Environmental Protection Act 1994

Odour Log Sheet

This form provides odour records collected at the reporter’s premises by the reporter.

Details of complainant1

Title & Full Name: __________________________________________________________________________

Residential Address: ________________________________________________________________________

_________________________________________________________________________________________

Postal Address:	____________________________________________________________________________

_________________________________________________________________________________________

Phone/fax contact details:

Home	____________________	Work	_______________________

Fax	____________________	Mobile	_______________________

............................................................................................................................................................................…..

Office Use Only

Job No:	....................................................................................................................………………………………..

File No:	...................................................................................................................………………………………….

Officer Name: ........................................…………………………………………………………............................…..

Office Location: ....................................……………………………………………………………………………………

Telephone: (07)…………….…………...…

Facsimile: (07)……………………..………

..................................................................................................................................................................................

Day & Date	Time Frame	Time Frame	Odour	Wind	Cloud	Comment10
at Home & Awake2	Odour Detectable3	Intensity4	Source5	Description6	Direction7	Strength8	Cover9

Declaration

I hereby certify that to the best of my knowledge, the above information is correct and I understand that the information may be used by the Department of Environmental and Science (DES) as evidence if required.

Signature:	Date:

HOW TO COMPLETE YOUR ODOUR LOG SHEET

COMPLETE ALL COLUMNS (NUMBERS 2 THROUGH TO 10) WHEN AN ODOUR IS DETECTED. ON DAYS WHEN NO ODOUR IS DETECTED, PLEASE COMPLETE COLUMNS 2 AND 10 ONLY (i.e. TIME AT HOME IN COLUMN 2 AND “NIL ODOUR” COMMENT IN COLUMN 10).

Please endorse your name and address in full on each sheet. Each participating person in the household should complete a separate sheet. Each sheet should be signed.

Time frame at home is used to indicate the time frames when, if odour was present, you were in a position to detect this odour. The times indicated should be in a 24 hour time, e.g. 7.00 - 8.30, 17.15 - 22.30. This would indicate you were at home and awake from 7 am - 8:30 am and from 5:15 pm - 10:30 pm.

Time frame odour detectable is filled out similarly to item 2 above. Please complete in 24 hour time the duration of the odour detected. e.g. 7.10 - 7.15, 7.55 - 8.20, 17.15 - 17.17. This indicates an odour was detected from 7:10 am - 7:15 am, 7:55 am - 8:20 am and again from 5:15 pm - 5:17 pm.

Odour intensity is to be classified as follows:

0 -Not perceptible: Odour is not detectable, cannot be perceived by the sense of smell.

1 -Very Weak: Odour is just detectable in the outdoor air and activates the sense of smell.

2 -Weak: Odour is detectable in the outdoor air, but is not clearly distinguishable, noxious or offensive.

3 -Distinct: Odour is present in the outdoor air, easily activates the sense of smell, very distinct and clearly distinguishable.

4 - Strong: Odour is present in the outdoor air and would be noxious or offensive and cause a person to attempt to avoid it completely.

5 -Very Strong: Strong odour present in the outdoor air, which is so strong it is overpowering and intolerable for any length of time.

6 - Extremely strong: Extremely strong odour in the outdoor air, which is immediately intolerable.

Odour Source - where you believe the odour to be coming from (use “not identified” if unsure).

Odour Description - what the odour smells like to you, give an example or comparison.

Wind Direction - if you know what direction the wind is coming from. e.g. N - North, SE - South East, from “X” towards my home.

Wind Strength is to be classified as follows:

C - Calm	W - Week	M - Medium	S - Strong	G - Gusty

Cloud Cover is to be classified as follows:

CL - Clear	O/C - Overcast	L/C - Light Cloud	H/C - Heavy Cloud	R - Rain

Comment - Please complete whether an odour is detected or not. If there is no odour detected on that day please indicate this. If an odour was detected please describe how it affected you, and/or what action you took. For example, ‘The odour was nauseating, so I closed the windows’.