ENVIRONMENTAL RISK PROFILE FOR ONE-PASS PLANNING Instructions for completing this risk profile are found in section 1 of the 4th E Practice Guide. Please use the comments section to provide additional information or analysis. Sign-off by the Internal Specialist—Environment and Sustainable Development is mandatory. Audit Team: Date: Entity/Functional Area: Program Summary Potential Environmental Effects Risk Analysis Entity 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Strategic Outcome: Program Sub-activity Key Policies, Programs, Projects, Operations Air Marine/Freshwater Land Hazardous Materials Environmental Emergencies Natural Resources (Extraction and Consumption) Other Severity of Environmental Effect Likelihood of Occurrence Significant Environmental Risk Degree of Entity Influence ** *** High (H) High (H) Medium (M) Medium (M) Low (L) Low (L) High (H) Yes/ No Medium (M) Low (L) Other Waste Materials (timber, minerals, etc.) Marine resources Water Energy Land use Shipping-related Land-based New substances / organisms Toxic substances / hazardous waste Biodiversity (flora and fauna) Habitat Contaminated sites Agricultural land / soil Habitat Biodiversity (marine and freshwater) Groundwater / drinking water Surface water (marine and freshwater) Air quality (smog, ozone depletion, acid rain, etc.) Related Program Activity Climate change * * Severity of Environmental Effect ** Likelihood of Occurrence *** Degree of Entity Influence High—Potentially widespread or serious long term effect Medium—Moderate effect over the medium term Low—Limited of no environmental effect High—Effect is occurring or is imminent Medium—Effect is likely to occur at some time Low—Effect may occur but only under exceptional circumstances High—Direct responsibility within its mandate Medium—Shared responsibility Low—Limited responsibility Last Review: February 2011 Template Owner: Environment and Sustainable Development Page 1 of 2 Team Comments: (including remarks on the ratings assigned and any links to the entity’s sustainable development strategy) Internal Specialist assessment and sign-off: The Internal Specialist agrees with the overall assessment. Comments: The Internal Specialist recommends further analysis. Comments: Internal Specialist: Date: Audit PX: Date: Last Review: February 2011 Template Owner: Environment and Sustainable Development Page 2 of 2