Attachment 10-Air Quality and Odour Assessment · MCU23/0078

APPENDIX B – COMPLAINTS HANDLING FORM
Part A – Initial Communication (To Be Completed by Complaint Recipient)

  Date and Time of Complaint
  Name and Address of
  Complainant
  Phone Number
  Type of Communication
  (letter, phone call, visit, etc)
  Site Representative to whom              Name:
  complaint was made


                                           Signature:
  Description of Complaint
  Reported frequency of
  occurrence

Part B – Action Report (To Be Completed by Site Supervisor)

  Action taken to deal with
  complaint
  Visit to the complainant                 Yes or No
  Findings of the visit
  Detailed inspection of site to           Yes or No
  determine possible source of
  complaint?
  Wind conditions at time of
  complaint
  Result of Investigation
  Action taken to eliminate
  cause

Part C – Finalisation (To Be Completed by Site Supervisor)

  Was a formal response                    Yes or No
  issued to the complainant?
  Was the cause of complaint               Yes or No
  eliminated?
  Other Comments


Parts B and C Completed by:


 …...........................................................................................................................................................
(Name)                                                    (Signature)                                                            (Date)
This form must be kept in the complaints register maintained by the Site Manager.




237401.0145.R01V02                                                                                                                                 Page 22