AASD001 Environmental Checklist Inspection

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Company / Work Group:*

Date*

Time*

: HH

MM

Inspected By (Include All Personnel Who Took Part In The Inspection)

Name

First Last

Position

INSPECTION ITEMS

1. Have all actions raised in the previous inspections been closed out? *N/A if not applicable*

YES
NO
N/A

Comments

2. Have all actions from any recent environmental incidents been adequately investigated and appropriately addressed? *N/A if not applicable*

YES
NO
N/A

Comments

3. Is the work area free from visible incidents and/or Risks?*

YES
NO
N/A

Comments

4. Have all possible drainage points where chemical spills can occur been blocked to prevent spills?*

YES
NO
N/A

Comments

5. Has all efforts been made to protect other people of any falling risks pending the start of works?*

YES
NO
N/A

Comments

6. Auditee task: What environmental hazards were identified by the supervisor during the inspection? How would they address these hazards?

Dust Management

7. Is the work area free from excessive visible dust?*

YES
NO
N/A

Comments

8. Are activities in the area creating minimal dust?*

YES
NO
N/A

Comments

9. Is dust suppression of dirt roads and other cleared areas being undertaken where excessive dust is visible?*

YES
NO
N/A

Comments

10. Are dribble bars being used where water containing >5,000 mg/L total dissolved solids is approved for dust suppression, or other means to prevent overspray or drainage onto adjacent vegetation or waterways of any chemicals or hazards?*

YES
NO
N/A

Comments

Hazardous Materials and Hydrocarbons Management

11. Are all hazardous materials including hydrocarbons (any combustible material/chemical) stored within appropriate containment areas away from risk and direct work areas?*

YES
NO
N/A

Comments

12. If stored in a portable bunding, is it in good condition? (i.e. liner in good condition, free from waste)*

YES
NO
N/A

Comments

13. Are spill containment bunds and drip trays free of water and is a process in place to remove and dispose of contaminated water?*

YES
NO
N/A

Comments

14. Are stationary equipment (e.g. generators) which holds >20L of fuel secondarily contained?*

YES
NO
N/A

Comments

15. Is equipment containing hazardous materials (including hydrocarbons (combustible), and hoses/pipes) free of spills/leaks?*

YES
NO
N/A

Comments

16. Are service trucks and fuel trailers in a good working order with fully stocked spill kits on board?*

YES
NO
N/A

Comments

17. Are adequate spills kits available and fully stocked?*

YES
NO
N/A

Comments

18. Are there an adequate number of hydrocarbon waste bins?*

YES
NO
N/A

Comments

19. Has all contaminated soil been stored in a bunded area or placed in bins prior to removal from site, or transported to a bioremediation area where available?*

YES
NO
N/A

Comments

20. Is the work area free from waste, including cigarette butts and windblown litter?*

YES
NO
N/A

Comments

21. Has a designated smoking area been provided with appropriate fireproof receptacles?*

YES
NO
N/A

Comments

22. Are bins labelled correctly, in good working condition and have lids?*

YES
NO
N/A

Comments

23. Do bins have adequate capacity to contain rubbish disposed within them?*

YES
NO
N/A

Comments

24. Has waste been adequately segregated and stored in the correct bins (general, steel, hydrocarbons, oily etc.)?*

YES
NO
N/A

Comments

25. Have sumps been cleaned out adequately as part of routine maintenance?*

YES
NO
N/A

Comments

26. Are contaminated wastes removed offsite by an approved contractor for disposal at an approved location?*

YES
NO
N/A

Comments

Surface Water Management

27. Is potentially contaminated storm water prevented from being discharged into the environment?*

YES
NO
N/A

Comments

Weed Management

28. Is the area (and any topsoil stockpiles) free of weeds (i.e. non-native species)?*

YES
NO
N/A

Comments

29. Are vehicle hygiene certificates available for machinery that has accessed uncleared areas?*

YES
NO
N/A

Comments

Fauna Management

30. Have all excavations, trenches or large receptacles that cannot be covered, been provided with adequate fauna egress to enable fauna to climb out if trapped?*

YES
NO
N/A

Comments

31. Have all pipe ends and bore openings been capped or covered?*

YES
NO
N/A

Comments

32. Have lids or fixed covers been fitted to receptacles (containers, bins, tanks and receptacles) or have they been up-ended or stored so that they cannot be accessed by fauna?*

YES
NO
N/A

Comments

33. Have drill muds on the drill pad surface or within the sump been covered with dry soil to prevent entrapment of wildlife as soon as drilling of that hole has been completed?*

YES
NO
N/A

Comments

Clearing and Ground Disturbance Management

34. Is the clearing or ground disturbance being undertaken?*

YES
NO
N/A

Comments

35. Are vegetation clearing and earthworks being avoided during high wind (>50 km/hr) conditions where possible?*

YES
NO
N/A

Comments

Topsoil Management

36. Are topsoil areas appropriately signed to prevent access?*

YES
NO
N/A

Comments

37. Is there a stormwater diversion structure around the base of the topsoil stockpiles?*

YES
NO
N/A

Comments

38. Is there evidence of disturbance to topsoil stockpiles (i.e. tyre tracks)?*

YES
NO
N/A

Comments

Other

39. Inspection Item

Yes
No
N/A

Comments

40. Inspection Item

Yes
No
N/A

Comments

ISSUES/NON-CONFORMATIES RAISED DURING INSPECTION

ISSUE ONE

Insert Inspection # Item action relates to:

Actions Required

Due Date

Responsible Person

Entered in Action Tracking System (yes/no)

Yes
No

ISSUE TWO

Insert Inspection # Item action relates to:

Actions Required

Due Date

Responsible Person

Entered in Action Tracking System (yes/no)

Yes
No

ISSUE TWO

Insert Inspection # Item action relates to:

Actions Required

Due Date

Responsible Person

Entered in Action Tracking System (yes/no)

Yes
No

ISSUE THREE

Insert Inspection # Item action relates to:

Actions Required

Due Date

Responsible Person

Entered in Action Tracking System (yes/no)

Yes
No

Other Comments/ Notes:

CAPTCHA

Inspected By (Include All Personnel Who Took Part In The Inspection)

INSPECTION ITEMS

Dust Management

Hazardous Materials and Hydrocarbons Management

Surface Water Management

Weed Management

Fauna Management

Clearing and Ground Disturbance Management

Topsoil Management

Other

ISSUES/NON-CONFORMATIES RAISED DURING INSPECTION

ISSUE ONE

ISSUE TWO

ISSUE TWO

ISSUE THREE