• Business name

  • ABN

  • Business address
  • Contact name

  • Email

  • Telephone

  • Environmental Health Officer

  • Conducted on

Stormwater Management

  • Does the business know the location of all onsite stormwater drains?

  • Are all stormwater drains clean and free of pollutants?

  • Are any activities conducted in outdoor areas?

  • Does the business have a spill kit?

Chemical Storage

  • Are all liquids stored in a covered and bundled area?

  • Are any underground tanks tested for leaks?

  • Does the business have a chemical inventory? (MSDS, volumes, container types)

Air Management

  • Is all spray painting conducted inside a spray booth?

  • Are all filters fitted/operating correctly?

  • Does the spray booth conform to AS4114?

  • Are all dust collection systems operating correctly?

Waste Management

  • Are solid wastes kept covered?

  • Are liquid wastes stored in a covered and bundled area?

  • Are all air conditioning gases collected by a licensed person?

  • Details of contractor, including licence number:

  • Is waste water disposed of in accordance with a Sydney Water Trade Waste Agreement?

  • Details of Trade Waste Agreement

  • Is a waste tracking file kept for all wastes?

Noise Management

  • Can any noise generating equipment be heard outside the premises?

  • What are the hours operation of the business?

  • Monday - Friday

  • Saturday

  • Sunday

Land Management

  • Is there any evidence of ground contamination of the site?

Microbial Control

  • Does the premises have an operational cooling tower?

  • Is the cooling tower registered with Council?

  • Registration number:

Other details (EMP, training, etc)

Inspection result

  • Inspection result

  • Business owner or representative

Further information

  • Provide links to information

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.