Lismore Base Hospital Redevelopment Stage 3C Independent ... · AQUAS (Nilda Soto – Lead Auditor and Ana Maria Munoz – Auditor) on 22 May 2019. This Audit covered the conditions

Lismore Base Hospital Redevelopment Stage 3C Independent Compliance and Environmental Audit

Assessment of John Holland’s Environmental System Compliance Against the SSD 8963 Conditions of Consent

Audit Reference: AQ1238.02

Audit Organisation: John Holland Pty Ltd

Auditors: Nilda Soto, Lead Auditor, AQUAS

Ana Maria Munoz, Auditor, AQUAS

Date of Audit: 22 May 2019

Draft Report Submitted: 5 June 2019

Final Report Submitted: Rev 0 - 20 June 2019

Rev 1 - 19 September 2019

Amendment, Distribution & Authorisation Record

AQ1238.02 COMPLIANCE AND ENVIRONMENTAL AUDIT REPORT - LISMORE BASE HOSPITAL - 20190919 REV.1 PAGE 2 OF 62

Version Control and Distribution

Revision No. Date Issued to Description

Draft 5/6/2019 CBRE - Mohaned El Gubbi -

Rev 0 20/6/2019 CBRE - Mohaned El Gubbi Address comments from CBRE.

Rev 1 19/9/2019 CBRE - Mohaned El Gubbi Changes on the report based on comments received from

DPIE on the 19 August 2019.

No reproduction of this document or any part thereof is permitted without prior written permission of AQUAS Pty Limited. This report has been prepared and reviewed in accordance with our Quality control system. This report has been prepared by: ANA MARIA MUNOZ Date: 19/09/2019 Environmental Auditor Reviewed by: NILDA SOTO Date: 19/09/2019 Lead Environmental Auditor

© Copyright AQUAS Pty Ltd ABN: 40 050 539 010 All rights reserved. No material may be reproduced without prior permission. While we have tried to ensure the accuracy of the information in this publication, the Publisher accepts no responsibility or liability for any errors, omissions or resultant consequences including any loss or damage arising from reliance in information

in this publication. AQUAS Pty Ltd www.aquas.com.au


1. Executive Summary 4

2. Introduction 5

2.1 Background 5

2.2 Project Details 5

2.3 Audit Team 5

2.4 Audit Objectives 6

2.5 . Audit Scope 6

2.6 Audit Period 6

3. Audit Methodology 7

3.1 Approval of Auditors 7

3.2 Audit scope development 7

3.3 Audit Process 7

3.3.1 Opening Meeting 7

3.3.2 Conduct of Audit 7

3.3.3 Closing Meeting 7

3.4 Interviewed Persons 8

3.5 Details of Site Inspection 8

3.6 Consultation 8

3.7 Audit Compliance Status Descriptors 8

4. Document Review 9

5. Audit Findings 10

5.1 Assessment of Compliance 10

5.2 Notices, Incidents and Complaints 10

5.3 Previous Audit Recommendations 11

5.4 Audit Findings 12

5.5 Audit Site Inspection 13

5.6 Suitability of Plans and the EMS 13

5.7 Key Strengths 13

6. Recommendations 14

Appendices

Appendix A. Auditors Approval 16

Appendix B. Audit Attendance Sheet 17

Appendix C. Independent Audit Declaration Form 18

Appendix D. Audit Checklist and Audit Findings 19

Appendix E. Audit Photos 58

Appendix F. Consultation Records 61


1. Executive Summary This audit was completed to assess the environmental controls established by Health Infrastructure (HI) and John Holland (the principal contractor) against the requirements of Development Consent SSD 8963 Condition B21 for the Lismore Hospital Redevelopment Stage 3C project. The audit was conducted by AQUAS (Nilda Soto – Lead Auditor and Ana Maria Munoz – Auditor) on 22 May 2019. This Audit covered the conditions under Part A, Part B and Part C of the Development Consent SSD 8963.

Overall, the project environmental performance in relation to the Development Consent SSD 8963 is satisfactorily met with the following key strengths noted:

▪ The Construction Environmental Management Plan (CEMP) and majority of environmental sub-plans have been reviewed and updated to comply with the Development Consent Conditions;

▪ Environmental resources allocated to the project had a good sense of respect and commitment; ▪ Environmental inspections are undertaken regularly; ▪ Internal and external communication mechanisms have been established; ▪ Consultation with the community and sensitive receivers has been managed well; ▪ Erosion and sedimentation controls were in place within the construction area; ▪ Environmental controls such as dust, air quality, waste segregation and traffic management have been

implemented appropriately on site; ▪ Construction site was free of safety hazards and risks; and ▪ The process for reporting incidents, complaints and non-conformances was well implemented and

recorded.

Summary of Audit Findings

Based on the conducted independent environmental audit which comprised of document and records review, interview with key personnel and site inspection there were a total 72 Conditions of Consent that have been reviewed during this audit.

The following are the audit findings raised that need to be addressed by John Holland and Health Infrastructure to attain full compliance with SSD 8963 and continually improve the environmental performance of the development.

Non-Compliant

NC-01 Condition B3 - Copy of the Crown Certificate No.19/124020-6 approved 26/4/19 for Façade and external walls was not provided to Department of Planning, Industry and Environment (DPIE) within seven days after the Certifying Authority accepts it.

NC-02 Condition B19 - The Compliance Table (Obligation Register) does not include all the Compliance Table requirements as per Section 2.2.1 of the Compliance Reporting Post Approval Requirements (June 2018) from Department of Planning and Environment.

NC-03 Condition B20 - The Independent Audit Program, dated 27/9/18, was not submitted to DPIE, no later than 2 weeks before the date notified for the commencement of construction.

John Holland and Health Infrastructure are required to action the identified non-compliances in order to fully comply with the Development Consent Conditions (SSD 8963) and to continually improve the environmental performance of the Project. Feedback from this audit should be taken as an opportunity to make improvements in the Environmental Management System established by John Holland for the Lismore Base Hospital Redevelopment Project.


2. Introduction

2.1 Background

John Holland has been appointed by CBRE and HI for the construction of an additional four floors to the North Tower (Levels 7 to 10), which will be fully integrated into the existing floors (Levels 3 to 6) of North Tower, constructed as part of Stage 3B of the LBH Redevelopment Project. Health Infrastructure engaged AQUAS to undertake the second independent compliance and environmental audit on 22 of May 2019 during construction phase of the Lismore Base Hospital (LBH) Stage 3C Redevelopment North Tower Extension works project to verify compliance with the Development Consent Condition B21, in accordance with: (a) the Independent Audit Program submitted to the Department and the Certifier under condition

B20 of this consent; and (b) the requirements for an Independent Audit Methodology and Independent Audit Report in the

Independent Audit Post Approval Requirements (Department 2018).

2.2 Project Details

Project Name Lismore Base Hospital (LBH) Stage 3C Redevelopment – North Tower Extension Works

Project Application Number SSD 8963

Project Address 60 Uralba Street, Lismore NSW

Project Phase Construction

Project Activity Summary Structures 100% completed, scaffolding is being decommissioned at the time of the audit, all plant installed in the roof.

Current site works included crane operations, façade finishing works, stormwater pipe and fit out works, including completion of walls framing and ceilings.

2.3 Audit Team

Details of the AQUAS environmental auditors for this audit were submitted to the Department of Planning by CBRE. Endorsement by Planning of the following auditors was granted prior to the conduct of the audit:

Name Company Position Certification

Nilda Soto AQUAS Lead Environmental Auditor

Exemplar Global Lead Environmental Auditor – Certificate No. 115002.

Ana Maria Munoz AQUAS Environmental Auditor SAI Global Lead Auditor; Exemplar Global Certification as Environmental Auditor in progress.


2.4 Audit Objectives

The objective of this audit was to undertake the second independent environmental audit in compliance with the Development Consent Condition SSD 8963 Cl. B21, in accordance with:

(a) the Independent Audit Program submitted to the Department and the Certifier under condition B20 of this consent; and

(b) the requirements for an Independent Audit Methodology and Independent Audit Report in the Independent Audit Post Approval Requirements (Department 2018).

2.5 . Audit Scope

The following scope of this audit comprised of:

▪ Review of implementation of John Holland Construction Environmental Management Plan (CEMP) Revision 11 dated 1 February 2019 and the following appendices: - Appendix 2 – Obligations Register - Appendix 3 – Project Environment Audit Schedule - Appendix 8 – Environmental Control Plans: - JH-ECP-ENV-001 Dust Air Quality Environmental Control Plan - JH-ECP-ENV-002 Water, Erosion and Sediment Environmental Control Plan - JH-ECP-ENV-004 Construction Noise & Vibration Management Plan - JH-ECP-ENV-005 Waste Management Environmental Control Plan - JH-ECP-ENV-006 Site Contamination & Hazardous Substances Environmental Control Plan

▪ Review of implementation of John Holland Construction Traffic Management Plan Revision 7 dated 1 February 2019.

▪ Site inspection conducted on 22 May 2019; ▪ Review of environmental records; ▪ Interview of site personnel; and ▪ Consultation with stakeholders.

2.6 Audit Period

This was the second independent environmental and compliance audit carried out by AQUAS on the project which covers the review of environmental documentation and records for the construction from December 2018 up to 22 May 2019 only.

It should be noted that this report is based on the result of sampling and supplied documentation/records, as well as site activities on the day of audit (22 May 2019).


3. Audit Methodology

3.1 Approval of Auditors

Letter with Agreement from Planning Secretary of independent auditors is attached in Appendix A.

3.2 Audit scope development

AQUAS developed the audit scope and a checklist based on the Project Development Consent Requirements Application No. SSD 8963. Refer to Appendix D of this report.

3.3 Audit Process

3.3.1 Opening Meeting

An opening meeting was held on 22 May 2019 at 7:10am with John Holland project personnel, CBRE Project Manager and AQUAS auditors as per the Audit Attendance Sheet. Refer to Appendix B of this report.

Key items were discussed, including:

▪ Confirmation of the purpose and scope of the audit ▪ Overview of the Project and status of the works ▪ Occurrence of Environmental incidents ▪ Overview of the audit process in accordance with the proposed Audit Program

3.3.2 Conduct of Audit

Audit activities included the following:

▪ Reviewed the project documentation (CEMP and sub-plans) to verify compliance with the Development Consent Conditions SSD 8963.

▪ Conducted a site walk to review implementation of mitigation measures and environmental controls.

▪ Conducted the audit following the checklist that was prepared based on the Development Consent Conditions by interviewing personnel and review of records provided as evidence of compliance.

▪ Discussion of identified findings during closing meeting and any actions noted during site inspection were clearly communicated to the site personnel and addressed immediately.

3.3.3 Closing Meeting

The closing meeting was held on 22 May 2019 at 1:30pm with representatives of John Holland, CBRE and AQUAS. General feedback and the findings of the audit were discussed during the closing meeting.

AQUAS auditors acknowledged the cooperation, openness and hospitality of John Holland staff during the conduct of this audit.


3.4 Interviewed Persons

Name and position of persons interviewed:

Name Organisation Position

Michael Sawyer John Holland Safety Advisor / Environmental Representative

Will Roberts John Holland Senior Project Engineer

Mohaned El Gubbi CBRE Project Manager

3.5 Details of Site Inspection

A site walk around the construction area was conducted with focus on the following controls:

Erosion and sedimentation controls including sediment fences and controls around pits. Stabilised access/egress; Roads surrounding the site for dust/mud tracking; Chemical storage; Dust management; Wastes management; Site fence/screening; Site signage; and General housekeeping.

Photos taken during site inspection are included in the Appendix E.

3.6 Consultation

Communications were sent to the Project Management Company CBRE and to the Lismore Base Hospital Change Manager to request feedback about the project and highlight any areas for review by AQUAS during the audit.

Consultation with the Department of Planning, Industry and Environment was not conducted during this audit. It will be noted that consultation with the Department will be conducted on the next scheduled audit.

The feedback provided was generally positive, with some suggested focus areas including the noise and vibration controls. Review of these areas was undertaken during the audit as part of various SSD Conditions. Refer to Appendix F for consultation records.

3.7 Audit Compliance Status Descriptors

The following audit criteria were used for the rating of audit findings.

Compliance Status Descriptors Description

Compliant The auditor has collected sufficient verifiable evidence to demonstrate that all elements of the requirement have been complied with within the scope of the audit.

Non-Compliant The auditor has determined that one or more specific elements of the conditions or requirements have not been complied with within the scope of the audit.

Not triggered A requirement has an activation or timing trigger that has not been met at the time when the audit is undertaken, therefore an assessment of compliance is not relevant.


4. Document Review

The following documents were reviewed and/or sighted as part of this audit:

• Construction Environmental Management Plan (CEMP) Rev.11 – 1/2/19

• Traffic Management Plan (TMP) Rev. 7 – 1/2/19

• Dust and Air Quality Management Plan Rev. I – 1/2/19

• Water Quality, Erosion and Sediment Control Management Plan Rev. I – 1/2/19

• Construction Noise and Vibration Management Plan Rev. E – 26/9/18

• Waste Management Plan Rev. 10 – 21/5/18

• Site Contamination & Hazardous Substances Management Plan Rev. G – 1/2/19

• Community Communication Strategy Rev. 1.0 – 7/9/18

• Stakeholder Management Plan LBH Stage 3B Rev. 3 – 27/5/18

• Obligations Register LBH Stage 3C (Extract)

• Accessibility Compliance Statement (Construction Certificate) LBH Stage 3C NTX – 26/11/18

• Elevated Working Platform Log Book dated 22/5/19.

• Plant and Equipment Tag for EWP (John Holland) dated 5/11/18.

• Scaffold Tag (Supacon) dated 1/5/19.

• Building Certification for Crown Building Work Certificate No. 19/124020-5 for North Tower Extension – level 7, 8, 9 and 10 services and fitout dated 19/2/19.

• Building Certification for Crown Building Work Certificate No. 19/124020-6 for remainder of works associated with the North Tower Extension (external façade) dated 26/4/19.

• Newsletter from Lismore Hospital issue 42 for May 2019.

• Hydraulic Services Drawings Approval from Lismore City Council.

• Wood & Grieve Engineers letter regarding the Façade Evaluation dated 26/2/19.

• Department Planning and Environmental approval for Out of Hours Application (from 13/5/19 to 18/519).

• SWMS for Cutting timber activities, No. TRA-3B2-PRE-001.

• SWMS for Installing Walls and Ceiling Framing.

• Site inspection report for Detention Basin – 23/4/19.


5. Audit Findings

This audit was completed to assess the CEMP and environmental controls established by John Holland against the compliance requirements of Development Consent SSD 8963. The audit confirmed that John Holland has implemented its Construction Environmental Management Plan to a satisfactory level.

The following table summarises the audit findings by compliance status descriptors:

Compliance Status Descriptors Number of Findings

Compliant 50

Non-Compliant 3

Not triggered 19

Total Requirements 72

5.1 Assessment of Compliance

The audit determined that John Holland has generally implemented the controls for environmental management within the construction activities that are currently being undertaken. The comparison of audit requirements against the compliance ratings is as follows:

5.2 Notices, Incidents and Complaints

John Holland noted that no agency notices, orders, penalty notices or prosecutions have been issued, and no reportable environmental incidents have occurred to date.

No complaints have been received for Stage 3C of the project. A Complaints Register is available where information about the complaints is recorded including resolution reached. One complaint for Out of Hours Noise was recorded on the 3/7/18, but it was for Stage 3B.

SSD Requirements

Requirements Findings

Part A – Administrative Controls

16 Complaint – 11

Non-Compliant – 0

Not Triggered – 5

Part B – Prior to commencement of Construction

23 Complaint – 19

Non-Compliant – 3

Not Triggered – 1

Part C – During Construction Appendix 1 – Incident Notification

33 Complaint – 20

Non-Compliant – 0

Not Triggered – 13


5.3 Previous Audit Recommendations

The audit findings from the initial audit conducted on the 27 November 2018 were reviewed in detail with John Holland.

AQUAS confirmed that John Holland responses and actions were appropriate to close out 5 out of 6 audit opportunities for improvement from the 2018 compliance and environmental audit.

One (1) opportunity for improvement remain outstanding and require further action from John Holland, as detailed below.

Finding No. SSD No. Audit Finding Follow-up Comments Status

OFI-01 Compliance

Report

B13 CEMP Revision 7 was available in the Department of Planning website. However latest revision of the CEMP is Revision 10 dated 26/9/18.

The latest version of the CEMP (Rev.11 dated 1/2/19) was uploaded in the NSW Government Health Infrastructure website.

Closed

OFI-02 Compliance

Report

B14 (f) The monitoring processes and a program to monitor the effectiveness of the traffic and pedestrian management control measures is not explicitly included in the sighted Traffic Management Plan (TMP) Rev. 6.

The Traffic Management Plan (Rev. 7 dated 1/2/19) now includes the processes and program to monitor the traffic and pedestrian management control measures.

Closed

OFI-03 Compliance

Report

B16 Waste disposal facility has not been included in the Waste Management Plan as required by the Conditions of Consent. Also, the waste classification table indicates there is ‘Special Waste - Asbestos Waste (potential for unanticipated discovery)’; it was noted that there is no asbestos in Stage 3C of the project.

The Waste Management Plan dated 1/2/19, Section 6.0 has been updated to include the transport / disposal method and disposal facility. Also, the reference to asbestos waste has been deleted from the waste classification column.

Closed

OFI-01 Environmental System Report

A1 The presented LBH 3C Obligations Register does not include all the Development Conditions of Consent for Stage 3C of the project (SSD 8963).

The Obligations Register is now managed through the Project Pack Web (PPW) system. Register was updated to include all the Conditions of Consent SSD 8963 for Stage 3C of the project. Additionally, the CEMP was updated in Section 4.3 and Appendix 2 to include a reference to this Register.

Closed


A7, A8, A9, C28

CEMP does not indicate how compliance requirements will be evaluated, how often and what records will be maintained. A minimum review frequency for the CEMP and the LBH 3C Obligations Register has not been established or documented.

CEMP (Rev.11 dated 1/2/19) Appendix 2 indicates that the Obligations Register will be reviewed every six months. Section 8 (Table 14) indicates that compliance will be evaluated through 3rd Party Audits (Client Representative)

Closed


B12 Community consultation and stakeholder’s communication was not fully described in the CEMP.

CEMP has not been updated to include a reference to the Community Consultation

Open


Finding No. SSD No. Audit Finding Follow-up Comments Status

It was noted that these processes are included in the Community Consultation Strategy and the Stakeholder Management Plan.

Strategy and the Stakeholder Management Plan in section 5.4 External Communication.

5.4 Audit Findings

There following table summarised the Non-compliant conditions that need to be addressed. Refer to the attached Appendix D for full details of findings including auditor notes.

Finding No. Condition of Consent Requirement Audit Findings

Non-Compliant-01

Condition B3: External Walls and Cladding Prior to the commencement of construction, the Applicant must provide the Certifying Authority with documented evidence that the products and systems proposed for use in the construction of external walls including finishes and claddings such as synthetic or aluminium composite panels comply with the requirements of the BCA. The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

Compliance with BCA requirements was sighted in the Crown Certificate No.19/124020-6 approved 26/4/19 for reminder of the works associated with North Tower Extension (Façade, external walls). Attachment 8 of the Certificate includes a fire engineering report from Aecom for North Tower Extension (BCA clauses) dated 17/1/19. Also, a letter from Wood & Grieve Engineers provided a letter 26/2/19 indicating that external partitions walls will satisfy BCA 2016 Section J Part J1 thermal requirements.

Copy of the Crown Certificate No.19/124020-6 approved 26/4/19 for Façade and external walls was provided to DPE on the 20/3/19 which is after the timeframe required.

Non-Compliant-02

Condition B19: Compliance Reporting

No later than two weeks before the date notified for the commencement of construction, a Compliance Monitoring and Reporting Program prepared in accordance with the Compliance Reporting Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier.

Compliance Reports of the project must be carried out in accordance with the Compliance Reporting Post Approval Requirements (Department 2018).

The Applicant must make each Compliance Report publicly available 60 days after submitting it to the Department and notify the Department and the Certifying Authority in writing at least seven days before this is done.

The Compliance Table (Obligation Register maintained in the Project Pack Web (PPW)) does not include all the Compliance Table requirements as per Section 2.2.1 of the Compliance Reporting Post Approval Requirements (June 2018) from Department of Planning and Environment.

Non-Compliant-03

Condition B20: Independent Environmental Audit No later than 2 weeks before the date notified for the commencement of construction, an Independent Audit Program prepared in accordance with the

Independent Audit Program dated 27/9/18 was submitted to DPE on the 20/2/19 which is after the timeframe required by this condition.


Finding No. Condition of Consent Requirement Audit Findings

Independent Audit Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier.

5.5 Audit Site Inspection

The site inspection was conducted at 8:00am on 22 May 2019. AQUAS auditors and John Holland project staff walked through the construction site, where environmental controls were observed, including:

- Site signage and site sheds; - Silt fence along the boundary of the site; - Erosion and sediment controls for pits outside the site; - Suitable storage for hazardous materials; - Scaffold, electrical equipment and fire extinguishers were appropriately tagged; - Skip bins for waste and recycling in various locations; and - Spill kits and general housekeeping.

Issues noted during the site inspection were rectified the day after the audit. Please refer to photos of the site inspection in Appendix E.

5.6 Suitability of Plans and the EMS

The CEMP and sub-plans were generally compliant with the requirements of the Development Consent. Though there were few updates identified under OFI-03 (from last year’s audit) and OFI-01 (from this year audit) described in section 5.3 and 6.0 of this report with regards to updating the CEMP and the Noise and Vibration Management Plan.

John Holland Environmental Management System (EMS) is robust on communication processes, documentation and record keeping, induction, training and competence, environmental controls and non-conformance/corrective action processes.

5.7 Key Strengths

Overall, the project environmental performance in compliance with Development Consent SSD 8963 is satisfactorily met with the following key strengths noted:

✓ The Construction Environmental Management Plan (CEMP) and majority of environmental sub-plans have been reviewed and updated to comply with the Development Consent Conditions.

✓ Environmental resources allocated to the project had a good sense of respect and commitment. ✓ Environmental inspections are undertaken regularly. ✓ Internal and external communication mechanisms have been established. ✓ Consultation with the community and sensitive receivers (e.g. Hospital) has been managed well. ✓ Erosion and sedimentation controls were in place around the construction site. ✓ Environmental controls such as dust, air quality, waste segregation and traffic management have

been implemented appropriately on site. ✓ Construction site was free of safety hazards and risks. ✓ The process for reporting incidents, complaints and non-conformances was well implemented

and recorded.


6. Recommendations

The table below outlines the identified non-compliances and the auditor recommendations.

Finding Number

Consent Condition Description Audit Findings Recommendations

Non-Compliant -01

B3: External Walls and Cladding Prior to the commencement of construction, the Applicant must provide the Certifying Authority with documented evidence that the products and systems proposed for use in the construction of external walls including finishes and claddings such as synthetic or aluminium composite panels comply with the requirements of the BCA. The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

Compliance with BCA requirements was sighted in the Crown Certificate No.19/124020-6 approved 26/4/19 for reminder of the works associated with North Tower Extension (Façade, external walls). Attachment 8 of the Certificate includes a fire engineering report from Aecom for North Tower Extension (BCA clauses) dated 17/1/19. Also, a letter from Wood & Grieve Engineers provided a letter 26/2/19 indicating that external partitions walls will satisfy BCA 2016 Section J Part J1 thermal requirements.

Copy of the Crown Certificate No.19/124020-6 approved 26/4/19 for Façade and external walls was provided to DPE on the 20/3/19 which is after the timeframe required.

John Holland to ensure timeframe requirements of this condition are met for future projects.

Non-Compliant -02

B19: Compliance Reporting No later than two weeks before the date notified for the commencement of construction, a Compliance Monitoring and Reporting Program prepared in accordance with the Compliance Reporting Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier. Compliance Reports of the project must be carried out in accordance with the Compliance Reporting Post Approval Requirements (Department 2018). The Applicant must make each Compliance Report publicly available 60 days after submitting it to the Department and notify the Department and the Certifying Authority in writing at least seven days before this is done.

The Compliance Table (Obligation Register maintained in the Project Pack Web (PPW)) does not include all the Compliance Table requirements as per Section 2.2.1 of the Compliance Reporting Post Approval Requirements (June 2018) from Department of Planning and Environment.

John Holland to update the Compliance Table (Obligations Register) to include the proposed monitoring methodology for each compliance requirement and the evidence collected to assess compliance with each requirement.


Finding Number


Non-Compliant -03

B20: Independent Environmental Audit No later than 2 weeks before the date notified for the commencement of construction, an Independent Audit Program prepared in accordance with the Independent Audit Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier.

Independent Audit Program was prepared by AQUAS and sent to Health Infrastructure on the 27/9/18. Audit Program was submitted to DPE on the 20/2/19 which is after the timeframe required by this condition.


In addition to the non-compliances raised, the auditor identified three (3) opportunities for improvement for the continual improvement of the environmental performance of the project.

Finding Number


Opportunities for Improvement

Opportunity for Improvement -01

C7 - Implementation of Management Plans

The Applicant must carry out the construction of the development in accordance with the most recent version of the approved CEMP.

The Noise and Vibration Management Plan prepared by Resonate Revision D dated 28/9/18, has not been reviewed within the required timeframe (six-monthly).

An opportunity for Improvement for John Holland to update the Noise and Vibration Management Plan and indicate that the Plan was reviewed.


C10 - SafeWork Requirements

To protect the safety of work personnel and the public, the work site must be adequately secured to prevent access by unauthorised personnel, and work must be conducted at all times in accordance with relevant Safe Work requirements.

The presented SWMS for Installing Walls and Ceiling Framing did not include the risk of cutting fingers by using the fingerless gloves.

An opportunity for Improvement for John Holland to update the SWMS accordingly.


C21 - Disposal of Seepage and Stormwater

Any seepage or rainwater collected on-site during construction or groundwater must not be pumped to the street stormwater system unless separate prior approval is given in writing by the EPA in accordance with the Protection of the Environment Operations Act 1997.

The detention basin located at level 3 is visually inspected on a monthly basis by the Contractor in order to avoid blockages and the potential of flooding of surrounding site areas. The basin does not collect stormwater from the project works. The risk of a blockage has not been identified in the Environmental Risk Register.

An opportunity for Improvement for John Holland to update the Environmental Risk Register and ensure that this risk is clearly identified, assessed and environmental controls installed to avoid any eventuality.


Appendix A. Auditors Approval


Appendix B. Audit Attendance Sheet


Appendix C. Independent Audit Declaration Form

Audit Compliance Codes: C: Compliant NC: No-Compliant; NT: Not triggered AQ1238.02 COMPLIANCE AND ENVIRONMENTAL AUDIT REPORT - LISMORE BASE HOSPITAL - 20190919 REV.1 PAGE 19 OF 62

Appendix D. Audit Checklist and Audit Findings

ID No.

SSD Part No.

SSD Req. No.

SSD Requirement Audit Evidence Audit Findings /

Recommendations Compliance Descriptor

1.0 PART A - ADMINISTRATIVE CONDITIONS

1.1 A A1 Obligation to Minimise Harm to the Environment In addition to meeting the specific performance measures and criteria in this consent, all reasonable and feasible measures must be implemented to prevent, and if prevention is not reasonable and feasible, minimise, any material harm to the environment that may result from the construction and operation of the development.

Site controls were implemented and generally well -managed, e.g. dust, noise and vibration, traffic and waste management. There was no material harm reported to date. There were no issues raised during the site inspection conducted on this audit. Refer to the site inspection photos in Appendix E.

Compliant

1.2 A A2 Terms of Consent The development may only be carried out:

The project complied with the conditions of this consent, the EIS and Response to submission; sighted letter 23/7/18 Ref. P-17144 from ‘Planning Building Heritage Urban Services’ to DPE with the Response to Submission regarding SSD 8963 for Lismore Base Hospital Redevelopment Stage 3C North Tower Extension (NTX). Approved plans sighted in Health Infrastructure website and drawings were stamped by DPE.

Compliant

1.3 A A2 (a) in compliance with the conditions of this consent;

1.4 A A2 (b) in accordance with all written directions of the Planning Secretary;

1.5 A A2 (c) generally, in accordance with the EIS and Response to Submissions;

1.6 A A2 (d) in accordance with the approved plans in the table below:

1.7 A A2 List of architectural drawings

1.8 A A3 Consistent with the requirements in this consent, the Planning Secretary may make written directions to the Applicant in relation to:

Written directions received from the DPE have been addressed, as required. Sighted examples:

Compliant


ID No.

SSD Part No.

SSD Req. No.



1.9 A A3 (a) the content of any strategy, study, system, plan, program, review, audit, notification, report or correspondence submitted under or otherwise made in relation to this consent, including those that are required to be, and have been, approved by the Planning Secretary; and

- Email sent from HI to DPE on 19/2/19 with copies of: NTX Crown certificate for Structure, LBH3B Environmental Audit (Dec 2018), LBH3B Quality Audit Report (Dec 2018), LBH-PP-JH-Y-0004-11-CEMP Stage 3 and LBH-PP-JH-Y-0007-01-TMP.

- Letter received from DPE on 14/6/19 regarding agreement of independent auditors for LBH Stage 3C 9SSD 8963.

- Email sent from HI to DPE on 20/8/19 with a response for the requested Compliance and Audit programs being amended.

Also, comments received from DPE on the independent environmental audit report on the 19/8/19 were addressed in revision 1.0 of this report.

1.10 A A3 (b) the implementation of any actions or measures contained in any such document referred to in (a) above.

1.11 A A4 The conditions of this consent and directions of the Planning Secretary prevail to the extent of any inconsistency, ambiguity or conflict between them and a document listed in condition A2(c). In the event of an inconsistency, ambiguity or conflict between any of the documents listed in condition A2(c), the most recent document prevails to the extent of the inconsistency, ambiguity or conflict.

Project complied with the Conditions of this Consent SSD 8963 (dated 20/9/18) as noted in this report.

Compliant

1.12 A A5 Limits of Consent This consent lapses five years after the date of consent unless the works associated with the development have physically commenced.

The Condition of Consent SSD 8963 (dated 20/9/18) lapse-in in 5 years.

Compliant


ID No.

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1.13 A A6 Evidence of Consultation Where conditions of this consent require consultation with an identified party, the Applicant must:

Evidence of consultation was sighted as follows:

Compliant

1.14 A A6 (a) consult with the relevant party prior to submitting the subject document for information or approval; and

Meetings with the Hospital Representatives for Stage 3C have been undertaken with attendance of HI, CBRE and John Holland representatives.

1.15 A A6 (b) provide details of the consultation undertaken including:

PCG Meeting No.59 dated 14/5/19 was sighted with attendance of HI, Hospital representative, CBRE and JH. Meetings are conducted on monthly basis.

1.16 A A6 (b) (i)

the outcome of that consultation, matters resolved and unresolved; and

When significant events require to be communicated to the community, the Hospital issues a newsletter and it gets discuss in the PCG meeting where input is provided by HI, CBRE and JH. Sighted Newsletter issue 42 for May 2019.

1.17 A A6 (b) (ii)

details of any disagreement remaining between the party consulted and the Applicant and how the Applicant has addressed the matters not resolved.

No disagreements.

1.18 A A7 Staging, Combining and Updating Strategies, Plans and Programs With the approval of the Planning Secretary, the Applicant may:

Approval from the DPE on the CEMP and subplans was received on 20/9/18. All approved Plans are listed in the Health Infrastructure Website/Lismore Base Hospital Redevelopment: http://www.lbhredevelopment.health.nsw.gov.au/projects/stage-3c

Not Triggered

http://www.lbhredevelopment.health.nsw.gov.au/projects/stage-3c



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1.19 A A7 (a) prepare and submit any strategy, plan or program required by this consent on a staged basis (if a clear description is provided as to the specific stage and scope of the development to which the strategy, plan or program applies, the relationship of the stage to any future stages and the trigger for updating the strategy, plan or program);

The consent only covers the Stage 3C Redevelopment of Lismore Hospital. No other staging. Relevant Project Plans have been provided to DPE and published in the HI website.

1.20 A A7 (b) combine any strategy, plan or program required by this consent (if a clear relationship is demonstrated between the strategies, plans or programs that are proposed to be combined); and

Combine strategy, plan or program are not required under this Consent.

1.21 A A7 (c) update any strategy, plan or program required by this consent (to ensure the strategies, plans and programs required under this consent are updated on a regular basis and incorporate additional measures or amendments to improve the environmental performance of the development).

CEMP has been reviewed at least six-monthly. Last review (version 11) was conducted on 1 February 2019.

1.22 A A8 If the Planning Secretary agrees, a strategy, plan or program may be staged or updated without consultation being undertaken with all parties required to be consulted in the relevant condition in this consent.

The consent only covers the Stage 3C Redevelopment of Lismore Hospital. No staging is required.

Not Triggered

1.23 A A9 If approved by the Planning Secretary, updated strategies, plans or programs supersede the previous versions of them and must be

Noted. Updated Plans are uploaded in the Health Infrastructure Website/Lismore Base Hospital Redevelopment. Sighted CEMP (version 11) revised on the 11 February 2019.

Not Triggered


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implemented in accordance with the condition that requires the strategy, plan or program.


1.24 A A10 Demolition Demolition work must comply with AS 2601-2001 The demolition of structures (Standards Australia, 2001). The work plans required by AS 2601-2001 must be accompanied by a written statement from a suitably qualified person that the proposals contained in the work plan comply with the safety requirements of the Standard. The work plans, and the statement of compliance must be submitted to the Certifying Authority before the commencement of works.

No demolition works for Stage 3C Redevelopment of Lismore Hospital were required.

Not Triggered

1.25 A A11 Structural Adequacy All new buildings and structures, and any alterations or additions to existing buildings and structures, that are part of the development, must be constructed in accordance with the relevant requirements of the BCA. Note: Part 8 of the EP&A Regulation sets out the requirements for the certification of the development.

Crown Building Work Certificate No. 19/124020-6 for the reminder of works associated with the North Tower Extension (Façade) dated 26/4/19 was presented.

Compliant




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1.26 A A12 External Walls and Cladding The external walls of all buildings including additions to existing buildings must comply with the relevant requirements of the BCA.

Compliance with BCA requirements sighted in the Crown Certificate No.19/124020-6 approved 26/4/19 for reminder of the works associated with North Tower Extension (Façade, external walls). Attachment 8 of the Certificate includes a fire engineering report from Aecom for North Tower Extension (BCA clauses) dated 17/1/19. Also, a letter from Wood & Grieve Engineers provided a letter 26/2/19 indicating that external partitions walls will satisfy BCA 2016 Section J Part J1 thermal requirements. Certificate for Combustibility Test for materials provided by Rockwool on 4/2/16 Report No. FNC11629A indicates that it was NOT combustible. Also, Certificate for Combustibility for Materials from Fairview Australia Vitradual 21/6/16 Report No. FNC11690 was sighted.

Compliant


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1.27 A A13 Applicability of Guidelines References in the conditions of this consent to any guideline, protocol, Australian Standard or policy are to such guidelines, protocols, Standards or policies in the form they are in as at the date of this consent. However, consistent with the conditions of this consent and without altering any limits or criteria in this consent, the Planning Secretary may, when issuing directions under this consent in respect of ongoing monitoring and management obligations, require compliance with an updated or revised version of such a guideline, protocol, Standard or policy, or a replacement of them.

No directions received from DPIE regarding updated or revised versions. Guidelines such as BCA and Australian Standards requirements are included in the design certificate reports. Sighted BCA and Australian Standard requirements in the Crown Certificate No.19/124020-6 approved 26/4/19 for reminder of the works associated with North Tower Extension (Façade, external walls).

Not Triggered

1.28 A A14 Monitoring and Environmental Audits

Any condition of this consent that requires the carrying out of monitoring or an environmental audit, whether directly or by way of a plan, strategy or program, is taken to be a condition requiring monitoring or an environmental audit under Division 9.4 of Part 9 of the EP&A Act. This includes conditions in respect of incident notification, reporting and response, noncompliance notification, compliance reporting and independent auditing.

Evidence of environmental audits completed by JH: Audit conducted on 3/12/18 Audit Report No. LH/003; few findings and observations raised e.g. risk assessment for hazardous substances, updating plans, etc. Sighted Risk Assessment for Rockwool Insulation 11/1/18 as a result of the audit. Two more audits have been planned by JH: one for June and one for Dec 2019.

Compliant


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1.29 A A15 Access to Information At least 48 hours before the commencement of construction until the completion of all works under this consent, or such other time as agreed by the Planning Secretary, the Applicant must:

The latest revision of the CEMP and subplans were sent to CBRE through Aconex 14/5/19. Plan was then sent to HI on the 14/5/19. HI indicated that after this audit all documents will be sent to Department of Planning.

Compliant

1.30 A A15 (a)

make the following information and documents (as they are obtained or approved) publicly available on its website:

CEMP is available at the Health Infrastructure website. The latest revision No. 11 dated 1/2/19 was uploaded to the website the day after the audit. http://www.lbhredevelopment.health.nsw.gov.au/projects/stage-3c

1.31 A A15 (a) (i)

the documents referred to in condition A2 of this consent;

All approved plans (20/9/18) can be found in the Health Infrastructure - Lismore Base Hospital website.

1.32 A A15 (a) (ii)

all current statutory approvals for the development;

Development Consent Conditions SSD8963 signed 20/09/2018 found in the Health Infrastructure - Lismore Base Hospital website.

1.33 A A15 (a) (iii)

all approved strategies, plans and programs required under the conditions of this consent;

Strategies and Plans found in the Health Infrastructure - Lismore Base Hospital website.

1.34 A A15 (a) (iv)

regular reporting on the environmental performance of the development in accordance with the reporting arrangements in any plans or programs approved under the conditions of this consent;

The last environmental audit report and compliance report from AQUAS were uploaded to the Health Infrastructure - Lismore Base Hospital website. Another audit report from JH was also sighted.


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1.35 A A15 (a) (v)

a comprehensive summary of the monitoring results of the development, reported in accordance with the specifications in any conditions of this consent, or any approved plans and programs;

Not required for noise / dust / vibration monitoring results.

1.36 A A15 (a) (vi)

a summary of the current stage and progress of the development;

Summary of the project is included in the HI website. Newsletters from Hospital are also included in the same website from time to time. February 2019 issue 40 newsletter sighted including topping out marks. Also, sighted November and December 2019 newsletters.

1.37 A A15 (a) (vii)

contact details to enquire about the development or to make a complaint;

Website has a “Contact Us” function. Also, the site signage includes the details of JH Project Manager and Site Manager.

1.38 A A15 (a)

(viii)

a complaint register updated monthly; Complaints register uploaded in the website. Only one complaint recorded, and it was for Stage 3B.

1.39 A A15 (a) (ix)

audit reports prepared as part of any independent environmental audit of the development and the Applicant’s response to the recommendations in any audit report;

Included in HI website - sighted environmental audit report from JH completed in Dec 2018 and 2 AQUAS reports (compliance and environmental) completed in Nov 2018.

1.40 A A15 (a) (x)

any other matter required by the Planning Secretary; and

No other information has been requested.

1.41 A A15 (b)

keep such information up to date, to the satisfaction of the Planning Secretary.

The latest revision of the CEMP and subplans were uploaded not in the website the day after the audit.


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1.42 A AN1 Advisory Notes All licences, permits, approvals and consents as required by law must be obtained and maintained as required for the development. No condition of this consent removes any obligation to obtain, renew or comply with such licences, permits, approvals and consents.

Sighted Lismore City Council approval for hydraulics services, water supply, stormwater and sewer for Stage 3B2. Letter dated 5/11/18 EPA license not required.

Compliant


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SSD Requirement Audit Evidence Audit Findings / Recommendations

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2.0 PART B - PRIOR TO COMMENCEMENT OF CONSTRUCTION

2.1 B B1 Notification of Commencement The Department must be notified in writing of the dates of commencement of physical work and operation at least 48 hours before those dates. If the construction or operation of the development is to be staged, the Department must be notified in writing at least 48 hours before the commencement of each stage, of the date of commencement and the development to be carried out in that stage.

Notification of commencement was sent from JH to CBRE on the 3/10/2018 for the North Tower Extension (NTX) at Lismore Base Hospital Stage 3C Redevelopment Main Works. Construction work (physical works commenced on 5/10/18).

HI notified commencement of work to DPE. DPE email 4/9/19 subject: commencement date for Lismore Hospital confirmed that notification was provided.

Compliant

2.2 B B2 Certified Drawings Prior to the commencement of construction, the Applicant must submit to the satisfaction of the Certifier structural drawings prepared and signed by a suitably qualified practising Structural Engineer that demonstrates compliance with:

Design Certificate - included Structural Drawing 16/06/2017 signed.

Compliant

2.3 B B2 (a) the relevant clauses of the BCA; and BCA 2015 Parts B & C included.

2.4 B B2 (b) this development consent. Confirmed


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2.6 B B3 External Walls and Cladding Prior to the commencement of construction, the Applicant must provide the Certifying Authority with documented evidence that the products and systems proposed for use in the construction of external walls including finishes and claddings such as synthetic or aluminium composite panels comply with the requirements of the BCA. The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

Compliance with BCA requirements sighted in the Crown Certificate No.19/124020-6 approved 26/4/19 for reminder of the works associated with North Tower Extension (Façade, external walls). Attachment 8 of the Certificate includes a fire engineering report from Aecom for North Tower Extension (BCA clauses) dated 17/1/19. Also, a letter from Wood & Grieve Engineers provided a letter 26/2/19 indicating that external partitions walls will satisfy BCA 2016 Section J Part J1 thermal requirements.

However, copy of the Crown Certificate No.19/124040-6 for Façade and external walls was provided to DPE on the 20/3/19, which is after the timeframe required.


Non-compliant

01

2.7 B B4 Reflectivity The building materials used on the facades must have a maximum normal specular reflectivity of visible light of 20 percent and designed so as not to result in glare that causes any discomfort or threatens the safety of the pedestrians or drivers. A statement demonstrating compliance with these requirements must be submitted to the satisfaction of the Certifier prior to the commencement of construction.

External reflectivity analysis report 16/4/19 completed by Inhabit. Executive summary indicates the development complies with DA condition B4 (glare potentials observed 1% in a year) it is expected no to cause any discomfort or threat to the safety of pedestrians and drivers. Appendix 17 includes the 17/4/19 report for the Crown Certificate 26/4/19.

Compliant


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2.8 B B5 Protection of Public Infrastructure Before the commencement of construction, the Applicant must:

Compliant

2.9 B B5 (a) consult with the relevant owner and provider of services that are likely to be affected by the development to make suitable arrangements for access to, diversion, protection and support of the affected infrastructure;

Essential energy accepted the request for new connection 30/10/18. Elgas confirmed the capability to accept the designer request for 8.525 GH/L

2.10 B B5 (b) prepare a dilapidation report identifying the condition of all public infrastructure in the vicinity of the site (including roads, gutters and footpaths); and

Dilapidation Report 17/9/2018 prepared by Peter Lucena and Associates Pty Ltd for Lismore Base Hospital Stage 3B2 and North Tower Extension (NTX).

2.11 B B5 (c) submit a copy of the dilapidation report to the Planning Secretary, Certifying Authority and Council.

Presented email from HI to DPE sent on 27/9/18 with a copy of the Dilapidation report. Additionally, Dilapidation Report (17/9/18) was uploaded in the HI Lismore website.

2.12 B B6 Utilities and Services Before the construction of any utility works associated with the development, the Applicant must obtain relevant approvals from service providers.

For electrical services an application for new connection was received on 30/10/18 from essential energy accepting the request. For Gas services a letter from Elgas confirming the capability to accept the designer request for 8.525 GH/L For Telecommunications services a letter on 19/3/18 from Wood & Grieve Engineers for LBH stage 3C was received including

Compliant


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essential energy and Telstra. For Water refer to Lismore City Council approval.

2.13 B B7 Prior to the commencement of above ground works written advice must be obtained from the electricity supply authority, an approved telecommunications carrier and an approved gas carrier (where relevant) stating that satisfactory arrangements have been made to ensure provisions of adequate services.

Email sighted with approval of request to expedite Application for a New Connection – NMI 40012949898 from essential energy (electrical supplier dated 30/10/2018). Nothing further from Telstra.

Compliant

2.14 B B8 Community Communication Strategy A Community Communication Strategy must be prepared to provide mechanisms to facilitate communication between the Applicant, the relevant Council and the community (including adjoining affected landowners and businesses, and others directly impacted by the development), during the design and construction of the development and for a minimum of 12 months following the completion of construction. The Community Communication Strategy must: The Community Communication Strategy must:

Community Communication Strategy developed by HI on 7/9/18. No changes have been made to the strategy since 2018. Also a Stakeholder Management Plan is in place - 27/5/18, which includes community consultation and management

Compliant

2.15 B B8 (a) identify people to be consulted during the design and construction phases;

List of stakeholders who have been consulted during the redevelopment construction period e.g. Hospital executives, local businesses,


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Lismore City Council, CRRH, Rous Water, etc.

2.16 B B8 (b) set out procedures and mechanisms for the regular distribution of accessible information about or relevant to the development;

Communications mechanisms e.g. newsletters, website updates included. Newsletters are posted in the HI website by the Hospital Representative; newsletters are reviewed by HI and input is provided by CBRE and John Holland.

2.17 B B8 (c) provide for the formation of community-based forums, if required, that focus on key environmental management issues for the development;

Meetings with HI/CBRE/Hospital Representatives on monthly basis.

2.18 B B8 (d) set out procedures and mechanisms: Confirmed as listed below

2.19 B B8 (d) (i)

through which the community can discuss or provide feedback to the Applicant;

Monthly meetings. HI website also has a 'contact us' function

2.2 B B8 (d) (ii)

through which the Applicant will respond to enquiries or feedback from the community; and

Complaints register available and copy uploaded in the HI website.

2.21 B B8 (d) (iii)

to resolve any issues and mediate any disputes that may arise in relation to construction and operation of the development, including disputes regarding rectification or compensation.

Stakeholder Management Plan includes key issues and mitigation measures, as well as complaints resolution.


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2.22 B B8 The Community Communication Strategy must be submitted to the Planning Secretary for approval no later than two weeks before the commencement of any work.

Community Communication Strategy sent by HI (7/9/18) and approved by DPE (4/10/18).

2.23 B B8 Work for the purposes of the development must not commence until the Community Communication Strategy has been approved by the Planning Secretary, or within another timeframe agreed with the Planning Secretary.

Presented letter from DPE to HI (4/10/2018) approving the Community Communication Strategy for Lismore Base Hospital Redevelopment Stage 3C.

2.24 B B9 Compliance The Applicant must ensure that all of its employees, contractors (and their sub-contractors) are made aware of, and are instructed to comply with, the conditions of this consent relevant to activities they carry out in respect of the development.

All employees and contractors will undertake the induction. Sighted induction included one line to comply with SSD conditions for the project.

Compliant

2.25 B B10 Outdoor Lighting Prior to commencement of construction, all outdoor lighting within the site must comply with AS 1158.3.1:2005 Lighting for roads and public spaces – Pedestrian area (Category P) lighting – Performance and design requirements and AS 4282-1997 Control of the obtrusive effects of outdoor lighting. Details demonstrating compliance with these requirements must be submitted to the satisfaction of the Certifier.

The Electrical Design Certificate dated 7/8/2017 complies with AS282:1997. Note: The AS 1158.3.1.2005 is not applicable for this project.

Compliant


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2.26 B B11 Access for People with Disabilities The works that are the subject of this application must be designed and constructed to provide access and facilities for people with a disability in accordance with the BCA. Prior to the commencement of construction, the Certifying Authority must ensure that evidence of compliance with this condition from an appropriately qualified person is provided and that the requirements are referenced on any certified plans.

Accessibility Compliance Statement (Stage 3C) dated 29/1/19 was sighted as part of the Crown Certificate for John Holland.

Compliant

2.27 B B12 Construction Environmental Management Plan Prior to commencement of construction, the Applicant must prepare a Construction Environmental Management Plan (CEMP) and it must include, but not be limited to, the following:

CEMP - LBH-PP-JH-Y-0004-09-CEMP was revised on 1/2/19 Revision 11.

Compliant

2.28 B B12 (a) Details of: Confirmed

2.29 B B12 (a) (i)

community consultation and complaints handling; Included in section 7.4 external communication

2.30 B B12 (a) (ii)

hours of work; Included in section 5.1

2.31 B B12 (a) (iii)

24-hour contact details of site manager; Included in the site sign


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2.32 B B12 (a) (iv)

management of dust and odour to protect the amenity of the neighbourhood;

Included in section 5.5 and Dust and Air Quality Environment Control Plan included in Appendix 8

2.33 B B12 (a) (v)

stormwater control and discharge; Included in section 9.2 and Water Quality, Erosion and Sediment Control Environment Control Plan in Appendix 8

2.34 B B12 (a) (vi)

measures to ensure that sediment and other materials are not tracked onto the roadway by vehicles leaving the site;

Included in section 5.5 and Water Quality, Erosion and Sediment Control Environment Control Plan in Appendix 8

2.35 B B12 (a) (vii)

external lighting in compliance with AS 4282-1997 Control of the obtrusive effects of outdoor lighting;

Part of Appendix 2 - Obligations Approvals and Licences Register.

2.36 B B12 (a) (viii)

waste classification (for materials to be removed) and validation (for materials to remain) be undertaken to confirm the contamination status in these areas of the site.

Included in the Waste Management Environment Control Plan

2.37 B B12 (b) Construction Traffic and Pedestrian Management Sub-Plan (see condition B14);

Traffic Management Plan provided

2.38 B B12 (c) Construction Noise and Vibration Management Sub-Plan (see condition B15);

Included in the Construction Noise and Vibration Management Plan

2.39 B B12 (d) Construction Waste Management Sub-Plan (see condition B16);

Waste Management Environmental Control Plan provided


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2.40 B B13 The Applicant must not commence construction of the development until the CEMP is approved by the Certifier and a copy submitted to the Planning Secretary.

Crown Certificate for Building Work No. 18/124020-3 from McKenzie Group included CEMP Rev. 9 dated 19/09/2018 as part of the attachment No. 9.

Compliant

2.41 B B14 Construction Traffic and Pedestrian Management Sub-Plan The Construction Traffic and Pedestrian Management Sub-Plan (CTPMSP) must address, but not be limited to, the following:

TMP LBH-PP-JH-Y-0007-06-TMP dated 19/9/18 Rev. 6 presented.

Compliant

2.42 B B14 (a) be prepared by a suitably qualified and experienced person(s);

TCP was prepared by Traffic Control Innovations (TCI) Consultant.

2.43 B B14 (b) be prepared in consultation with Council; Consultation and approval of TCP was sighted with Lismore City Council.

2.44 B B14 (c) detail the measures that are to be implemented to ensure road safety and network efficiency during construction in consideration of potential impacts on general traffic, cyclists and pedestrians and bus services;

Section 3.0 Vehicular Traffic Impacts include the relevant measures to be taken during construction.

2.45 B B14 (d) detail heavy vehicle routes, access and parking arrangements;

Section 1.3 and 3.3 site access, section 4.2 parking include details for routes, access and parking.

2.46 B B14 (e) include a Driver Code of Conduct to: Section 3.4 general construction deliveries included a driver code of conduct.


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2.47 B B14 (e) (i)

minimise the impacts of earthworks and construction on the local and regional road network;

Appendix 2 - Traffic Control Plan is in place to cover this item.

2.48 B B14 (e) (ii)

minimise conflicts with other road users; Section 3.6 indicates monitoring though the daily signage register. Daily checks were sighted dated 19/11/2018 signed by a Traffic Controller from TCI employee.

2.49 B B14 (e) (iii)

minimise road traffic noise; and Included in section 2.1 specific objectives. To date, no noise complaints have been reported due to traffic.

2.5 B B14 (e) (iv)

ensure truck drivers use specified routes; Appendix 2 - Traffic Control Plan in place indicating the routes to be used.

2.51 B B14 (f) include a program to monitor the effectiveness of these measures; and

Section 3.6 indicates that TMP will be monitored via daily signage register and inspection completed by the site traffic controller. Sighted Traffic Management inspections undertaken by John Holland e.g. inspection completed one on the 9/10/2018; frequency of inspections: ‘as required’.

2.52 B B14 (g) if necessary, detail procedures for notifying residents and the community (including local schools), of any potential disruptions to routes.

Section 5.2 indicates that notices will be provided to surrounding residents and business, when applicable. Disruptions are notified via the newsletter and/or letter box to the residents and the Hospital.


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2.53 B B15 Construction Noise and Vibration Management Plan The Construction Noise and Vibration Management Sub-Plan must address, but not be limited to, the following matters:

The Noise and Vibration Management Plan prepared by Resonate Revision D dated 28/9/18.

Compliant

2.54 B B15 (a) be prepared by a suitably qualified and experienced noise expert;

Prepared by Resonate

2.55 B B15 (b) be prepared in consultation with Council and all noise sensitive receivers where noise levels exceed the construction noise management level in EPA's Interim Construction Guideline (DECC, 2009)

Section 4.1 describes the process for consultation during construction. The Noise and Vibration Management Plan (Rev. D) was sent to Lismore Council prior commencement of construction of Stage 3B1, sighted email sent on the 8/5/15.

2.56 B B15 (c) describe procedures for achieving the noise management levels in EPA’s Interim Construction Noise Guideline (DECC, 2009);

Section 6.1.1 Noise management levels describes this process

2.57 B B15 (d) describe the measures to be implemented to manage high noise generating works such as piling, in close proximity to sensitive receivers;

Section 6.1.2 describes measures for management of highly noise affected sensitive receivers.

2.58 B B15 (e) include strategies that have been developed with the community for managing high noise generating works;

Section 6.1.2 includes management of restriction the hours of construction works. No ‘Out of Hours’ works have been carried out for Sage 3C. at the time of the audit


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2.59 B B15 (f) describe the community consultation undertaken to develop the strategies in condition B15(d); and

Section 4.0 describes community consultation during construction.

2.60 B B15 (g) include a complaints management system that would be implemented for the duration of the construction.

Section 4.2 indicates the complaint management procedure.

2.61 B B16 Construction Waste Management Sub-Plan The Construction Waste Management Sub-Plan (CWMSP) must address, but not be limited to, the following matters where relevant:

WMP - JH-ECP-ENV-005 dated 26/9/18, Revision I.

Compliant

2.62 B B16 (a) detail the quantities of each waste type generated during construction and the proposed reuse, recycling and disposal locations;

Section 6.0 has been updated to include waste type, estimated quantities, construction waste classification, transport/disposal method and waste disposal facility.

2.63 B B16 (b) removal of hazardous materials, particularly the method of containment and control of emission of fibres to the air, and disposal at an approved waste disposal facility in accordance with the requirements of the relevant legislation, codes, standards and guidelines, prior to the commencement of any building works.

Section 6.0 indicates that non-hazardous waste will be disposed of at Northern Rivers Waste (Lismore NSW).


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2.64 B B17 Operational Noise - Design of Mechanical Plant and Equipment Prior to commencement of construction, the Applicant must incorporate the noise mitigation recommendations in the Lismore Hospital Stage 3C SEAR 9 Noise Impact Assessment, dated 11 April 2018, into the detailed design drawings. The Certifier must verify that all reasonable and feasible noise mitigation measures have been incorporated into the design to ensure the development will not exceed the recommended operational noise levels identified in the Noise Impact Assessment - Acoustic Logic, 11/4/18.

Attachment 18 - Design Certificate for Acoustic Works prepared by Acoustic Logic dated 10/12/18 is part of Crown Certificate. Letter 10/12/18 refers to the Noise impact assessment provided by Acoustic Logic 11/4/2018 Rev.1 and it has been adopted in the design documentation.

Compliant

2.65 B B18 Mechanical Ventilation Details demonstrating that all mechanical ventilation systems selected will be installed in accordance with Part F4.5 of the BCA and must comply with the AS 1668.2-2012 The use of air-conditioning in buildings – Mechanical ventilation in buildings and AS/NZS 3666.1:2011 Air handling and water systems of buildings– Microbial control must be submitted to the satisfaction of the Certifier prior to the commencement of construction to ensure adequate levels of health and amenity to the occupants of the building and to ensure environmental protection.

Design Certificate - Mechanical for Lismore Base Hospital 3b - North Tower Extension sighted. Certificate was dated 22/10/2018 including compliance with AS/NZS 1668.1-2015, AS1668.2-2012.

Compliant


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2.66 B B19 Compliance Reporting No later than two weeks before the date notified for the commencement of construction, a Compliance Monitoring and Reporting Program prepared in accordance with the Compliance Reporting Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier. Compliance Reports of the project must be carried out in accordance with the Compliance Reporting Post Approval Requirements (Department 2018). The Applicant must make each Compliance Report publicly available 60 days after submitting it to the Department and notify the Department and the Certifying Authority in writing at least seven days before this is done.

Compliance Monitoring and Reporting Program letter was prepared by CBRE 17/09/18 and submitted to HI.

The first Compliance Monitoring Report was sent from CBRE to HI 10/1/19. Report was sent to DPE on 20/2/19 and was uploaded in the HI website, accordingly.

The audit noted that the Compliance table (Obligation Register maintained in the Project Pack Web (PPW)) does not include all the Compliance Table requirements as per Section 2.2.1 of the Compliance Reporting Post Approval Requirements (June 2018) from Department of Planning and Environment.

Compliance Table (i.e. Obligations Register) needs to be updated to include the proposed monitoring methodology for each compliance requirement and the evidence collected to assess compliance with each requirement.

Non-Compliant

02

2.67 B B20 Independent Environmental Audit No later than 2 weeks before the date notified for the commencement of construction, an Independent Audit Program prepared in accordance with the Independent Audit Post Approval Requirements (Department 2018) must be submitted to the Department and the Certifier.

Independent Audit Program was prepared by AQUAS and sent to Health Infrastructure on the 27/9/18. Audit Program was submitted to DPE on the 20/2/19 which is after the timeframe required.


Non-compliant

03

2.68 B B21 Independent Audits of the development must be carried out in accordance with:

Confirmed. This is the second audit carried out for the project.

Compliant


ID No.

SSD Part No.

SSD Req. No.


Compliance Rating

2.69 B B21 (a) the Independent Audit Program submitted to the Department and the Certifier under condition B20 of this consent; and

Audit program was sent 27/9/18 to Health Infrastructure which indicates audits will be carried out every 6 months.

2.70 B B21 (b) the requirements for an Independent Audit Methodology and Independent Audit Report in the Independent Audit Post Approval Requirements (Department 2018).

Audit report followed the IAPAR requirements (Department 2018).

2.71 B B22 In accordance with the specific requirements in the Independent Audit Post Approval. Requirements (Department 2018), the Applicant must:

Audit report followed the IAPAR requirements (Department 2018).

Compliant

2.72 B B22 (a) review and respond to each Independent Audit Report prepared under condition B21(b) of this consent;

Response by email from JH to CBRE & HI (7/2/19) indicating that audit report was sighted and actions to address the 6 OFIs raised. Also, JH indicated that Principal (HI) will issue and consult to DPE as necessary to ensure conditions are satisfied.

2.73 B B22 (b) submit the response to the Department and the Certifier; and

Response by email from JH to CBRE & HI (7/2/19). Copy of the audit report was issued to the Certifier 7/2/19. Response was sent to DPE on the 20/2/19.

2.74 B B22 (c) make each Independent Audit Report and response to it publicly available within 60 days after submission to the Department and notify

An email was sent to HI on the 10/2/19 with a copy of the independent audit report. Notification to DPE was provided on 20/2/19


ID No.

SSD Part No.

SSD Req. No.


Compliance Rating

the Department and the Certifier in writing when this has been done.

and audit report was uploaded on the HI website on the 20/2/19.

2.75 B B23 Notwithstanding the requirements of the Independent Audit Post Approval Requirements (Department 2018), the Planning Secretary may approve a request for ongoing annual operational audits to be terminated, where it has been demonstrated to the Secretary's satisfaction that an audit has verified and confirmed operational compliance.

No request received to date. Not Triggered


ID No.

SSD

Part

No.

SSD Req. No.


Recommendations

Compliance Rating

3.0 PART C - DURING CONSTRUCTION

3.1 C C1 Approved Plans on Site

A copy of the approved and certified plans,

specifications and documents incorporating

conditions of approval and certification must be kept

on the Site at all times and must be readily available

for perusal by any officer of the Department, Council

or the Certifier.

JH Approved Plans for the LBHR Stage 3C are available in the DPE website, NSW Government website and hard copies of the plans are available on the site office.

Compliant

3.2 C C2 Site Notice

A site notice(s): Site Notice in place at Little Uralba Street and compliant

Compliant

3.3 C C2 (a) must be prominently displayed at the boundaries of

the site for the purposes of informing the public of

project details including, but not limited to the details

of the Builder, Certifying Authority and Structural

Engineer.

3.4 C C2 (b) is to satisfy all but not be limited to, the following

requirements:

3.5 C C2 (b)

(i)

minimum dimensions of the notice must measure 841

mm x 594 mm (A1) with any text on the notice to be a

minimum of 30-point type size;

3.6 C C2 (b)

(ii)

the notice is to be durable and weatherproof and is to

be displayed throughout the works period;


3.7 C C2 (b)

(iii)

the approved hours of work, the name of the site/

project manager, the responsible managing company

(if any), its address and 24-hour contact phone

number for any inquiries, including construction/ noise

complaint must be displayed on the site notice; and

3.8 C C2 (b)

(iv)

the notice(s) is to be mounted at eye level on the

perimeter hoardings/fencing and is to state that

unauthorised entry to the site is not permitted.

3.9 C C3 Operation of Plant and Equipment

All plant and equipment used on site, or to monitor

the performance of the development must be:

Sample of plants including tower crane and scissor lift were checked for compliance. Maintenance records sighted

Compliant

3.10 C C3 (a) maintained in a proper and efficient condition; and Tower Crane Plant hazard assessment sighted

3.11 C C3 (b) operated in a proper and efficient manner. Elevated Working Platform Log Book sighted

3.12 C C4 Construction Hours

Construction, including the delivery of materials to

and from the site, may only be carried out between

the following hours:

Construction works being undertaken within the timeframes in accordance with the Conditions of Consent and the working hours included in the CEMP section 3.6.

No work has been carried out on Sundays.

Compliant

3.13 C C4 (a) between 7am and 6pm, Mondays to Fridays inclusive;

and

3.14 C C4 (b) between 8am and 1pm, Saturdays.

3.15 C C4 No work may be carried out on Sundays or public

holidays.

3.16 C C5 Activities may be undertaken outside of the hours in

condition C4 if required: Two (2) Applications for Out of Hours Work undertaken.

Compliant


3.17 C C5 (a) by the Police or a public authority for the delivery of

vehicles, plant or materials; or

Last Application included works started on the 13th of May 2019 7:00pm until 18th of May 2019 6:00 am. New Application for Out of Hours works is in progress.

Applications are comprehensive including reason, preliminary noise assessment, description of high noise generating plant/equipment/predictions, traffic planning and controls, lighting, and communications notices. There is evidence of the NSW Planning and Environmental approval to the Application Mon 13 May to 18 May 2019.

3.18 C C5 (b) in an emergency to avoid the loss of life, damage to

property or to prevent environmental harm; or

3.19 C C5 (c) where the works are inaudible at the nearest sensitive

receivers; or

3.2 C C5 (d) where a variation is approved in advance in writing by

the Planning Secretary or her nominee if appropriate

justification is provided for the works.

3.21 C C5 Notification of such activities must be given to

affected residents before undertaking the activities or

as soon as is practical afterwards.

3.22 C C6 Rock breaking, rock hammering, sheet piling, pile

driving, and similar activities may only be carried out

between the following hours:

Restriction of hours included in section 9.2 of Noise and Vibration Management Plan (revision D – 26/9/18).

None of these activities were conducted onsite.

Not Triggered

3.23 C C6 (a) 9am to 12pm, Monday to Friday;

3.24 C C6 (b) 2pm to 5pm Monday to Friday; and

3.25 C C6 (c) 9am to 12pm, Saturday.

3.26 C C7 Implementation of Management Plans

The Applicant must carry out the construction of the

development in accordance with the most recent

version of the approved CEMP.

CEMP (Document No LBH-PP-JH-Y-0004-09-CEMP 1/2/19 Revision 11) and subplans (as noted in conditions B14, B15 and B16) have been reviewed and they are implemented onsite, with the exception of the Noise and Vibration Management Plan which has been prepared by Resonate. This Plan Revision D

Opportunity for Improvement-01:

John Holland to update the Noise and Vibration Management Plan. If no changes are

Compliant


dated 28/09/2018 was reviewed internally by John Holland in February 2019 with no changes required, however, this review was not recorded in the Plan showing that the last review was made on September 2018 and no other reviews were made within the required timeframe (6-monthly).

found, a note needs to be included in the Plan indicating the date of the review. This will provide consistency with the other plans reviews and will comply with the CEMP requirement that indicates the Plans will be reviewed every six months.

3.27 C C8 Construction Traffic

All construction vehicles (excluding worker vehicles)

are to be contained wholly within the site, except if

located in an approved on-street work zone, and

vehicles must enter the site before stopping.

Loading/unloading areas have been identified, communicated and documented. There is no evidence of disruption on adjacent street due to construction traffic.

The Traffic Control Plan (Appendix 2 of the TMP) was checked during this inspection and evidence of its implementation was sighted.

Compliant

3.28 C C9 Road Occupancy Licence

A Road Occupancy Licence must be obtained from

the relevant road authority for any works that impact

on traffic flows during construction activities.

ROL not required.

There is evidence of Local Council's (Lismore Council) approval from June 2018 to September 2019.

Not Triggered


3.29 C C10 SafeWork Requirements

To protect the safety of work personnel and the

public, the work site must be adequately secured to

prevent access by unauthorised personnel, and work

must be conducted at all times in accordance with

relevant Safe Work requirements.

Work Site is secured and gives protection to unauthorised personnel to access the site. Fences and signs allocated and compliant. A Sample of SWMSs were sighted including: SWMS No TRA-3B2-PRE-001 - Cutting timber activities and SWMS for Installing Walls and Ceiling Framing. The presented SWMS for Installing Walls and Ceiling Framing did not include the risk of cutting fingers by not using gloves.

Opportunity for Improvement-02:

An opportunity for improvement has been identified for John Holland to update the SWMS accordingly including safety controls on potential impacts on workers for not using gloves

Compliant

3.30 C C11 No Obstruction of Public Way

The public way (outside of any approved construction

works zone) must not be obstructed by any materials,

vehicles, refuse, skips or the like, under and

circumstances, unless prior approval has been

obtained from the relevant authority. Non-compliance

with this requirement will result in the issue of a notice

by the relevant Authority to stop all works on site.

No obstruction of public way was identified. Compliant

3.31 C C12 Construction Noise Limits

The development must be constructed to achieve the

construction noise management levels detailed in the

Interim Construction Noise Guideline (DECC, 2009).

All feasible and reasonable noise mitigation measures

must be implemented and any activities that could

exceed the construction noise management levels

must be identified and managed in accordance with

the management and mitigation measures identified

in the approved CNVMP.

No exceedances have been identified as there is no piling/drilling/rock hammering/concrete cutting & pours work. Majority of construction works are encapsulated on floors with completed windows. No complaints received from sensitive receivers

Compliant


3.32 C C13 The Applicant must ensure construction vehicles

(including concrete agitator trucks) do not arrive at the

site or surrounding residential precincts outside of the

construction hours of work outlined under condition

C4.

Construction vehicles on the site and surrounding residential and sensitive areas only on the prescribed construction hours of work.

Compliant

3.33 C C14 The Applicant must implement, where practicable and

without compromising the safety of construction staff

or members of the public, the use audible movement

alarms of a type that would minimise noise impacts

on surrounding noise sensitive receivers.

White Sound reversing safety alarm (lower sound pressure levels and reduced noise pollution) used on plant externally.

Compliant

3.34 C C15 Any noise generated during construction of the

development must not be offensive noise within the

meaning of the Protection of the Environment

Operations Act 1997 or exceed approved noise limits

for the site.

Project works have not exceeded the required noise limits. Minor noise generated. Plant is being checked on a regular basis. Electrical tower crane is being used to reduce noise

Compliant

3.35 C C16 Vibration Criteria

Vibration caused by construction at any residence or

structure outside the site must be limited to:

No works are generating significant vibration levels to affect structures. Vibration caused by construction works are no longer undertaken.

Not Triggered

3.36 C C16 (a) for structural damage, the latest version of DIN 4150-

3 (1992-02) Structural vibration - Effects of vibration

on structures (German Institute for Standardisation,

1999); and

3.37 C C16 (b) for human exposure, the acceptable vibration values

set out in the Environmental Noise Management

Assessing Vibration: a technical guideline (DEC,

2006) (as may be updated or replaced from time to

time).


3.38 C C17 Vibratory compactors must not be used closer than

30 metres from residential buildings unless vibration

monitoring confirms compliance with the vibration

criteria specified in condition C16.

Vibratory compactors not used on site. Not Triggered

3.39 C C18 The limits in conditions C18 and C19 apply unless

otherwise outlined in a Construction Noise and

Vibration Management Plan, approved as part of the

CEMP required by condition B12 of this consent.

Limits of the Conditions C18 and C19 have not changed/modified.

Not Triggered

3.40 C C19 Dust Minimisation

The Applicant must take all reasonable steps to

minimise dust generated during all works authorised

by this consent.

No dust was identified during site inspection. All controls are in place

Compliant

3.41 C C20 During construction, the Applicant must ensure that: Dust is being suppressed by gravel installation and concrete hard stand at ground level (Level 3). Sweeping and surfaces being hosed being done frequently.

Compliant

3.42 C C20 (a) exposed surfaces and stockpiles are suppressed by

regular watering; Exposed surfaces and stockpiles being watered regularly

3.43 C C20 (b) all trucks entering or leaving the site with loads have

their loads covered; All truck entering and/or leaving the site with loads covered.

3.44 C C20 (c) trucks associated with the development do not track

dirt onto the public road network; No dirt on the roads.

3.45 C C20 (d) public roads used by these trucks are kept clean; and Roads clean and not dust accumulated on the road surfaces.

3.46 C C20 (e) land stabilisation works are carried out progressively

on site to minimise exposed surfaces. No exposed areas identified


3.47 C C21 Disposal of Seepage and Stormwater

Any seepage or rainwater collected on-site during

construction or groundwater must not be pumped to

the street stormwater system unless separate prior

approval is given in writing by the EPA in accordance

with the Protection of the Environment Operations Act

1997.

JH has not pumped stormwater to street stormwater system to date.

The audit noted that there is a detention basin installed at level 3. This basin does not collect stormwater from the project works. Visual inspection is undertaken on a monthly basis and documented in the Environmental Inspection Report. Site inspection report 23.04.19 was sighted. The objective of the inspection is to check blockages only and to reduce the flooding risk of the site works.

Opportunity for Improvement-03: John Holland to update the Environmental Risk Register to include the risk of blockage in the detention basin; the risk to be clearly identified, assessed and environmental controls installed.

Compliant

3.48 C C22 Waste Storage and Processing

Waste must be secured and maintained within

designated waste storage areas at all times and must

not leave the site onto neighbouring public or private

properties.

All waste has been segregated in designated areas and transported to an approved waste/recycling facility. Sighted Monthly Waste Report by Richmond Waste dated May 2019 for Lismore Base Hospital.

Compliant

3.49 C C23 All waste generated during construction must be

assess, classified and managed in accordance with

the Waste Classification Guidelines Part 1:

Classifying Waste (EPA, 2014)

All waste segregated and classified in accordance with the Waste Management Plan Rev J dated 02.01.19. Richmond Waste Subcontractor submit a monthly report indicating volumes of waste received and dates, transport means for traceability purposes. Reports for May and June 2019 were sighted.

Compliant


3.50 C C24 The body of any vehicle or trailer used to transport

waste or excavation spoil must be covered before

leaving the premises to prevent any spillage or

escape of any dust, waste of spoil. Mud, splatter, dust

and other material likely to fall from or be cast off the

wheels, underside or body of any vehicle, trailer or

motorised plant leaving the site must be removed

before leaving the premises.

Waste is covered and transported to a waste facility. No spillage left behind. Refer to Appendix E – photos of clean street.

Compliant

3.51 C C25 The Applicant must ensure that concrete waste and

rinse water are not disposed of on the site and are

prevented from entering any natural of artificial

watercourse.

There is a concrete washdown area within the site premises. No concrete waste disposed onsite, refer to photos in Appendix E.

Compliant

3.52 C C26 Incident Notification, Reporting and Response

The Department must be notified in writing ID

[email protected] immediately after

the Applicant becomes aware of an incident The

notification must identify the development (Including

the development application number and the name of

the development if it has one), and set out the

location and nature of the Incident.

Subsequent notification must be given and reports

submitted in accordance with the requirements set

out in Appendix 1.

No reportable environmental incidents to date. Not Triggered


3.53 C C27 Non-compliance Notification

The Department must be notified in writing to

[email protected] within seven days

after the Applicant becomes aware of any non-

compliance. The Certifying Authority must also notify

the Department in writing to


after they identify any non-compliance.

The notification must identify the development and

the application number for it, set out the condition of

consent that the development is non-compliant with,

the way in which it does not comply and the reasons

for the non-compliance (if known) and what actions

have been, or will be, undertaken to address the non-

compliance.

A non-compliance which has been notified as an

incident does not need to also be notified as a non-

compliance.

No environmental non-compliances raised. Not Triggered

3.54 C C28 Revision of Strategies Plans and Programs

Within three months of:

Not Triggered

3.55 C C28 (a) the submission of a compliance report under

condition B19; Noted

3.56 C C28 (b) the submission of an incident report under condition

C26; Noted. No incident reported to date.

3.57 C C28 (c) the submission of an Independent Audit under

condition B20; Noted.

3.58 C C28 (d) the approval of any modification of the conditions of

this consent; or No new direction or modification has been directed from DPE.


3.59 C C28 (e) the issue of a direction of the Planning Secretary

under condition A2 which requires a review, No new direction or modification has been directed from DPE.

3.60 C C28 the strategies, plans and programs required under

this consent must be reviewed, and the Department

and the Certifying Authority must be notified in writing

that a review is being carried out.

Not triggered.

3.61 C C29 If necessary to either improve the environmental

performance of the development, cater for a

modification or comply with a direction, the strategies,

plans and programs required under this consent must

be revised, to the satisfaction of the Certifying

Authority. Where revisions are required, the revised

document must be submitted to the Certifying

Authority for approval within six weeks of the review.

Note: This is to ensure strategies, plans and

programs are updated on a regular basis and to

incorporate any recommended measures to improve

the environmental performance of the development.

Noted, no revision required. Not Triggered

APPENDIX A - WRITTEN NOTIFICATION AND REPORTING

4.1 App

x

1 A written incident notification addressing the

requirements set out below must be emailed to the

Department at the following address:


after the Applicant becomes aware of an incident.

Notification is required to be given under this

condition even if the Applicant fails to give the

notification required under condition C32 or, having

given such notification, subsequently forms the view

that an incident has not occurred.

No notifiable environmental incidents to date. Not Triggered


4.2 App

x

2 Written notification of an incident must: No notifications to date.

Not Triggered

4.3 App

x

2 (a) identify the development and application number;

4.4 App

x

2 (b) provide details of the incident (date, time, location, a

brief description of what occurred and why it is

classified as an incident);

4.5 App

x

2 (c) identify how the incident was detected;

4.6 App

x

2 (d) identify when the applicant became aware of the

incident;

4.7 App

x

2 (e) identify any actual or potential non-compliance with

conditions of consent;

4.8 App

x

2 (f) describe what immediate steps were taken in relation

to the incident;

4.9 App

x

2 (g) identify further action(s) that will be taken in relation to

the incident; and

4.10 App

x

2 (h) identify a project contact for further communication

regarding the incident.


4.11 App

x

3 Within 30 days of the date on which the incident

occurred or as otherwise agreed to by the Planning

Secretary, the Applicant must provide the Planning

Secretary and any relevant public authorities (as

determined by the Planning Secretary) with a detailed

report on the incident addressing all requirements

below, and such further reports as may be requested.

Noted. No notifiable environmental incidents to date.

Not Triggered

4.12 App

x

4 The Incident Report must include: Noted. No incident has occurred.

Not Triggered

4.13 App

x

4 (a) a summary of the incident;

4.14 App

x

4 (b) outcomes of an incident investigation, including

identification of the cause of the incident;

4.15 App

x

4 (c) details of the corrective and preventative actions that

have been, or will be, implemented to address the

incident and prevent recurrence; and

4.16 App

x

4 (d) details of any communication with other stakeholders

regarding the incident.


Appendix E. Audit Photos

Photo 1 – Site notice at project entrance Photo 2 – Construction waste rubbish

Photo 3a – Drain cover to be put in place and maintained. Photo 3b – Drain cover rectified immediately upon issue noted by auditor.


Photo 4 – Dust controls in place Photo 5 – Safe crane operations

Photo 6 – Scaffold tagged Photo 7 – Spill kits in place


Photo 8 – Site fencing around the perimeter of site office Photo 9 – Crane activities and dust controls in place

Photo 10 – Secured Fence Photo 11 – Street facing south kept clean


Appendix F. Consultation Records


Documents

Lismore Base Hospital Redevelopment Stage 3C Independent ... · AQUAS (Nilda Soto – Lead Auditor and Ana Maria Munoz – Auditor) on 22 May 2019. This Audit covered the conditions