• Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel


  • Date and Time Inspection required

  • Business Name

  • Contact Details

  • Manager or Person Interviewed


  • House Number

  • Lot Number

  • Street

  • Suburb


Management of Premises

  • Are you aware of your environmental obligations as a business owner?


  • Can you identify the location or stormwater pits/drains on the property?<br><br><br>

  • Do you regularly clean stormwater pits, drains and trenches?<br><br><br>

  • Evidence of sediment pollution?<br><br><br>

  • Evidence of oil pollution?<br><br><br>

Storage of Liquids

  • Are liquids stored undercover in a bunded area?<br><br><br>

  • Do you have clean-up equipment (brooms/absorbents etc) stored on-site?<br><br><br>


  • Do you have any on-site wastewater treatment devices (eg oil/water separator)?<br><br><br>

  • Do you have a trade waste permit with Sydney Water?<br><br><br>


  • Location of waste facilities<br><br><br>

  • Add drawing

  • Oil and oil contaminated parts?<br><br><br>

  • Do you recycle any materials?<br><br><br>

  • Are staff aware of recycling facilities?<br><br><br>

  • Do you provide ash-trays for staff/customers?<br><br><br>

Hazardous Materials

  • Do you have any chemicals on-site?<br><br><br>

  • Do you have current Materials Safety Data Sheets (MSDS) available for these chemicals?<br><br><br>

  • Do you have an inventory of hazardous materials?<br><br><br>

Air and Noise

  • Does you business have any air emissions?<br>a. Smoke b. Dust c. Odours d. Fumes/Vapours Other________________<br><br><br>

  • Do you have any air quality control devices (eg air filters etc) on-site?<br><br><br>

  • Is equipment regularly inspected and maintained to ensure that it is operating effectively?<br><br><br>

  • Is noise from your business audible from outside the premises?<br><br><br>

  • Are there any noise mitigation measures in place?<br><br><br>

  • Do you regularly check/carry out maintenance on noisy equipment?<br><br><br>

Energy and Water

  • Do you monitor energy and water use?<br><br><br>

  • Do you know how much energy your business consumes annually?<br><br><br>

  • Would you know how much water your business consumes annually?<br><br><br>

  • Do you know how much your business pays for energy each year?<br><br><br>

  • Have you installed energy efficient devices or appliances?

  • Do you fix leaking taps and fittings?<br><br><br>

  • Are your taps fitted with aerators?<br><br><br>

  • Inspectors Name

  • Signature

  • PO Box 155, Shellharbour City Centre 2529 -Phone 02 4221 6111 -Fax 02 4221 6016 -Email -Web -DX 26402 Shellharbour City Centre

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.