REFERENCE DOCUMENTS - RAL25/0004 (As Published)

Form

Contaminated land investigation document

 

 

PART D—AUDITOR’S DETAILS, FUNCTION, CERTIFICATION AND DECLARATION

Part D of this form together with the audit report comprise the approved form for the certification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date auditor was engaged:

The auditor must be currently Table D1 Auditor who certified the CLID
approved in Queensland to prepare .
Co ac Name: Title:
an auditor's certification under
s. 568(b) of the EP Act when this ~
. . Auditor approval no.:
CLID is submitted, and they must
have been approved at any time - -
they undertook work related to that Company/Organisation:
function.
Registered address:
Postal address:
Telephone: Mobile:
Email (business):
Provide details of who engaged the | Who engaged the auditor? Land’s owner Lessee/occupier
auditor to undertake their function. Developer Other (provide details):

Name of person/company who engaged the auditor:

 

 

Title of audit report:

Provide details of the audit report.

 

List all members of the auditor’s

expert support team that contributed

Date:

 

to the audit, and indicate what expert
advice they provided. Attach a list of

additional support experts if

No support expert engaged by the auditor OR
Table D2 Support expert(s) engaged by the auditor

 

necessary. Name of expert

Expert advice provided

 

Each support expert must complete

 

the Support expert statement
template (ESR/2015/1859) and

 

submit it as part of the CLID

 

submission. Each expert must have

 

the experience and expertise

 

 

necessary for the advice they

 

 

NEPM).

 

 

provided (Schedule B9 of the Support expert(s) statement(s) included

Support expert(s) report(s) included with the Auditor’s certification

 

 

 

Page 13 of 24 * ESR/2023/6339 + Version 1.03 + Last reviewed: 19 MAY 2023

Document Set ID: 23717062
Version: 0, Version Date: 01/01/1900

Department of Environment and Science