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Property and Facilities Division Form 12/12 ENVIRONMENTAL INCIDENT FORM PF622 All individuals have a duty to notify of environmental harm under the Environmental Protection Act 1994. Use this form
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How to fill out environmental incident form

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How to fill out an environmental incident form:

01
Gather all necessary information: Start by collecting all relevant details about the incident, such as the date, time, and location of the event. Also, note down any witnesses or individuals involved.
02
Describe the incident: Provide a detailed account of what happened, including the cause and any contributing factors. Use objective language and avoid speculation or personal opinions.
03
Identify potential environmental impacts: Assess and document any potential environmental impacts as a result of the incident. This may include pollution, contamination, or harm to wildlife or ecosystems.
04
Take photographs or document evidence: If possible, take photographs or gather other evidence to support your description of the incident. This can help with future investigations or legal proceedings.
05
Assess immediate actions taken: Describe any immediate actions taken to address the incident, such as containment measures or notifying relevant authorities. Include any emergency response procedures followed.
06
Report any injuries or illnesses: If there were any injuries or illnesses resulting from the incident, provide a detailed account of each case. Include the nature of the injury or illness, the individuals affected, and any medical treatment provided.
07
Provide contact information: Include your contact information, as well as that of any other individuals involved or witnesses. This will allow authorities or investigators to reach out for further information if needed.

Who needs an environmental incident form?

01
Environmental agencies and regulators: Environmental incident forms are often required by government agencies and regulatory bodies. These forms help them track and investigate environmental incidents, assess the impact, and enforce relevant laws and regulations.
02
Companies and organizations: Businesses and organizations that operate in industries with potential environmental risks, such as manufacturing, construction, or oil and gas, may need to maintain and submit environmental incident forms to comply with environmental regulations. This helps them demonstrate their commitment to environmental responsibility and accountability.
03
Individuals witnessing or involved in environmental incidents: If you witness or are involved in an environmental incident, it is important to report it through an environmental incident form. This ensures that the incident is properly documented and addressed by the appropriate authorities, helping to protect the environment and prevent further harm.

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