Forms

Environment petroleum forms

Clearing Permit Application Checklist - 61 Kb

Use this checklist to ensure your application contains all the required information.

Chemical Disclosure Report - 50 Kb

Use this template to report chemical disclosure.

Emissions and Discharges Reports Form (Quarterly) - 54 Kb

These are required to be submitted every 3 months from the date of the Environment Plan for the activity being approved. Please submit to petroleum.environment@dmirs.wa.gov.au.

Environmental & Reportable Incident/Non-compliance Reporting Form - 64 Kb

Operators are required to submit this report after the reportable incident notification.

Recordable Environmental Incident Report Form (Monthly) - 49 Kb

Use this form to report all recordable incidents occurring within a calendar month no later than 15 days after the end of that calendar month.

Environment minerals forms

Sterilisation report submission form for In-pit waste/tailings disposal proposals - 325 Kb

Sterilisation report submission form for In-pit waste/tailings disposal proposals

Mining Proposal Scoping Document - 144 Kb

Mining Proposal Scoping Document

2006 Mining Proposal Checklist - 24 Kb

Checklist to be used with the 2006 Guideline for Preparing Mining Proposals

Mine Closure Plan Checklist - 40 Kb

Checklist in word format to assist when submitting your Mine Closure Plan.

Clearing Permit Application Checklist - 61 Kb

Use this checklist to ensure your application contains all the required information.

2016 Mining Proposal Checklist - 152 Kb

Checklist to be used with the 2016 Guidelines for Preparing Mining Proposals

Proforma for notification of Minor Changes to a Mining Proposal - 143 Kb

Proforma for notifcation of minor changes to a mining proposal.

Environment Group Site details and Activity Details form - 162 Kb

Environmental Group Site details and Activity Details form

Programme of Work - Prospecting (PoW-P) Application Form - 748 Kb

PoW-P application

Programme of Work - Exploration (POW-E) Rehabilitation report - 58 Kb

On completion of a Programme of Work for exploration, a ‘Exploration Rehabilitation Report’ must be completed and submitted.

Environmental & Reportable Incident/Non-compliance Reporting Form - 64 Kb

Operators are required to submit this report after the reportable incident notification.

Programme of Work - Prospecting (POW-P) Rehabilitation Report - 101 Kb

On completion of a Programme of Work for prospecting, a ‘Rehabilitation Report for Prospecting Activities’ must be completed and submitted.

Excess Tonnage Request - 123 Kb

Template letter to request approval for excess tonnage.

Need more info, access the ‘How Do I' pages which provide detailed information on all applications, notifications and reports.