Hazardous Waste Facility Environmental Risk Assessment Form
Facility Information
Facility Name
Location / Address
Facility ID (if applicable)
Contact Details
Contact Person
Phone
Email
Hazardous Waste Details
Types of Hazardous Waste Handled
Typical Quantity Stored Onsite
Environmental Risk Assessment
Identify Potential Environmental Risks
Proximity to Sensitive Areas (e.g. water bodies, residential areas)
Existing Control Measures
History of Environmental Incidents (if any)
Additional Comments/Recommendations
Assessment Completed By
Name
Date