Auditor certification
Contaminated land investigation document
This template is for use by auditors approved under Chapter 12 Part 3A of the Environmental Protection Act 1994 (EP Act)
to certify a contaminated land investigation document under s. 389 (3) of the EP Act.
1. Details of the auditor’s function
Auditor
Name
Company
Registered business address
Telephone
Email
Auditor approval number (Qld)
Contaminated land investigation document
Comprised of:
site investigation report
validation report
draft SMP
draft amended SMP
Title(s), version number, date and author(s) of report(s) or draft SMP(s) evaluated—for each separate document
forming a component of the CLID
Title(s), version number, date and author(s) of any site investigation report that has previously been submitted
to the administering authority and forms part of the current CLID
Relevant land
Lot/Plan
Title of attached site plan or relevant survey plan
with relevant boundaries, including scale and
latitude and longitude.
Street address
Postcode
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ABN46 640 294 485
Auditor’s Certification
Contaminated land investigation document
Local government area
EMR/CLR ID (if applicable)
Registered owner name
Registered owner address
Compliance permit (if applicable)
Reference of compliance permit being issued
Ref:
Support expert(s) engaged by auditor (if applicable)
Name
Company
Description of the matter for which the support expert has provided expert advice
Support expert’s report (or other document) attached
Support expert’s statement attached
More than one support expert was engaged, a full list of each support expert’s details is attached
Auditor engagement
Auditor engaged by:
Owner
Occupier
Developer
Administering authority
Other (provide details below)
Name of person/company who engaged the auditor:
Object of the contaminated land investigation document:
To meet the requirements of a notice issued by the administering authority under EP Act. Provide
administering authority reference number:
To meet the requirements for compliance assessment under the Sustainable Planning Act 2009
Prepared voluntarily to remove, or change details of, land on the EMR/CLR
Other (provide details below)
If other, provide details:
Date auditor was commissioned:
Date of certification by the auditor:
2. Certification statement
I certify that the contaminated land investigation document complies with subsections 389 (1) and (2) of the
Environmental Protection Act 1994 having regard to the guidance provided within the Queensland Auditor
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Department of Environment and Heritage Protection
Auditor’s Certification
Contaminated land investigation document
Handbook for Contaminated Land, Module 5: Contaminated land investigation documents, auditor certification
and compliance assessment.
In particular, I certify that the site suitability statement provided in the contaminated land investigation document
is sound.
A statement of reasons for my conclusions with respect to the requirements of subsections 389 (1) and (2) of
the Environmental Protection Act 1994 is attached and titled <INSERT TITLE>.
The cross-reference table below outlines where requirements of subsections 389 (1) and (2) are addressed
within the contaminated land investigation document and my statement of reasons, respectively.
Auditor’s name
Company
Auditor’s signature
Date
3. Cross-reference table
Subsections of section 389 of
Environmental Protection Act 1994
(1)(a)
the reasons particulars of the land
have been recorded in a relevant
land register
(1)(b)
a description of all surface and
subsurface infrastructure on the
land, including details of the
location, size and type of the
infrastructure
(1)(c)
a description of the surrounding
area of the land, including a
description of each of the
following in the surrounding area:
(1)(c)(i)
 all environmentally sensitive
areas
(1)(c)(ii)
 the location of all water,
watercourses and wetlands
(1)(c)(iii)
 the location of all stormwater
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Reference to CLID (i.e.
sections, pages and/or
paragraphs) that comply
with the corresponding
subsection of section 389
of EP Act
Reference to auditor’s
statement of reasons (i.e.
sections, pages and/or
paragraphs) of why each
requirement has been
deemed compliant
Department of Environment and Heritage Protection
Auditor’s Certification
Contaminated land investigation document
Subsections of section 389 of
Environmental Protection Act 1994
Reference to CLID (i.e.
sections, pages and/or
paragraphs) that comply
with the corresponding
subsection of section 389
of EP Act
Reference to auditor’s
statement of reasons (i.e.
sections, pages and/or
paragraphs) of why each
requirement has been
deemed compliant
drainage
(1)(c)(iv)
 all uses of the land, including
uses that may affect the safety
of the relevant land or cause
environmental harm
(1)(c)(v)
 all activities carried out that
may affect the safety of the
relevant land or cause
environmental harm
(1)(d)
for waste disposed of or stored on
the land that contains, or may
potentially contain, hazardous
contaminants:
(1)(d)(i)
 details of the location, volume
and type of the waste
(1)(d)(ii)
 details of any potential
contamination of the land
caused by disposing of or
storing the waste on the land
(1)(e)
a description of the geology and
hydrogeology of the land
(1)(f)
details of any environmentally
relevant activities or notifiable
activities carried out on the land,
including the materials used and
waste produced during the
carrying out of the activities
(1)(g)
details of any earthworks carried
out on the land, including the
materials used and waste
produced during the earthworks
(1)(h)
if work has been carried out on
the land to remediate the
contamination of the land—the
contamination levels recorded on
the land before and after the work
was carried out
(1)(i)
for a draft site management plan:
(1)(i)(i)
 the proposed objectives to be
achieved and maintained
under the plan
(1)(i)(ii)
 the proposed methods for
achieving and maintaining the
objectives
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Department of Environment and Heritage Protection
Auditor’s Certification
Contaminated land investigation document
Subsections of section 389 of
Environmental Protection Act 1994
(1)(i)(iii)
 the proposed monitoring and
reporting compliance
measures for the land
(2)(a)
a statement (a site suitability
statement) of the uses or
activities for which the land is
suitable
(2)(b)
a statement of the following matters:
(2)(b)(i)
 whether the land is prescribed
contaminated land
(2)(b)(ii)
 if the land is contaminated—
the extent to which the land is
contaminated
(2)(b)(iii)
 for a draft site management
plan—whether the proposed
objectives, methods and
measures stated in the plan
under subsection (1)(i) are
appropriate
(2)(b)(iv)
 the extent to which the
assessment of the land is in
accordance with the
contaminated land ASC NEPM
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Reference to CLID (i.e.
sections, pages and/or
paragraphs) that comply
with the corresponding
subsection of section 389
of EP Act
Reference to auditor’s
statement of reasons (i.e.
sections, pages and/or
paragraphs) of why each
requirement has been
deemed compliant
Department of Environment and Heritage Protection