IMPLEMENTATION SCHEDULE
EIA* Ref |
EM&A Log Ref |
Environmental Protection Measures* |
Location/ Timing |
Implementation Agent |
Implementation Stages** |
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Des |
C |
O |
Dec |
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* All recommendations and requirements resulted during the course of EIA/EA Process, including ACE and/or accepted public comment to the propsoed project.
** Des=Design, C=Constrction, O=Operation, Dec=Decommissioning
Signed by Project Proponent:___________________________________ |
Date: _____________________________________________________ |
IMPLEMENTATION STATUS PROFORMA Ref: _____________________
Item No. |
Environmental Protection Measures |
Location of Implementation |
Responsible by |
Implementation Period |
Implementation Status |
Follow up actions recommended |
Final Environmental Outcome |
Signed by Environmental Team Leader:___________________________ | Date:_____________________________________________________ |
Audited by Independent Checker (Environmental):___________________ |
Date: _____________________________________________________ |
SITE INSPECTION PROFORMA Ref: ___________________
Date |
Location |
Reqt Ref.* |
Observation/Deficiency |
Mitigation Action** (Responsible Agency) |
Date*** of Confirmation |
** Specific Envrionmental Mitigation Measures should be stated, such as, equipment, processes, systems, practices or technologies.
*** The required completion date to confirm the specified Environmental Protection Action
This Proforma is an Environmental Protection Instruction for: _________________________ on ________________________________
Signed by Environmental Team Leader: _________________________________________ Date: ______________________________
Copy to Independent Checker (Environment)
DATA RECOVERY SCHEDULE Ref: _____________________________________
Date |
Air Quality Monitoring |
Noise Monitoring |
Water Quality Monitoring |
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Monitoring Station* |
Monitoring Location* |
Monitoring Location* |
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A1 |
A2 |
CN1 |
CN2 |
W1 |
W2 |
W3 |
W4 |
W5 |
W6 |
W7 |
W8 |
C1 |
C2 |
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% of R |
* Remark type of parameters
% of R The percentage of Data Recovery is the actual monitoring over the scheduled monitoring
Singed by Environmental Team Leader: ___________________________________________ Date: _____________________________________
PROACTIVE ENVIRONMENTAL PROTECTION PROFORMA Ref: ____________________________
Ref* |
Proposed Construction Method** |
Location/Working Period |
Anticipated Impacts |
Recommended Mitigation Measures |
* EIA Ref/EM&A Log Ref/Design Document Ref
** Details of equpment, vehicles, plants, processes, technologies for the option of construction method
Signed by Environmental Team Leader: _____________________________________________ Date: _______________________________
Approved by Independent Checker (Environmental): ___________________________________ Date: _______________________________
REGULATORY COMPLIANCE PROFORMA Ref: _______________________________
Ref** |
Environmental License/Permit* |
Control Area/Facility/Location |
Effective Date |
* Name of Applicant, Business Corporation, relevnat regulation and remark of license/permit conditions
** File reference of the licensee/permittee
Signed by Environmental Team Leader: _______________________________________ Date: __________________________
Signed by Independent Checker (Environmental): _______________________________ Date: ___________________________
COMPLAINT LOG Ref: __________________________
ECPA No. |
Contract Number |
Type of ECPA |
Raised by |
Complaint request date |
Date of Received by ET |
Date of ECPA form issues |
Proposed Action Completion Date |
Actual Action Completion Date |
Date Subject as Closer or Verified |
Filed by Environmental Team Leader: __________________________________________ Date: _____________________________