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Environmental Aspect Impact Identification Review Date:

Rev: 0
Department: Project Area/Location: Site/ Factory Prepared by:

Input Environmental Aspect Life Cycle Type of Impact

Applicable Compliance
Register to
Criteria

Consume Resource

Sewage Discharge

Reuse/ Reproduce
Significant Register

Scheduled Wastes
Spillage / Leakage

Significance
Effluent Discharge
Condition

Generate Noise

Fire / Explosion

Recycle/ Scrap

Obligation
General Waste
Generate GW

Generate RW
Generate SW

Flora/Fauna
Soil Erosion

Others / NA
(Normal /

Treatment

Resource
Evaluation

Emission
No Process Activity

Others

Others
Water

Noise
Abnormal / Ratings

Land
Item

Air
Emergency)

Occ Severity Control Y N

1 Preliminary Treatment n/a / / / N / A 4 2 1 8 M /

Coagulant chemicals, Flocculent


2 Primary Treatment chemicals, pH adjustment / / / / N / A 4 2 1 8 M /
chemicals, Polymer

3 Secondary Treatment Air, Bacteria, Bacteria Supplyment / / / / / N / A 4 3 1 12 M /

4 Terthiry Treatment Chlorine, UV, Ozone / / / / N / A 4 3 1 12 M /

Evaluation Ratings: Environmental Aspect Applicable Compliance Obligations: Type of Impacts: Reviewed by:
Occ x Severity x Control A: Consumption of Recources (e.g. energy, water, A: Environmental Quality Act 1974 Air - Emission of fumes / gas / smoke
material etc.) B: EQ (Clean Air) Reg. 2014 Water - discharge to river / drain / sea
B: Generation of Scheduled Wastes C: EQ (Control Of Emission From Diesel Engines) Reg. 1996 Land/Soil - Contamination / disposal of waste
Significance: C: Generation of General Wastes D: EQ (Industrial Effluent) Reg. 2009 Resource - Depletion of natural resources
1 - 8 points - Low (L) D: Generation of Recyclable Wastes E: EQ (Scheduled Wastes) Reg. 2005 Flora/Fauna - Adverse impact to animals/ plants / ecosystem Name:
9 - 16 points - Medium (M) E: Generation of Noise F: EQ (Prescribed Activities) (EIA) Order 1987 Noise - Emission of noise
17 - 24 points - High (H) F: Potential Spillage/ Leakage to Land G: EQ (Sewage) Reg. 2009 Others - No impact / beneficial through recycling Date:
G: Potential Fire/ Explosion H: EQA 1974 - Reg. 23 Restrictions on Noise Pollution
H: Potential Soil Erosion I: OSH (USECHH) Reg. 2000
I: Effluent Discharge to drain/ river/ land J: FM (Safety, Health And Welfare) Reg. 1970
J: Effluent Discharge to sewage K: FM (Notification, Certificate Of Fitness And Inspection) Reg. 1970
K: Emission of (Smoke/ Soot/ Dust/ Gas) L: Other Compliance Obligation - i.e. Customer, Regulators, Company etc.
L: Others NA: No applicable legal or compliance obligation available