OPERATIONAL FORM – Environmental Impact Assessment Worksheet CEOF1070.

01

ESSENTIAL ENERGY
ENVIRONMENTAL IMPACT ASSESSMENT:
WORKSHEET
PART A – EIA SCREENING
Refer to CECM1000.70
SSHE Manual: EIA - NSW
Section 13 for assistance
with completing this form,
and particularly
Attachment E and F
STEP 1 Documenting details of the proposed works
PROJECT DETAILS
Project Number

Project Name

Project Location

Site owned by Essential Energy?

Assessment Compiled By

Date

STEP 2

Determining which part of the planning process applies to the proposed works
PLANNING PROCESS SCREENING
Are the works considered a ‘Major Project’ to be assessed under Part 3A of the EP&A
Q1 Act 1979?  Yes
Refer SEPP Major Projects 2005 or Part 3A of the EP&A Act 1979 or Section 7 of  No
CECM1000.70
Do the proposed works require a Development Application under Part 4 of the EP&A
Q2  Yes
Act 1979?
 No
Refer Part 4 of the EP&A Act 1979 or Section 8 of CECM1000.70
 Yes
Q3 Do the works require assessment under Part 5 of the EP&A Act 1979?
 No
Refer Part 5 of the EP&A Act 1979 or Section 9 of CECM1000.70
 Unsure

If answer is ‘yes’ to Q3 and ‘no’ to Q1 and Q2, sign & date here
and complete PART B – REF

DATE: COMPANY:

NAME:

SIGNATURE:

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STEP 3 Determining whether an EIA is necessary

EIA SCREENING

Has the site of the proposed works been checked for the presence of threatened or endangered
species, populations or ecological communities or the encroachment of critical habitat of such  Yes
Q4 species, populations or communities? Refer TSC Act 1995, FMA 1994  No
If answer is ‘no’ and threatened species are present, PART B - REF must be conducted
Have you determined that the proposed works do not affect RAMSAR, Wetland, State Heritage
or Local Heritage, Commonwealth Heritage, World Heritage or National Heritage or are proposed  Yes
Q5 to be carried out in a Wilderness area?  No
If answer is ‘no’, and Heritage is impacted, PART B - REF must be conducted
Is the site of the proposed work free of the provisions of SEPP 14 - Coastal Wetlands or SEPP 26
- Littoral Rainforests?
If the answer to this questions is ‘No’ and the work is proposed to be carried out on  Yes
Q6
land to which SEPP 14 or SEPP 26 applies, then the consent of the local Council is  No
required pursuant to Part 4 of the EP&A Act. Therefore, PART B- REF is not required as
Essential Energy cannot determine the proposal.
Have you determined that the works are not proposed to be carried out on land to which SEPP
44 – Koala Habitat Protection applies?
If the answer to this questions is ‘No’ and the works are proposed to be carried out on
land to which SEPP 44 applies, then Essential Energy must consider (and discuss with  Yes
Q7
Council) whether the land is a potential koala habitat, a core koala habitat and  No
whether a plan of management has been prepared. If any of the above apply, PART B-
REF must be completed and these factors considered as part of the environmental
assessment.
Have you determined that the proposed works do not require other approvals or assessments
(licence, permit or approval) from another State or Public Authority?
 Working near NS W l isted endangered threatened vu lnerable p opulations, e cological
communities or critical habitat (DECCW, II (Fisheries)).
 Working near an Aquati c Reserve Aquati c Habi tat Threat ened Aquati c speci es or Mar ine
vegetation (II (Fisheries))
 Working wi thin a Nati onal Park, Nat ure Reserve, Regi onal Pa rk, Abor iginal Area, Dec lared
Wilderness are, Wild & Scenic River or State Conservation Area (DECCW)
 Working wi thin the ‘pl ace’ of a ‘State Heritage Item’ i dentified under the N SW Heri tage Ac t
1977
 Working where a ‘relic’ is likely to be discovered (Heritage Council)
 Working near known ‘Aboriginal Objects’ or ‘Places’ or where an ‘Aboriginal Object’ is likely to
be discovered (DECCW)  Yes
Q8  Working within a State Forest or Crown Timber Lands (Forests NSW)  No
 Storing transporti ng or di sposing of c ontrolled waste e g wast es such as pesticides, l ead, Unsure
radioactive relays, contaminated soil etc (DECCW)
 Handling, transporti ng, or di sposing of, ‘Controll ed Chemi cals’ such as PCBs, OCPs, etc
(DECCW)
 Discharging anything to a water or stormwater drain (DECCW)
 Discharging Trade Waste to the sewer (Local Council)
 Working on a classified road including freeway, highway, main road, tourist road (RTA)
 Working within a mine subsidence district (Mine Subsidence Board)
 Working on Crown Lands (Dept Lands)
If answer is ‘no’ or ‘unsure’ and external authorisation is or may be required, it may
be necessary to complete PART B - REF . Check with the relevant authority as to
whether they require a REF to be completed.
Have you considered any previous environmental studies or existing mitigation measures
associated with the site of the proposed works? Refer SMALLWORLD GIS
 If previous study is more than 5 years ago, it is likely that a new EIA must be
 Yes
Q9 undertaken
 No
 If previous study is less than 5 years ago, ensure compliance with all mitigation
measures & proceed to STEP 4 on this form
 If there isn’t previous environmental studies then the answer is ‘yes’

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STEP 4

Establishing whether the proposed works are EXEMPT DEVELOPMENT

STEPS 1 to 3 must be completed previous to this STEP

For Questions 10 to 12:

 If any answer is ‘yes’, and al l answers in STE P 3 have been ‘yes’ then the proposed works
are considered E XEMPT DEVELOPMENT & do not re quire a PART B - REF. Sign PART A, file
with work pack & pro ceed wi th works. T his form acts as a legal record for exempt
development determination.
EXEMPT DEVELOPMENT

Are the works considered ‘like for like’?  Yes

Q10 Refer Section 11 and Attachment E in CECM1000.70 for a list of ‘Exempt Development’  No
If answer is ‘no’, complete PART B- REF  NA
Are the works considered routine agricultural maintenance activity (RAMA) (with a
demonstrated regular work history of 2/3 years in accordance with CEPG8008-
Vegetation Management Plan) and are proposed to be undertaken to the minimum
extent necessary and within specified distances where they apply

 Yes
OR
Q11  No
 NA
Are the works properly characterised as “permitted clearing” under the Native
Vegetation Act?
Refer Section 10 and Attachment F in CECM1000.70 or CEPG8008 or NV Act 1995 to
determine whether particular vegetation works are exempt
If answer is ‘no’, complete PART B- REF
Are the works considered ‘Exempt Development’ with either no impact or minor impacts
on the environment? Refer SEPP 60 EXEMPT & COMPLYING DEVELOPMENT 2008 or
 Yes
INFRASTRUCTURE SEPP 2007 or Section 11 of CECM1000.70 or Attachment E of
Q12  No
CECM1000.70
(or Attachment F if vegetation works)  NA
If answer is ‘no’, complete PART B- REF

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STEP 5

Verifying that appropriate notification for the EXEMPT DEVELOPMENT has been
given
NOTIFICATION

Has Local Council or other relevant Public Authorities been consulted

or notified regarding the proposed works and timings of the works?
Electricity Supply Act 1995 - 40 days for electricity works being
new work on public roads or public reserves. Does not apply to
maintenance or emergency repairs.
 Yes
Local Council or Infrastructure SEPP 2007 – 21 days for new or existing
 No
Public Authority electricity substation development (including any associated yard,
control building or housing plant building) not considered a Part 3A  NA
‘Major Project’.
Fisheries Management Act 1994 – 28 days or such period of
time agreed with Minister for Primary Industries for proposed
dredging or reclamation work
Has the landowner or tenant or affected members of the community  Yes
Local Community been informed regarding the proposed works and timings of the  No
works?  NA
 Yes
Other Stakeholder Are there any other notification or consultation requirements?  No
 NA

STEP 6
Legal sign off by Accredited Service Provider (ASP)
or Essential Energy Officer – PART A Fill in as appropriate.

SIGN OFF

I am satisfied that the proposed works;

 involve only minimal impact on the environment or amenity of the surrounding area
 will pose no adverse effect on threatened species, wetlands, native bushland, Aboriginal sites, or major
transport corridors
 will have either no or min imal impact on th e heritage significance of a St ate or local h eritage item or a
heritage co nservation area, in volve n o more than min imal impact o n t he h eritage sign ificance of t he
item or area
 will meet the relevant deemed to satisfy provisions of the Building Code of Australia and comply with all
relevant requirements of the Blue Book – ‘Managing Urban Stormwater: Soils & Construction’
 will be carried out in accordance with
 will meet the notification requirements of Local Council or other State or Public Authorities
 where applicable will meet the notification and consultation requirements for local community
AND
 do not require an REF at PART B of this form to be conducted

DATE COMPANY
NAME

SIGNATURE

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ESSENTIAL ENERGY
ENVIRONMENTAL IMPACT ASSESSMENT:
WORKSHEET Refer to CECM1000.70
SSHE Manual: EIA - NSW
Section 12 for assistance
with completing this form
PART B – Review of Environmental Factors
PART B – REF of this EIA CHECKLIST is for proposed works or projects that require a Part 5
assessment (including development that falls under the Infrastructure SEPP 2007) under the
EP&A Act 1979 and that are considered to have minor and predictable environmental impacts.

CONSTRUCTION WORK MUST NOT COMMENCE UNLESS THE FOLLOWING

CONDITIONS ARE MET:

The person completing the Checklist has signed the completed E IA Checklist, verifying t hat each of
the steps has been satisfied and no further assessment or investigation is required, AND
 The Deter mining Officer has signed the co mpleted EIA Che cklist, ve rified that the environmental
assessment has been completed and that the conclusi on as to the li kely environmental i mpacts of
the project are minor and predictable and permit s the project to proceed subject to relevant
mitigation measures and/or conditions in any approvals, licences or permits, AND
 The required notificatio ns have been made and the relevant appr ovals, lic ences and permits have
been fulfilled as outlined in TABLES 2 and 3, AND
 All relevant construction personnel are aware of:
o Their responsibilities as detailed in relevant Essential Energy policies
o The project’s Environmental Impacts as documented in TABLE 4
o The project’s specific Mitigation M easures as docu mented in T ABLE 4 (including if applicable,
additional Control Measures identified in CEOP5041- Project Safety & Environment Plan)
o The project’s environmentally Sensitive Areas as documented in TABLE 3
o The conditions outlined in any approvals, licences or permits as documented in TABLE 2
o The project details and likely impacts on the community as documented in TABLE 1

IF ENVIRONMENTAL ISSUES ARE IDENTIFIED

In the eve nt that environmental i ssues are identified (refer to TA BLES 1 a nd 4) th en the f ollowing
actions must be taken:
 Where a construction drawing is prepared as part of the construction work pack, the environmental
control measures should be listed in the schedule of that construction drawing
 For more extensive projects, the environmental control measures should be documented in a
project specific, environmental management plan (r efer to CEOP5041- Project Safety &
Environment Plan)
 Copies of all approv als, licen ces or permit s requ ired (refer TABLE S 2 and 3) MUST be in cluded in
the construction work pack
 Projects w hich requi re a Part 3A or Part 4 p lanning approval must be referred to the relevant
consent authority
 Projects which require a mor e d etailed environ mental assessment (with a MODERA TE o r HIGH
community impact or HIGH E nvironmental Score > 10) must be e scalated to the nex t l evel of
Determining Officer (refer to CECM1000.70 Attachment D)

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STEP 7
Describing the proposed works, receiving environment and assessing
community impact
TABLE 1 – PROPOSED WORK/PROJECT DETAILS

Item Project justification Response

Description of the proposed

1.1 works/activities being assessed under Part
5 of the EP&A Act 1979

Description of project timings, phasing

1.2
and schedules

Ownership of the relevant land

1.3 (note whether: Essential Energy owns the
land; easements will be required for
works; access will be required)
Description of the receiving environment
(include drainage systems, waterways,
1.4 flora and fauna, visual/scenic quality,
transportation routes, land use, traffic
flow, land contamination etc– relevant to
the potential impacts)
Description of waste material - types and
1.5
quantities
Description of relevant Environmental
Planning Instruments - LEPs or SEPPs and
1.6
details of zoning, clause, provision or
schedule
Does the project require other
1.7
environmental and planning authorisations
 No other possible options for route / site
Project route & site selection justification OR
(It may be necessary to revisit this
1.8 step after identifying any project
specific Mitigation Measures in STEP
11)

 Yes, Describe:  No, Comment:  NA

Where applicable, EMF prudent avoidance

1.9
measures have been implemented

State the level of interest of the local  Negligible  Some interest  High Interest.
1.10 community regarding the site selection or
route selection?
Brief description of community
consultation
1.11
(Consultation methods should be
added to Project Controls in Table 4)

 LOW  MODERATE  HIGH

What is the likely impact of the project on Projects with a MODERATE or HIGH community impact
1.12
the community? must be escalated to the next level of Determining Officer
within Essential Energy

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STEP 8
Determining what approvals, licences or permits are required
TABLE 2 – NOTIFICATIONS, APPROVALS, LICENCES & PERMITS

Item Notification Requirements: Tick one

Notification requirements under:
 Electricity Supply Act 1995 – 40 days for ‘new’ electricity works on public roads and
public reserves. Does not apply to maintenance or emergency repairs.
 Infrastructure SEPP 2007– 21 days for development of ‘new’ or existing electricity
2.1 substation of any voltage (including any associated yard, control building or building for
 Yes  No
housing plant) but not being a Part 3A project.
 Fisheries Management Act 1994 – 28 days or such other period of time agreed with
Minister for Primary Industries for proposed dredging or reclamation work

External Authorisation Requirements for when receiving environment is

Item Tick one
considered a ‘sensitive area’:
Working near Endangered, Threatened, Vulnerable or Protected Species, Populations,
2.2 Ecological Communities or Critical Habitat (Flora and Fauna) – DECCW, II (Fisheries).
 Yes  No

Working within a national park, nature reserve, aboriginal area, wilderness area, conservation
2.3 area or wild river – DECCW
 Yes  No

Working near Areas of National Environmental Significance (RAMSAR Wetlands, threatened

2.4 species, migratory birds, World Heritage, National Heritage, nature reserve etc.) or on  Yes  No
Commonwealth land or marine area – DEWHA
Working near areas protected by SEPPs for conservation purposes (SEPP 14 – Coastal
2.5 Wetlands, SEPP 26 – Littoral Rainforests, SEPP 44 - Koala Habitat Protection) – DECCW, DoP.
 Yes  No

Working within an area that is subject to any conservation agreement entered into under the
2.6 National Parks and Wildlife Act 1974 – DECCW
 Yes  No

Working within an area that is subject to any plan of management under the National Parks
2.7 and Wildlife Act 1974 DECCW
 Yes  No

Working within an area that is subject to any joint management agreement under the
2.8 National Parks and Wildlife Act 1974 – DECCW
 Yes  No

2.9 Working near an aquatic reserve or ‘Marine Vegetation’ (eg. seagrass, mangroves) – DECCW.  Yes  No
Working within a Special Area declared in the Sydney Water Catchment Management Act –
2.10 Sydney Catchment Authority.
 Yes  No

Working within the ‘place’ of a ‘Heritage Item’ identified on the Register of the National
2.11 Estate, under the NSW Heritage Act or an environmental planning instrument – Heritage  Yes  No
Council, Local Council.

Working within the ‘place’ of a ‘Heritage Item’ as defined in other registers – Heritage
2.12 yCouncil.  Yes  No

Working where a ‘Relic’ is likely to be discovered (eg Archaeological Zoning Plans) – Heritage
2.13 Council or DECCW
 Yes  No

2.14 State Forest or area subject to Forest Agreement – Forests NSW, II, DEWHA  Yes  No

2.15 Working near aboriginal relics or places – DECCW  Yes  No

Working at sites at which asbestos or asbestos containing materials exist (Determine if a

2.16 licence or exemption will be required – refer CECM1000.10 SSHE Manual: Hazardous Material)  Yes  No
- WorkCover

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Generating, handling, storing, transporting or disposing of hazardous, industrial or ‘controlled

2.17 waste’ – DECCW and Local Council (eg wastes such as pesticides, lead, radioactive relays,  Yes  No
contaminated soil etc.).
2.18 Handling, storing, transporting or disposing of Dangerous Goods – DECCW and WorkCover.  Yes  No
Handling, transporting or disposing of ‘Controlled Chemicals’ such as PCBs, OCPs etc –
2.19 DECCW and WorkCover.  Yes  No

2.20 Discharging anything to a waterway or stormwater drain – DECCW and Local Council.  Yes  No

2.21 Discharging ‘Trade Waste’ to the sewer – Relevant water authority, Local Council.  Yes  No
Clearing “native vegetation”, “State protected lands”, lands protected by a Regional
Vegetation Management Plan (Property Vegetation Plan) or carrying out works involving trees
2.22 covered by a tree preservation order or within 40 m of a watercourse – DECCW, CMA, Local
 Yes  No
Council.
Working on a classified road including freeway, highway, main road, tourist road– Public road
2.23 reserve etc. - RTA or Local Council.  Yes  No

2.24 Removing or lopping trees from “Crown-timber lands” – Forestry NSW  Yes  No

2.25 Working within a Mine Subsidence District – Mine Subsidence Board  Yes  No

2.26 Construction of pipelines (oil, petroleum, gas) – II  Yes  No

2.27 Water management works – DECCW  Yes  No

Using flames during a Total Fire Ban or working within bushfire protected lands – NSW Rural
2.28 Fire Service.  Yes  No

2.29 Working on Crown Lands – Department of Lands.  Yes  No

2.30 Other – please specify:  Yes  No

Description of area/issue identified above:

Date Council was notified:

If you have ticked any  Yes above then you must either:

 Attach a copy of the notification, approval, licence or permit to the final EIA Worksheet, OR
 Detail who is responsible for issuing the notification or obtaining the approval, licence or permit, OR
 Explain why the project is exempt
 Any identified notification or external authorisation requirements should be included in Table 4

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STEP 9 Identifying other environmental impact issues

TABLE 3 – OTHER ENVIRONMENTAL IMPACT ISSUES

Item Other Environmental Impact Issues for consideration: Tick one

Wildlife corridors/refuges, native forests, Wildlife Management Areas, Significant
3.1 Tree Registers (Local Council), Koala Habitat (>1 hectare of bushland).  Yes  No
Siting oil filled equipment within 40m of a sensitive area (waterways, National
3.2 parks etc.) or 5m upstream of a drain.  Yes  No

3.3 Decommissioning substations (may require a contaminated site assessment).  Yes  No

3.4 Installation of SF6 equipment.  Yes  No

Areas with contaminated soil or water (ground or surface) or degraded air quality
3.5 or Unhealthy Building Land Notice.  Yes  No
Areas subject to land rights claims or Registered Native Title or Register of
3.6 Indigenous Land Use Agreements.  Yes  No

If you have ticked any  Yes above then you should complete Tab le 4 and if the Project has any HIGH
Environmental Scores (>10) or MODERATE or HIGH community impacts (Table 1) you must escalate the
assessment to the next level of Determining Officer within Essential Energy.

Item Other Environmental Impact Issues for consideration:

Areas or items of high architectural, historical, environmental protection or
3.7 scientific value.  Yes  No
Environmental Protection Zones as defined by environmental planning
3.8 instruments (eg foreshore scenic protection areas, conservation areas, scenic  Yes  No
protection areas, beachfront scenic protection areas etc.).
Coastline and dune fields, alpine areas, deserts, caves, wetlands (not state
3.9 significant) or other unique landforms.  Yes  No

3.10 Areas or items of high aesthetic or scenic value.  Yes  No

Recreational areas (beaches, foreshores, parks, picnic areas, lookouts, national
3.11 features, tourist areas, tourist roads/routes etc.).  Yes  No
Excavating within 40m of a river, lake, lagoon, wetland, drinking water
3.12 catchment or flood prone area  Yes  No

3.13 Excavating within 40m of a gutter, stormwater channel, drain or inlet  Yes  No
Use of Pile drivers, Hydraulic hammers, Machine-mounted rock breakers, Sand
3.14 blasters, Steam cleaners, Mole borers or similar equipment in an urban area.  Yes  No

3.15 Erosion prone areas.  Yes  No

3.16 Areas containing acid sulphate soils.  Yes  No

3.17 Cafes, restaurants, shops, outdoor dining, Pubs, places of worship etc.  Yes  No

3.18 Bush regeneration areas, dune regeneration areas etc.  Yes  No

3.19 Areas of high bushfire risk.  Yes  No

3.20 Noxious Weeds  Yes  No

3.21 Urban bushland or remnant roadside vegetation.  Yes  No

Major transport corridors (highways, freeways, railways, shipping channels,
3.22 airports).  Yes  No

3.23 Major pedestrian routes (eg foreshore walks, around sporting venues etc.).  Yes  No

3.24 Schools, childcare centres, playgrounds etc.  Yes  No

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Item Other Environmental Impact Issues for consideration:

3.25 Other - please specify:  Yes  No

Description of area/issue identified

above:

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330

STEP 13
STEP 12

STEP 14

STEP 15
TABLE 4 – ENVIRONMENTAL IMPACT ASSESSMENT STEP STEP
10 11

Environmenta
Identify Project Specific Control
Description of Impacts AND Causes
Measures

Sensitivity
Likelihood
Item Issue Examples of impacts

l Score
NOTE: Either tick ‘minor’ OR provide

Extent
EMP
details. Additional controls
(CEOP5041)

Dust generation (excavating, disturbing soil, Minor  OR

4.1 stockpiling, trenching, erosion prone sites, If ticked,
clearing of vegetation, transporting soil etc.). go to
Fumes, odours and other air pollution from next
AIR

vehicles, equipment, machinery or other issue.

activities (eg. Spray booths, mobile oil
4.2
processors, incinerators, waste storage areas,
SF6, oxy acetylene, confined spaces gases,
etc.).
Polluting waterways, wetlands, stormwater Minor  OR
drains or groundwater (eg storing, If ticked,
4.3 transporting, handling or disposing of oils, go to
PCBs, fuels, pesticides, chemicals, pit/trench next
water or other liquids).
WATER

issue.
Sedimentation of waterways, wetlands,
stormwater drains or groundwater (eg
excavating, disturbing soil, stockpiling,
4.4
trenching, concrete cutting, access tracks,
erosion prone sites, dredging or reclamation
works etc.).
Construction noise/vibration (eg Minor  OR
rockbreakers, concrete cutters, jackhammers, If ticked,
VIBRATION
NOISE AND

4.5 chainsaws, compressors, excavators, go to

backhoes, trucks, vehicles, AH work, cranes, next
steel plates movements, generator etc.). issue.
Operational noise/vibration (eg transformers,
4.6 circuit breakers, powerline corona, tap
changers, CLCs etc).

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Environmenta
Identify Project Specific Control
Description of Impacts AND Causes
Measures

Sensitivity
Likelihood
Item Issue Examples of impacts

l Score
NOTE: Either tick ‘minor’ OR provide

Extent
EMP
details. Additional controls
(CEOP5041)

Disturbing contaminated soil (eg known Minor  OR

4.7 contamination, ASS, old industrial site, If ticked,
CONTAMINATION AND

previous landfill etc.). go to

Contaminating or polluting land (eg storing, next
handling or disposing of oils, PCBs, fuels, issue.
WASTE

4.8
pesticides, chemicals, pit/trench water or
other liquids).
Environmental problems caused by
generating, storing, handling, transporting or
4.9 disposing of waste (eg soils, building
materials, power poles, oils, solvents,
streetlights etc.).
Restricting current and potential activities Minor  OR
associated with the land (eg amenity, If ticked,
4.10
LAND USE AND

buildings, parking, interference with radios, go to

TRANSPORT

TVs or VDUs etc.). next

Restricting or affecting transport (eg issue.
pedestrian, car, bus, train, airports, boats,
river crossings, bus stops, public transport
4.11
corridors and infrastructure, construction
related disturbances, property access,
parking restrictions, etc.).

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Environmenta
Identify Project Specific Control
Description of Impacts AND Causes
Measures

Sensitivity
Likelihood
Item Issue Examples of impacts

l Score
NOTE: Either tick ‘minor’ OR provide

Extent
EMP
details. Additional controls
(CEOP5041)

Displacing, disturbing or damaging terrestrial Minor  OR

or aquatic fauna (eg creating a barrier to If ticked,
4.12 fauna movement, clearing remnant go to
vegetation or wildlife corridors, electrocution, next
collisions etc.). issue.
Clearing or modifying native vegetation
FLORA AND FAUNA

4.13 (including trees, shrubs, grasses, roots, herbs

or aquatic species).
Introducing or spreading weeds (inc noxious)
4.14
or vermin.
4.15 Introducing bushfire risk factors.
Endangering any species of animal, plant or
other form of life, whether living on land, in
4.16
water or in the air (eg. any danger to birds in
the locality).
4.17 Damaging any EECs
Any other environmental impacts on the
4.18
ecosystems of the locality.
Creating a risk to people (eg electrocution, Minor  OR
4.19 trenches, fires, dangerous goods, service If ticked,
outages, noise, EMF guidelines etc.). go to
Creating a nuisance to the community (eg next
SOCIAL

4.20 perceived risk of fires, explosions, property issue.

value devaluation etc.).
Creating financial loss to members of the
community (eg. restricting access to
4.21
commercial premises, changing land use
etc.).

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Environmenta
Identify Project Specific Control
Description of Impacts AND Causes
Measures

Sensitivity
Likelihood
Item Issue Examples of impacts

l Score
NOTE: Either tick ‘minor’ OR provide

Extent
EMP
details. Additional controls
(CEOP5041)

Affecting a locality, item, place or building Minor  OR

having aesthetic, anthropological, If ticked,
archaeological, architectural, historical, go to
scientific, cultural or social significance or next
4.22 other special value (eg. visual effect on issue.
VISUAL AND HERITAGE

adjoining heritage buildings or items, disturb,

move excavate Aboriginal object) or working
where heritage items could be found (eg
Archaeological Zoning Plans).
Affecting any Aboriginal heritage (eg
4.23 engravings, middens, carved trees, grinding
grooves, paintings, burial sites, etc.).
Changing the visual or scenic landscape (eg
restricting views, removing trees, installing
4.24
OH powerlines, installing substations, causing
obtrusive lighting, creating shadows etc.).
Transforming a locality (e.g. significant
4.25
earthworks).

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30

Environmenta
Identify Project Specific Control
Description of Impacts AND Causes
Measures

Sensitivity
Likelihood
Item Issue Examples of impacts

l Score
NOTE: Either tick ‘minor’ OR provide

Extent
EMP
details. Additional controls
(CEOP5041)

Long-term effects on the environment (e.g. Minor  OR

4.26
as a result of waste emissions). If ticked,
Degrading of the quality of the environment go to
OTHER ENVIRONMENTAL ISSUES

4.27 (e.g. effect on surrounding bushland, next

contamination, erosion). issue.

Any other risk to the safety of the

environment (e.g. from exceeding the
4.28
relevant EMF guidelines and having regard to
“principles of prudent avoidance”).
Reducing the range of beneficial uses of the
environment (e.g. effect on surrounding land-
4.29
uses and considering response of affected
land owners).
Increasing demands on resources (natural or
4.30 otherwise) that are, or are likely to become,
in short supply (e.g. demand on water use).
Any cumulative environmental effect with
4.31 other existing or likely future activities (e.g.
context within electricity grid).
4.32 Other

The Environmental Score is determined by multiplying the Likelihood x Extent x Sensitivity E=LxExS

Projects with any HIGH Environmental Scores (>10) must be escalated to the next level of Determining Officer within Essential Energy.
Note: For further guidance on each of the issues above refer to CECM1000,90 Safety, Security, Health and Environmental (SSHE) Manual: SSHE
Handbook. The handbook can be used by non Essential Energy employees; however non Essential Energy employees must not rely solely on the
handbook, but rather should satisfy themselves that their specific work practices are adequately managed in accordance with environmental legislative
requirements.

Essential Energy employees should also refer to CECM1000 SSHE Manual - Environmental sections.
CEOP5041 Safety: Project Safety and Environment Plan, to be used as EMP template (non Essential Energy employees may use it too).
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STEP 16 Identifying other Essential Energy Policies

that may be relevant to the project
TABLE 4A – OTHER RELEVANT ESSENTIAL ENERGY POLICIES/GUIDELINES

The person responsible for completing this EIA Checklist must consider the other Essential Energy policies
identified in Table 4A that may be relevant to the project or proposed works. These policies may contain
additional Mitigation Measures to minimise or control the Environmental Impacts of the project or
additional requirements relating to how specific activities that are part of the project must be conducted.
If there is a particular issue for which Essential Energy does not have a policy, the Determining Officer
should consult an appropriate supervisor for advice.

Has the Is the

Item RELEVANT POLICY/GUIDELINE: policy been policy
considered? relevant?
4A.1 CECM1000.70 Environmental Impact Assessment NSW  Yes  No  Yes  No

4A.2 CEOP5041 Project Safety and Environment Plan  Yes  No  Yes  No

Other relevant policies/guidelines

Further information pertaining to EIA determination is available at:

1 EP&A Act 1979 and EP&A Regulation 2000:
www.legislation.nsw.gov.au/maintop/scanact/inforce/NONE/0
Refer sections 5A, 5B, 111, 112 and 112A of the EP&A Act 1979, clause 228 of the EP&A
Regulation 2000
2 DoP’s guidelines “Is an EIS required?”:
www.planning.nsw.gov.au/assessingdev/pdf/gu_isaneisrequired.pdf
3 DECCW’s “Interim Community Guidelines for Community Consultation”:
www.nationalparks.nsw.gov.au/PDFs/interim_consulation_guidelines.pdf

4 CECM1000.70 Essential Energy’s SSHE Manual: Environmental Impact Assessment - NSW

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STEP 17

Determining the overall environmental impact of the proposed works

TABLE 5 – DECISION

Person who prepares the EIA

I certify to the best of my knowledge that:

 I am suitably qualified and competent to complete this EIA Checklist:
o having completed Essential Energy’s EIA training, Course No ENV01 (for Essential Energy
officers), or
o having complet ed E ssential E nergy’s / En ergy Aust ralia’s E IA training on ………… ……… (in sert
date) (for Accredited Service Providers - Level 3), AND
 I h ave complet ed t his E IA Ch ecklist in acc ordance with CECM100 0.70 E ssential E nergy’s SSHE
Manual: Environmental Impact Assessment - NSW AND
 The EIA meets the requirements of sections 5A,5B, 111, 112 and 112A of the EP&A Act 1979, clause
228 of the EP&A Regulation and other relevant legislation and guidelines discussed in CECM1000.70,
AND
 I have visited the site prior to the commencement of the proposed works or activities, AND
 The information contained in the Checklist is not materially misleading, AND
 My assessment has been adequately completed, AND
 My conclusion as to the likely environmental impact of the project is reasonable, AND
 The community impacts are likely to be  LOW  MOD ERATE  HIGH (ti ck one) , an d havi ng
regard to any responses to any notifications issued by Essential Energy AND
 There are HIGH Environmental Scores (rating>10)  NO  YES (tick one).

Signature Date

Name Company

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STEP 18
Official Sign Off – PART B - REF
TABLE 5 – SIGN OFF

Determining Officer - Essential Energy officer who verifies the EIA where (tick one):

 that officer has completed the Checklist and is also authorised as Determining
Officer;

 the Essential Energy officer who completed the Checklist does not have the
authority to verify the Checklist; or

 the Checklist has been completed by an Accredited Service Provider, Level 3.

I certify to the best of my knowledge and on behalf of Essential Energy that:

 I have successfully completed Essential Energy’s EIA training Course No ENV0 1 and am s uitably
qualified and competent to verify the completion of this Checklist AND
 The person who completed this Checklist is suitably qualified and competent, AND
 I co nsulted my immediate supervis or(s) i f I was uncertain wi th re spect to an y aspect of thi s
assessment, AND
EITHER
 Based on the completed Checklist and my knowledge of the project, the assessment has been
adequately completed, the project has minor and predictable impacts, the conclusion as to the
likely environmental impact of the project is reasonable and the project can proceed subject to
the relevant control measures and conditions in any approvals, licences or permits and having
regard to responses provided to Essential Energy where notification is required.
OR
 The Checklist will be escalated to the next level of Determining Officer or the Safety and
Environment Committee because:
 There are MODERATE or HIGH community impacts TABLE 1
 There are any HIGH Environmental Scores (rating>10) TABLE 4

Signature Date

Name Company Essential Energy

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