Application for appointment as Environmental Auditor
under section 53S of the Environment Protection Act 1970

FORM 2 – SCHEDULE A – CONTAMINATED LAND SPECIFIC ASSESSMENT CRITERIA

Applicants should refer to the most recent version of EPA Publication 865, Environmental auditor guidelines for appointment and conduct, for an understanding of the initial appointment process and the assessment criteria to which this form relates. This form must be completed in conjunction with Form 1 - General Criteria (or Form 1R – Mutual Recognition, for application through mutual recognition process).

Please ensure that all sections of the form are completed, and that all requested information and attachments are provided and labelled as indicated.

CONTAMINATED LAND SPECIFIC ASSESSMENT CRITERIA
EPA Publication 865, Ref 3.2 (xiii), 3.2 (xiv), 3.2 (xv) and Schedule A

Please provide in the following tables summary details in the form of dot points.

Has a separate statement been provided in support to Contaminated Land Specific Assessment Criteria?

Yes - must be labelled as Attachment 5A

No

Clear Cross-Reference must be made to any statement and/or to the sample report provided in support to your application (eg. paragraph number in the statement, section and page of the sample report, etc)

  1. CORE COMPETENCIES
Applicant must demonstrate extensive experience and a high level of expertise in all the following core competencies.
SPECIFIC ASSESSMENT CRITERIA / SUMMARY DETAILS DEMONSTRATING
EXPERIENCE AND EXPERTISE / CROSS-REFERENCE SECTION
(Statement/Sample Report) / EPA USE ONLY
865 / CRITERIA
A.1.1 (i) / Assessment of Contaminant Exposure Pathways
A.1.1 (ii) / Contaminated Site Assessment and Remediation including Management
A.1.1 (iii) / Evaluation and interpretation of Chemical and Analytical Data
A.1.1 (iv) / Soil Sampling Design and Methodology
A.1.1 (v) / Soil Gas Sampling Design and Methodology
A.1.1 (vi) / Groundwater Sampling Design and Methodology
A.1.1 (vii) / Identification of Potential Human Health and Environmental Risks
A.1.1 (viii) / Quality Control/Assurance Procedures
A.1.1 (ix) / Risk Communication
EPA USE ONLY
  1. EXPERTISE, PROFICIENCY AND EXPERT SUPPORT TEAM
Applicant must demonstrate expertise in, or access to relevant expertise in the following areas.
You must provide a current, detailed curriculum vitae for each nominated expert support team member
SPECIFIC ASSESSMENT CRITERIA / SUMMARY DETAILS DEMONSTRATING
EXPERIENCE AND EXPERTISE / HIGH
LEVEL OF EXPERTISE / CROSS-REFERENCE SECTION
(Statement/
Sample Report) / EPA USE
ONLY
865 REF / CRITERIA / YES / NO
A1.2 (i) / Air Quality
A1.2 (ii) / Assessment of Impacts on Groundwater from Contaminated Sites
A1.2 (iii) / Contaminant Fate and Transport
A1.2 (iv) / Environmental Chemistry
A1.2 (v) / Environmental Risk Assessment
A1.2 (vi) / Environmental Toxicology
A1.2 (vii) / Geology
A1.2 (viii) / Human Health and Ecological Risk Assessment relating to Contamination
A1.2 (ix) / Human Toxicology
A1.2 (x) / Hydrogeology
A1.2 (xi) / Identification of Contaminants of concern from past Industrial land uses
A1.2 (xii) / Remedial Technologies and Geo-technology
A1.2 (xiii) / Soil Science
A1.2 (xiv) / Sampling and Interpretation of Analytical Data for a Variety of Media
A1.2 (xv) / Statutory and Environmental Planning
EPA USE ONLY

* Must be attached for nominated experts not employed by the same company as the applicant

3.UNDERSTANDING OF GUIDELINES
Applicant must demonstrate an understanding of all of the following:
SPECIFIC ASSESSMENT CRITERIA / SUMMARY DETAILS DEMONSTRATING
UNDERSTANDING / CROSS-REFERENCE SECTION
(Statement/ Sample Report) / EPA USE ONLY
865 REF / CRITERIA
A.1.3 / Australian and New Zealand Guidelines for the Assessment and Management of Contaminated Sites (ANZEEC/NHMRC) 1992
National Environment Protection (Assessment of Site Contamination) Measure 1999
EPA USE ONLY
  1. APPLICANT’S EXPERIENCE IN CONTAMINATED SITES
Applicant must demonstrate experience in contaminated sites work, in terms of the following:
SPECIFIC ASSESSMENT CRITERIA / SUMMARY DETAILS DEMONSTRATING
EXPERIENCE / CROSS-REFERENCE SECTION
(Statement/ Sample Report) / EPA USE ONLY
865 REF / CRITERIA
A.1.4 / Broad scale of works undertaken
Broad range of contaminants encountered
Variation in scope of works undertaken
EPA USE ONLY
  1. APPLICANT’S OTHER EXPERIENCE:
Experience in the following will be regarded highly:
SPECIFIC ASSESSMENT CRITERIA / SUMMARY DETAILS DEMONSTRATING
EXPERIENCE / CROSS-REFERENCE SECTION
(Statement/ Sample Report) / EPA USE ONLY
A.1.5 / Assessment and management of major environmental issues involving complex sampling design
Chemical or hydrogeological data collection and interpretation
EPA USE ONLY

1A

Version 3 – June14

Initial Apptment App - Form 2 Schedule A v3.doc