Annual Environmental Performance Report

EMP title
Unique EMP ID
EMP approval date
AEPR period
Petroleum title number/s

The information to be included in this template may be used by the Minister for Environment, Climate Change and Water Security to assess whether an interest holder is meeting the environmental outcomes, environmental performance standards and obligations and commitments made in an approved Environment Management Plan (EMP).

This form must be completed in accordance with the instruction and guidance provided in the Onshore Petroleum Annual Environmental Performance Reporting Guideline available on the Onshore Gas website.

Document title	Annual Environmental Performance Report

Version Control (to be completed by interest holder)

Date	Rev	Reason for Amendment	Author	Checked	Approved

Declaration
A person with legal authority to sign on behalf of the interest holder, or all interest holders (if more than one), must sign the declaration. I hereby declare that I: am authorised to make this declaration. confirm that, to the best of my knowledge all information provided addresses the relevant matters and is true, correct, complete, and does not contain misleading information. am aware that it is an offence under section 107 of the Petroleum Act 1984 to give an authorised person information that I know, or ought to reasonably know, to be false or misleading in a material manner particular. understand that all information supplied as part of this form, including attachments, may be disclosed publically in accordance with section 62A of the Petroleum Act 1984, and consistent with the requirements of the Information Privacy Principles (IPPs) in the Information Act 2002.
Signature
Name of person signing on behalf of interest holder/s
Position
Company
Address

Acronyms / Terms	Definition
AEPR	Annual Environmental Performance Report
Code	Code of Practice: Onshore Petroleum Activities in the Northern Territory
DEPWS	Department of Environment, Parks and Water Security (NT)
DITT	Department of Industry, Tourism and Trade (NT)
EMP	Environment Management Plan
EP	Exploration Permit
Interest Holder	Means a person who holds a petroleum interest for a regulated activity.
Minister	Minister for Environment, Climate Change and Water Security
NT	Northern Territory
Operator	Means a person designated as operator under section 16(3)(g) of the Petroleum Act 1984
Regulations	Petroleum (Environment) Regulations 2016 (NT)

Add rows as required

Contents

1. Introduction	1

1.1. Sources of information to inform performance	2

1.2. Performance indicators	2

1.3. Evidence used to assess performance	2

2. Demonstration of performance	4

3. Overall performance	17

3.1. Overview of performance	17

3.2. Overview of non-compliant items	17

Tables

Table 1: Performance descriptors	2

Table 2: Compliance with Ministerial approval conditions	4

Table 3: Compliance with environmental outcomes and environmental performance standards	8

Table 4: Compliance with mandatory monitoring and reporting requirements	11

Table 5: Performance summary	17

Table 6: Overview of non-compliance	17

Introduction

The Petroleum (Environment) Regulations 2016 (NT) (the Regulations) require an interest holder to provide a report to the Minister for Environment, Climate Change and Water Security (the Minister) on no less than an annual basis that outlines the environmental performance of the interest holder. The report, termed the Annual Environmental Performance Report (AEPR), must include sufficient information to allow the Minister to assess whether the interest holder has met the environmental outcomes and environmental performance standards included in the approved Environment Management Plan (EMP) with reference to information required to be recorded, monitored or reported under the Regulations and any other law in force in the NT related to the conduct of the regulated activity.

Approved Environment Management Plan Details
EMP title
Unique EMP ID
EMP approval date
AEPR period
Petroleum title number/s
Regulation 22 Notices (insert more rows if needed)
Date Acknowledged	Scope
Regulation 23 Notices (insert more rows if needed)
Date Acknowledged	Scope
Location of Regulated Activity
☐	Figure attached showing location of regulated activity
Regulated activities conducted during the reporting period (list regulated activities conducted, add or remove rows as required)
1
2
3
4
5
6
☐	Gantt chart attached showing the period each regulated activity listed above was conducted

Sources of information to inform performance

Information evaluated to inform compliance status (check applicable sources)
☐	Compliance with Ministerial approval conditions
☐	Compliance with each environmental outcome and environmental performance standard within the approved EMP
☐	Compliance with reporting requirements in accordance with the Code and Regulations
☐	Recordable and reportable incidents within the reporting period, including root cause analysis and related corrective actions to prevent re-occurrence
☐	Findings of regulatory inspections and audits within the reporting period and related actions to address any findings
Other

Performance indicators

Table 1 shows the performance status indicators used in this AEPR.

Table 1: Performance descriptors

Performance Status	Description
Compliant	Compliant with requirement for entire 12 month reporting period
Not Compliant	Interest holder did not comply with the requirement fully or at all during the reporting period
Not Applicable	Requirement not applicable during the reporting period

Evidence used to assess performance

Please indicate which sources of evidence have been used to demonstrate compliance.

Evidence used to inform compliance status (check applicable evidence)
☐	Interest holder self-assessments of compliance, through daily and weekly inspections, as committed to in the EMP
☐	Interest holder self-assessments of compliance, through internal audits, as committed to in the EMP
☐	Interest holder self-assessments of compliance, through external audits conducted by third parties
☐	Outcomes of inspections and/or audits conducted by the regulator
☐	Spill register entries
☐	Monitoring or other reports provided to DEPWS, the Department of Industry, Tourism and Trade (DITT) and other government agencies as required by the EMP
☐	Outcomes of monitoring programs
☐	Measurement criteria identified in the approved EMP
Other

Demonstration of performance

Table 2 demonstrates interest holder compliance with Ministerial EMP approval conditions. Table 2 has been populated to provide examples of information to be included. The example blue and red text below (and this text) must be removed before submission of the AEPR. Black text must be retained. Refer to Section 3.10.1 of the AEPR Guideline for further guidance.

Table 2: Compliance with Ministerial approval conditions

No	Ministerial Condition	Compliant	Evidence
This example condition includes multiple different reporting requirements which should be listed separately, across multiple rows. Condition 1: The interest holder must submit to the Department of Environment, Parks and Water Security (DEPWS), via Onshoregas.DEPWS@nt.gov.au the following: i Notification of the commencement of hydraulic fracturing activities prior to commencement.	☐ Yes ☐ No ☐ N/A	Notification of commencement of hydraulic fracturing was provided to the regulator by email as follows: Well-1 notification made 19 April 2022, activity commenced on 27 April 2022 Well-2 notification made 18 August 2022, activity commenced on 23 August 2022 The above demonstrates notification was made prior to commencement.
ii An updated timetable for the regulated activity that is to be provided on the last day of each quarter (being 31 March, 30 June, 30 September and 31 December each year), that identifies activities completed in the current quarter and: regulated activities in the next quarter, including estimated duration; activities in the next quarter based on commitments in the EMP relevant to the stage of the activity, including estimated duration; due dates for satisfaction of Ministerial approval conditions in the next quarter; and due dates for regulatory reporting in the next quarter.	☐ Yes ☐ No ☐ N/A	Updated timetables were provided by email to the regulator on the following dates: 31 December 2021 March 2022 30 June 2022. 30 September 2022 However, the updated timetable for 31 December 2021 did not include due dates for regulatory reporting in the next quarter, as notified by the regulator on 15 January 2022. The above demonstrates that the information provided to the regulator was checked to determine if it met the requirements.
This condition has a single requirement (to provide information on groundwater bores established) and so can be addressed in a single row, noting each of the required groundwater bore details must be addressed. Condition 2: Within 30 days of each occasion a groundwater bore is installed, the interest holder must send to 0nshoregas.DEPWS@nt.gov.au: the registered number of the groundwater bore; the aquifer the groundwater bore is targeting; the purpose of the groundwater bore; whether the bore is proposed to be included on an extraction licence and the proposed volume to be extracted per annum, or if already included on an extraction licence, the extraction licence number and date issued and the volume allowed for extraction per annum; and the GPS coordinates of the groundwater bore.	☐ Yes ☐ No ☐ N/A	Notifications were made by email to the regulator as follows: 15 November 2021 – establishment of RN00001 in the Gum Ridge aquifer on Well-1 on 1 November 2021, for impact monitoring, listed on extraction licence ABC1, inclusive of GPS co-ordinates 15 November 2021 – establishment of RN00002 in the Gum Ridge aquifer on Well-1 on 1 November 2021, for control monitoring, listed on extraction licence ABC1, inclusive of GPS co-ordinates 5 May 2022 - establishment of RN00003 in the Gum Ridge aquifer on Well-2 on 28 April 2022, for impact monitoring, listed on extraction licence ABC1, inclusive of GPS co-ordinates 5 May 2022 - establishment of RN00004 in the Gum Ridge aquifer on Well-2 on 28 April 2022, for impact monitoring, listed on extraction licence ABC1, inclusive of GPS co-ordinates The above demonstrates all of the requirements of the condition were met.
This condition includes multiple different reporting requirements which should be listed separately, across multiple rows. Condition 3: In support of clause B.4.17.2 of the Code, the interest holder must: i. undertake quarterly groundwater monitoring at each control and impact monitoring bore for a minimum of three years after establishment, unless otherwise advised by DEPWS;	☐ Yes ☐ No ☐ N/A	Groundwater monitoring was undertaken as follows during the reporting period: RN00001 & RN00002– 29 November 2021, 20 February 2022, 25 May 2022, 21 August 2022 RN00003 & RN00004 –28 May 2022, 23 August 2022 This demonstrates that groundwater monitoring was undertaken quarterly, and aligns with the timing for establishment of groundwater bores.
ii. provide to DEPWS, via Onshoregas.DEPWS@nt.gov.au, the results of quarterly groundwater monitoring, as soon as practicable and no later than 2 months after collection, in a format to be determined by DEPWS;	☐ Yes ☐ No ☐ N/A	Groundwater monitoring was provided to the regulator by email as follows: RN00001 & RN00002: 31 January 2022, noting the due date was 30 January 2022 RN00001 & RN00002: 2 April 2022, noting the due date was 21 April RN00001 & RN00002: 18 July 2022, noting the due date was 26 July 2022 RN00001 & RN00002: 17 November, noting the due date was 22 October 2022 RN00003 & RN00004 – 25 July 2022, noting the due date was 29 July 2022 RN00003 & RN00004 – The next submission is due 24 December 2022, which is outside of the reporting period
This condition has a single requirement (to maintain a spill register) and so can be addressed in a single row, noting each part of the spill register must be addressed. Condition 4: To support clause C.7.2 of the Code, all accidental releases of liquid contaminant or hazardous chemicals must be immediately recorded in a site spill register. The register must include: The location, source and volume of the spill or leak; Volume of impacted soil removed for appropriate disposal and the depth of any associated excavation; The corrective actions taken or proposed to be taken to prevent recurrence of an incident of a similar nature; and GPS co-ordinates of the location of the spill.	☐ Yes ☐ No ☐ N/A	All operational staff are provided with the Spill Reporting Procedure, and the interest holder maintains a spill register which includes the following mandatory items to be recorded: the location of the spill/leak, inclusive of GPS coordinates the type of material spilled/leaked the approximate quantity spilled/leaked the approximate volume of soil removed as part of remediation and the depth of excavation if > 10 cm the location contaminated soil was sent to (and waste tracking certificate number) the persons who implemented the spill/leak clean-up the persons nominated to identify and implement corrective actions the date by which corrective actions must be implemented. The spill register may be made available to the regulator on request. The above demonstrates that the interest holder has an adequate spill recording and management system in place, and it is communicated to relevant personnel.
Condition 5: The interest holder must notify DEPWS via Onshoregas.DEPWS@nt.gov.au if conduct of the regulated activities cause a fire either within or outside of the authorised disturbance area of the regulated activity.	☐ Yes ☐ No ☐ N/A	No fires recorded to have occurred as a result of the regulated activity. This demonstrates the condition was not invoked during the reporting period.
☐ Yes ☐ No ☐ N/A
☐ Yes ☐ No ☐ N/A
☐ Yes ☐ No ☐ N/A

Add more rows as needed.

Table 3 provides a systematic overview of interest holder performance against the environmental outcomes and environmental performance standards within the approved EMP. Table 3 has been populated to provide examples of information to be included. The example blue and red text below (and this text) must be removed before submission of the AEPR. Black text must be retained. Refer to Section 3.10.2 of the AEPR Guideline for further guidance.

Table 3: Compliance with environmental outcomes and environmental performance standards

No	Environmental Outcome	Environmental Performance Standard	Compliant	Evidence
No impact to adjacent vegetation communities and habitats as a result of introduction of new weed species or spread of known existing weed species.	No new weed species recorded in bi-annual weed survey	☐ Yes ☐ No ☐ N/A	Bi-annual weed survey shows no introduction of new species, no spread of existing weed species and weed control program has been effective. Weed survey reports were provided to DEPWS Weeds Officer as follows: 23 November 2021 - Post control inspection report 1 May 2022 - Post wet season inspection report
No expansion of known weed infestations recorded in bi-annual weed survey	☐ Yes ☐ No ☐ N/A
Records of vehicle inspections show all vehicles are cleaned of vegetative material and soil before moving to another site	☐ Yes ☐ No ☐ N/A	Records indicate: All contractor vehicle mobilisations to the location of the regulated activities included valid inspection records All new company vehicles entering the location of the regulated activities were subject to weed and soil inspections No vehicle inspections were conducted during April 2022, when vehicles were demobilised rapidly as a result of impending extreme weather.
No long term contamination of soil from conduct of the regulated activity	No exceedance of freeboard of any wastewater infrastructure	☐ Yes ☐ No ☐ N/A	DEPWS inspection on 19 July 2022 detected exceedance of freeboard of the open evaporation tank. Subsequent inspection of freeboard records showed the freeboard had been in exceedance of allowable limits since 23 June 2022.
Vegetation communities and fauna habitat loss and fragmentation is to be minimised by defining allowable clearing areas and locations.	No vegetation clearing allowed outside of approved areas.	☐ Yes ☐ No ☐ N/A	Third party auditor analysis of aerial imagery has shown that: the initial clearing undertaken for the camp exceeded the approved footprint by 0.5 ha the access track to the well site is 2 m wider than the approved footprint. Geospatial files showing clearing (as built) were provided on 3 August 2022 to DEPWS for all disturbance activities - access tracks, gravel pits, laydown areas, well pads.
Already disturbed sites are to be preferentially selected for locations of camps, well pads and access tracks and gravel pits.	☐ Yes ☐ No ☐ N/A	The site selection process described in the EMP (section 3.7) included analysis of land condition in the permit area to locate suitable sites for clearing that also met operational needs.
☐ Yes ☐ No ☐ N/A
☐ Yes ☐ No ☐ N/A
☐ Yes ☐ No ☐ N/A
☐ Yes ☐ No ☐ N/A

Add more rows as required.

Table 4 demonstrates interest holder compliance with reporting requirements in the Code of Practice: Onshore Petroleum Activities in the Northern Territory (Code) and interest holder’s compliance with reporting and monitoring requirements under the Petroleum (Environment) Regulations 2016 (NT) schedule 1, item 11(2), which requires the EMP to include all information required to be recorded, monitored or reported. Where relevant, Table 4 confirms that all records, monitoring or required reporting under the Petroleum (Environment) Regulations 2016 (NT), or under a commitment made in the EMP, has been provided to DEPWS or the relevant NTG agency. The example blue and red text below (and this text) must be removed before submission of the AEPR. Black text must be retained. Refer to Section 3.10.3 of the AEPR Guideline for further guidance.

Table 4: Compliance with mandatory monitoring and reporting requirements

No	Reference	Requirement	Compliant	Evidence
Code cl A.3.5 EMP Section 4.7	Geospatial information depicting areas cleared is to be provided to the Minister. Geospatial data will be provided within 60 days of each land clearing activity being completed.	☐ Yes ☐ No ☐ N/A	This data was due to be provided to DEPWS within 60 days of each land clearing activity as per the commitment made in the approved EMP. This means data was due: 14 December 2021 (access tracks) 21 January 2022 (Well-1, Well-2) 29 April 2022 (gravel pits 1 & 2). To date, no data has been provided.
Code cl A.3.6 (b) EMP Section 9.3	Weed management plan developed as part of the EMP must provide for ongoing weed monitoring. Results of weed monitoring will be provided within 30 days of each survey.	☐ Yes ☐ No ☐ N/A	Weed survey reports were provided to DEPWS Weeds Officer as follows: Post control inspection survey conducted 29 October 2021, report submitted 23 November 2021 Post wet season inspection survey conducted 12 April 2022, report submitted 1 May 2022.
Code cl A.3.7(a)vi EMP Section 9.4	The fire management plan must provide for annual fire mapping. Annual fire mapping will be conducted at the end of each dry season.	☐ Yes ☐ No ☐ N/A	Annual fire mapping was conducted 19 November 2021, at the end of the 2021 dry season. The results of the mapping were stored in the Compliance Register.
Code cl A.3.9(c) Code cl A.3.9(e)	The rehabilitation plan requires progressive rehabilitation of significantly disturbed land which is required to commence no longer than 12 months following the cessation of activities on the land. It also requires regular maintenance and annual monitoring of rehabilitated areas.	☐ Yes ☐ No ☐ N/A	All areas cleared are still in use, so no progressive rehabilitation or monitoring of rehabilitated areas undertaken.
Code cl B.4.13.2(c)	As a minimum, the following must be recorded and reported for each stage (where a stage in this context means all fluids pumped at a particular depth interval): total volume of hydraulic fracturing fluid pumped, quality of water used (tested for analytes in section C.8 of this Code. Analyses do not need to be repeated if the same water source is used for multiple stages), and typical and maximum concentrations of chemicals or other substances used.	☐ Yes ☐ No ☐ N/A	Reports were provided by email to DEPWS as follows: Well-1 all stages competed 15 May 2022, report provided 16 June 2022 Well-2 all staged competed 30 August 2022, report provided 2 October 2022.
Code cl B.4.13.2(k)iv	Where venting is the only technically feasible option for managing produced gas, the technical considerations preventing the use of the recovered gas must be recorded and included in the operator’s annual report.	☐ Yes ☐ No ☐ N/A	No venting occurred during the reporting period.
Code cl B.4.14.2(c) EMP section 9.2	All new barriers or new well operating envelopes must be verified and clearly documented and reported by submission of an updated well barrier integrity validation (WBIV) report to DITT. All well barrier integrity validation (WBIV) reports will also be provided to DEPWS.	☐ Yes ☐ No ☐ N/A	WBIVs were provided to DEPWS on 30 April 2022 for Well-1 and on 15 September 2022 for Well-2.
Code cl B.4.15.2(j)	Complete and accurate records of the entire decommissioning procedure must be kept, with these records submitted as part of the legislative reporting requirements for the decommissioning of petroleum wells.	☐ Yes ☐ No ☐ N/A	No decommissioning activities have been undertaken during the reporting period.
Code cl C.6.1(d)	Wastewater tracking documentation must be reported to the Minister at least annually in accordance with the framework (Spill Management Plan and Wastewater Management Plan) outlined in the EMP	☐ Yes ☐ No ☐ N/A	An annual report on wastewater tracking was provided to DEPWS by email on 15 January 2022, for the reporting period 1 January 2021 to 31 December 2021.
Code cl C.7.1(d)ii EMP Section 9.8	Wastewater Management Plan must include a program for monitoring and reporting against the effectiveness of the measures for the mitigation of interaction with wildlife, stock and human receptors with wastewater. An annual report will be provided to DEPWS on 15 January each year the EMP is in force.	☐ Yes ☐ No ☐ N/A	An annual report on the effectiveness of the measures for the mitigation of interaction with wildlife, stock and human receptors with wastewater was provided to DEPWS on 15 January 2022.
Code cl D.5.9.2(c) EMP Section 9.12	Emissions from exploration, well construction (including during flowback) and workovers must be measured and reports submitted. Reports on actual emissions will be provided on 31 October each year the EMP is in force.	☐ Yes ☐ No ☐ N/A	An emissions report was provided by email to DEPWS on 31 October 2021.
Code cl D.5.9.3(a)	Where natural gas is vented or flared at a gas processing or other downstream facility, emissions must be estimated and reported.	☐ Yes ☐ No ☐ N/A	Venting occurred on 16 July 2021, but a report was provided late to DEPWS on 29 September 2022. The amount vented was estimated to be equivalent to 3.5 tCO2-e.
Reg 33 EMP Section 11.2	DEPWS must be notified of reportable incidents within 2 hours of the interest holder becoming aware of the incident, or within 2 hours of the incident occurring. A written report must be provided within 24 hours if the initial report was made orally.	☐ Yes ☐ No ☐ N/A	The Company site representative became aware of a reportable event 2100 h CST on 23 October 2021 reported the event to the Onshore Gas Hotline at 2230 h CST on 23 October 2021. A written report using the approved form was provided to DEPWS by email at 1500 h CST on 24 October 2021.
☐ Yes ☐ No ☐ N/A	The Company site representative became aware of a reportable event at 1530 h CST on 3 March 2022. The event was reported to DEPWS by phone on 5 March 2022 at 0900 h CST. A written report was provided to DEPWS by email at 1015 h CST on 5 March 2022.
Reg 34 EMP Section 11.2	Reports on reportable incidents must be provided to DEPWS as soon as practicable and within 72 hours of the event occurring. A final report must be provided to DEPWS within 30 days after remediation/cleanup of the affected area.	☐ Yes ☐ No ☐ N/A	Reportable incident 1: An initial written report using the approved form was provided to DEPWS by email at 0900 h CST on 27 October 2021. A final report was provided to DEPWS by email on 15 November 2021. No remediation or rehabilitation was required as a result of the reportable event.
☐ Yes ☐ No ☐ N/A	Reportable incident 2: An initial written report using the approved form was provided to DEPWS by email at 0900 h CST on 8 March 2022. A final report is not yet required as remediation activities are underway to remove contaminated soil. Interim reports providing an update on remediation progress have been provided to DEPWS by email as follows: Interim report 1 – 2 June 2022 Interim report 2 – 6 September 2022.
Reg 35 EMP Section 11.2	A written report of all recordable incidents must be provided to DEPWS not later than 15 days after the 90 day reporting period (unless otherwise agreed).	☐ Yes ☐ No ☐ N/A	Recordable incident reports were provided to DEPWS by email as follows: 15 October 2021 15 January 2022 15 April 2022 15 July 2022.
Reg 37A EMP Section 11.4	A report about flowback fluid from hydraulic fracturing must be provided to the Minister within 6 months of the flowback occurring.	☐ Yes ☐ No ☐ N/A	No flowback activities have occurred.
Reg 37B EMP Section 11.4	A report about produced water from hydraulic fracturing must be provided to the Minister within 6 months of the produced water being extracted.	☐ Yes ☐ No ☐ N/A	No flowback activities have occurred.
Schedule 1, item 12	Interest holder must notify the Minister, occupier of the land and owner of the land on which the activity is to be carried out before commencement of construction, drilling, or seismic surveys.	☐ Yes ☐ No ☐ N/A	The regulated activity commenced on 1 October 2021. The following persons were notified on: Minister – 15 September 2021 via email to DEPWS Occupier of land – 16 September 2021, via email Owner of land - 16 September 2021, via email.
EMP Section 9.3	Weekly inspections of weeds in erosion and sediment control structures will be undertaken. The inspections results will be included in bi-annual reports provided to DEPWS.	☐ Yes ☐ No ☐ N/A	Refer to Table 3 rows 1-2 and Table 4 row 2 for submission dates of bi-annual weed survey reports. Each report includes the outcome of inspections of ESC measures. This example shows how to enter additional reporting commitments made in an approved EMP, and how to cross-reference to other parts of the AEPR where the information is already provided.
☐ Yes ☐ No ☐ N/A

Add more rows as required.

Overall performance

Overview of performance

Table 5 provides a summary of the results of the performance assessment.

Table 5: Performance summary

Performance Status	Number	Percentage
Compliant
Not Compliant
Not Applicable

Overview of non-compliant items

Refer to Section 3.11.2 of the AEPR Guideline for further guidance.

Table 6 describes:

the specific compliance requirements not met for the reporting period

an analysis of the possible potential environmental harm or impact to environmental values resulting from non-compliance, using multiple lines of evidence

a summary of the corrective actions already implemented, and further actions still required, as applicable, to ensure compliance is fully achieved in the future.

Table 6: Overview of non-compliance

Overview of non-compliance
Ministerial approval conditions
1	☐ Yes ☐ No	Non-compliance with ministerial approval conditions? If yes, complete the sections below. If more than one instance, copy the rows below for each condition not met. If no, proceed to 2. Environmental Outcomes
2	Condition # and requirement
3	Summary of non-compliance
4	Evidence used to detect non-compliance
5	☐ Yes ☐ No	Environmental harm arising from non-compliance If yes, complete section below. If no, proceed to row 7.
6	If yes, describe nature and scale of impact and actions to remediate and rehabilitate
7	If no, describe how determined no impact
8	☐ Yes	Administrative non-compliance
9	If yes, describe nature of non-compliance
10	Immediate corrective actions implemented
11	Future corrective actions to prevent reoccurrence
Environmental outcomes
12	☐ Yes ☐ No	Non-compliance with environmental outcome? If yes, complete the sections below. If more than one instance, copy the rows below for each outcome not complied with. If no, proceed to 3. Environmental Performance Standards
13	Outcome
14	Summary of non-compliance
15	Evidence used to detect non-compliance
16	☐ Yes ☐ No	Environmental harm arising from non-compliance If yes, complete section below. If no, proceed to row 18.
17	If yes, describe nature and scale of impact and actions to remediate and rehabilitate
18	If no, describe how determined no impact
19	☐ Yes	Administrative non-compliance
20	If yes, describe nature of non-compliance
21	Immediate corrective actions implemented
22	Future corrective actions to prevent reoccurrence
Environmental performance standards
23	☐ Yes ☐ No	Non-compliance with environmental performance standard? If yes, complete the sections below. If more than one instance, copy the rows below for each environmental performance standard not complied with. If no, proceed to 4. Regulatory Reporting or Record Keeping
24	Environmental performance standard
25	Summary of non-compliance
26	Evidence used to detect non-compliance
27	☐ Yes ☐ No	Environmental harm arising from non-compliance If yes, complete section below. If no, proceed to row 29.
28	If yes, describe nature and scale of impact and actions to remediate and rehabilitate
29	If no, describe how determined no impact
30	☐ Yes	Administrative non-compliance
31	If yes, describe nature of non-compliance
32	Immediate corrective actions implemented
33	Future corrective actions to prevent reoccurrence
Regulatory reporting or record keeping
34	☐ Yes ☐ No	Non-compliance with regulatory reporting or record keeping? If yes, complete the sections below. If more than one instance, copy the rows below for each regulatory reporting or record keeping regulatory requirement not met. If no, proceed to 5. Monitoring
35	Reporting or recording requirement
36	Summary of non-compliance
37	Evidence used to detect non-compliance
38	Corrective actions implemented to improve reporting and record keeping
Monitoring
39	☐ Yes ☐ No	Non-compliance with monitoring requirements? If yes, complete the sections below. If more than one instance, copy the rows below for each monitoring requirement not met.
40	Monitoring requirement
41	Summary of non-compliance
42	Evidence used to detect non-compliance
43	Corrective actions implemented to ensure compliance with monitoring requirements

Petroleum (Environment) Regulations 2016 (NT) sch 1, item 11.

Petroleum (Environment) Regulations 2016 (NT) sch 1, item 11(2).

Note, civil works are also considered ‘construction’ activities.