on site?
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Are walkways, loading and safety zones clearly marked?
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If yes to any of the above describe concerns
Cranes and hoists
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Are cranes , hoists and other lifting equipment installed and or used on site?
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Are cranes, hoists and other lifting equipment, in good condition, inspected and marked for load capacity?
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Are cranes , hoists and other lifting equipment registered and operated by a licenced operator?
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If yes to any of the above describe concerns
Hot work
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Is hot work, welding, cutting, brazing conducted at the facility?
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Are there designated workshop areas where maintenance, welding etc. takes place?
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If yes to any of the above describe concerns
Working at heights
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Are there work areas which represent a falls risk ( e.g. Elevated walkways, stairwells, atrium, elevated light fittings)?
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Are there adequate controls in place for falls risks (e.g. Anchor points, fixed and / or caged ladders, building maintenance units, toe guards and balustrades)?
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Have mezznaine and other elevated levels been accessed or rated to meet load capacity requirements?
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Are stairwells and overhead areas ( mezzanines) in good condition with adequate fall protection ( railings, toe boards, etc.)?
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If yes to any of the above describe concerns