Pollution Report Form

Report Environment Pollution Problem or Complaint

Step 1

Pollution type

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Step 2

Pollution details

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Step 3

Your details

Problem or Complaint Type

AIR

• Dust
• Odour
• Quality
• Smoke
• Vehicle
• Wood Burning
• Other

LAND

• Illegal Dumping
• Litter
• Soil Contamination
• Other

MAJOR INCIDENT

• Chemical Spill or Release
• Emergency Release
• Fires in Industrial Complex
• Fish Kill
• Marine Oil Spill
• Train Derailment
• Truck Rollover
• Other

NOISE

• Commercial - Industrial
• Construction
• Entertainment Venue
• Licenced Premises
• Transportation
• Other

WASTE

• Abandonment
• Asbestos
• Controlled or Listed Waste
• Landfill
• Litter
• Transport
• Treatment
• Other

WATER

• Algal Blooms
• Ballast
• Beach, River, Creeks
• Fish Kill
• Groundwater
• Litter
• Onsite wastewater
• Sediment
• Sewage Overflows
• Small Boats
• Stormwater

Happening Now

• Yes
• No

Date of occurrence

Time of occurrence

If ongoing, best time to witness?