Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts
cost

 
LAND
Consistency with land Current land use w/in 1km See attached proof of compatibility OK


use radius (as per zoning with land use


ordinance):
Limit project activities to what is

 
✔ Residential compatible to the land use


✔
Commercial/ Institutional Others, specify


Industrial NA


✔
Agricultural/ Recreational


Protected Areas
Others, specify
NA

Actual land uses w/in 1km


radius:


✔ Residential


✔
Commercial/ Institutional


Industrial


✔ Agricultural/ Recreational


Protected Areas
Others, specify
NA

Project Name: ___________________________________________ Page 1 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

  
cost
✔
Land tenure / Identify land tenure/ Obtain the following clearances/ Regularly monitor OK


compatibility issue compatibility issues: permits from concerned agencies: presence/absence of


complaints


✔
CARP NA
Regular coordination with LGU
CADC/ CADT/ CALC/


or appropriate agencies


CALT


Others, specify


ROW


NA
Resettlement Plan prepared


Informal settlers
Provide relocation/disturbance
Ecologically sensitive or


compensation packages


protected area
Ensure participation of IPs in
Others, specify


consultations and dialogues
NA


✔
MOA prepared/signed


Provide adequate buffer
Others, specify
NA


✔
Disturbance to wildlife Existing vegetation in the  Comply with conditions of  Annual inspection of area OK

 
due to vegetation area: DENR/LGU SLUP, Tree Cutting replanted/ re-vegetated

 
clearing Forestland Permit, ROW, PCA Permit Others, specify


Marshland Limit land clearing as much as NA


possible


✔
Grassland
Provide temporary fencing for


Mangrove

vegetation that will be retained


Wetland Promote restoration of damaged or
Others, specify destroyed vegetation where possible


(e.g., tree planting)
Others, specify

Project Name: ___________________________________________ Page 2 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts
cost

NA NA OK

 

✔
Change in surface Slope: Considering the natural hazards and ✔
Regular inspection of slope OK

 
landform/ topography/ ✔
Flat (0-3%) climate projections in the area: protection measures in

 
terrain/slope Gently sloping to rolling
✔
Employ appropriate erosion control erosion-prone areas

 
Soil Erosion (3-18%) and slope protection measures ✔
Regular inspection for new


Steep (>18%)
✔
Designate a spoils storage area, eroded areas near the site
with topsoil set aside for later use Others, specify


Is the project site located in an and allow maximum re-use of spoils
NA


area identified by MGB/PAG- Construct during dry season
ASA/ PHIVOLCS as hazard Stabilize embankment with grasses

 
prone? or other soil cover


Yes ✔
Conduct Engineering Geological and
✔
No Geo-hazard Assessment (EGGA)
and implement corresponding


recommendation
Others, specify
NA

Building of structure and Solid Waste Management  Implement recovery re-use and  Daily inspection of waste OK

 SLF 
improper solid waste Scheme in the area: recycling of waste materials handling including segregation

  MRF 
disposal leading to: in waste/recycling bins
Provide receptacles / bins for solid


Impairment of visual

 Composting
✔
✔ wastes Weekly inspection of waste

 Devaluation of land 
aesthetics

 Regular Collection of Solid 

Composting of Organic Wastes accumulation and disposal
Coordinate with the municipal / city Regular inspection of
values ✔


waste collectors landscaping and other
Wastes
beautification activities
Implement landscaping and other
Project Name: ___________________________________________ Page 3 of 14
 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts


cost


Presence of visually beautification measures Regular monitoring of buffer OK


significant

Provide adequate buffer zones
landforms/landscape/structure


s?
✔
Compensate adjacent property Regular monitoring for


owners presence/absence of


✔
Yes complaints from adjacent
Others, please specify


No property owners
NA
Others, specify
NA

 Soil/Land contamination Existing soil/land type in the ✔

Secondary containment (pls specify) ✔
Regular inspection for leakage OK

 
due to materials leakage expansion area: of materials that can cause
GRAVEL, SAND AND BOULDERS

 
Depletion of soil nutrient sandy land/soil contamination.


content/soil clay ✔
Monitoring of soil physical and


productivity/Change in chemical properties


✔
sandy-loam
acidity/alkalinity of soil


concrete/cement Engage third party company for


Others, specify waste collection
Others, specify


Soil acidity/alkalinity
NA


acidic
✔
basic
Conduct of soil test/analysis
for the following parameters
relevant to the potential
source of contamination:
WATER

Project Name: ___________________________________________ Page 4 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 
cost


Increased siltation due to Specify nearest/receiving Set up proper and adequate sanitary Regular (ocular) inspection of: OK

  
project activities water body facilities ✔
Drainage / canal systems
SURFACE WATER (RIVER BED)
Water quality Ensure strict observance of proper ✔
Wastewater treatment facility


degradation waste handling and disposal and (i.e., grease trap, septic tank,
proper sanitation including by the etc.)
Others, specify


contractors and its workers (if any)
Provide wastewater treatment facility Monitoring of ambient water for
(e.g., septic tank, oil and water the following:


Distance to nearest/receiving separator, etc.)

  pH  Annual
water body: Parameter Frequency
Set up silt trap/stilling ponds to

   Semi-annual
0 to less than 0.5 km minimize downstream siltation ✔

  Quarterly
0.5 to 1 km ✔
Provide three-chambered septic ✔

  TSS  Annual
tank for domestic sewage
✔
More than 1 km

 Semi-annual
✔
Provide ring canals around fuelling ✔

Classification of nearest water tanks/ motorpool/ maintenance

 Quarterly
concentration


✔
areas

 Freshwater  Marine/
body:

 BOD  Annual
Others, specify

 Semi-annual
✔
✔

 AA 
NA
coastal water

 Quarterly
✔

A 
✔ ✔ SA

 Color  Annual
B   Semi-annual
SB ✔

C   Quarterly
SC ✔

D  Oil and  Annual

SD

 Semi-annual
✔

 Quarterly
Grease ✔

 Fishery  Total Coliform  Annual

Current Water Use:

 Tourist Zone / Park  Semi-annual

✔

 Recreational  Quarterly
✔

 Industrial
✔

 Agricultural
✔

 Others, specify:
✔

Project Name: ___________________________________________ Page 5 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 Heavy  Annual
cost

 Semi-annual
✔
NA OK

 Quarterly
metals: ✔

 Others:  Annual
 Semi-annual
✔

 Quarterly
✔

Distance of project area to the


nearest well used:


0 to less than 0.5 km


0.5 to 1 km
✔ More than 1 km


Use of the nearest well:


Drinking/Domestic


✔
Industrial


✔
Agricultural
Others:
NA

  

Competition in water use Size of population using the ✔
Implement rainwater harvesting and Regular monitoring for OK
source/s of water for the similar measures as an alternative presence/absence of


Depletion of water

 
project: source of water complaints
resources


✔
≤ 1,000 persons ✔
Observe water conservation Regular coordination with

 
>1,000 and ≤ 5,000 measures; concerned agencies


persons ✔
Carefully select project site to avoid Regular monitoring for


>5,000 persons disruption of traditional water uses occurrences of water


shortages


Obtain Water Permit from NWRB
Available/nearest water Others, specify


source. Improve efficiency of water supply
and distribution system
✔
Deepwell

Project Name: ___________________________________________ Page 6 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 
cost


✔
Water district/LGU Increase storage capacities of water NA
OK (SURFACE WATER)


✔
Surface water supply structures for resilience to
greater climate variations and


Others, specify extremes
SURFACE WATER (RIVER BED) Others, specify
NA

 Increased occurrence of Is the project site located in an

area identified by MGB/PAG-
✔
Use appropriate design for project  Regular monitoring for OK
flooding facilities including appropriate presence/absence of

 
ASA as flood prone? drainage mechanism considering complaints

 
Yes the existing local drainage system. Regular coordination with


✔
No ✔
Regularly remove debris and other concerned agencies
materials that may obstruct water Regular monitoring for

 
flow increased frequency of flooding
Use appropriate technology (e.g., Others, specify
raised hand-pumps) to protect NA
drinking water from flood


contamination
Others, specify
NA

AIR / NOISE

Project Name: ___________________________________________ Page 7 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 Impact on air quality  

cost

 Nuisance due to
Distance to nearest ✔
Properly operate and maintain all Regular monitoring for


OK
community: emission sources (e.g., vehicles, presence/absence of

 
generation of obnoxious/ 0 to less than 0.5 km pumps, generator, etc.) complaints

 Absence of white or black

Regular (ocular) inspection of:


unpleasant odor 0.5 to 1 km ✔
Install appropriate air pollution


✔
More than 1 km control device/s
smoke from vehicles, heavy
✔
Strictly enforce good housekeeping

 Presence of truck cover during

equipment and generator


Is the wind direction blowing practices
towards the nearest Control vehicle speed to lessen


deliveries


community most of the year? suspension of road dust
Monitoring of ambient air for the


Yes Conduct water spraying to suppress following:
✔ No dust sources and minimize

  PM10  Annual
discomfort to nearby residents Parameter Frequency

 Semi-annual
✔
Use covered vehicles to deliver ✔


materials that may generate dust

 Quarterly
✔

Others, specify

 TSP  Annual
 Semi-annual
✔

 Quarterly
✔

 NO2  Annual
 Semi-annual
✔

 Quarterly
✔

 SO2  Annual
 Semi-annual
✔

 Quarterly
✔

 Trace  Annual
 Semi-annual
✔

 Quarterly
metals: ✔

 Others:  Annual
 Semi-annual
✔

Project Name: ___________________________________________ Page 8 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts


cost

Quarterly OK

 Nuisance due to noise Distance to nearest ✔

Properly operate and maintain all  Regularly monitor


OK
generation community: noise sources (e.g. vehicles, pumps, presence/absence of

  
0 to less than 0.5 km generator, etc) complaints


0.5 to 1 km Install appropriate noise control ✔
Regular monitoring of buffer


device/s (e.g., mufflers, silencer, zones
✔
More than 1 km


sound barriers, etc.) Quarterly monitoring of noise


✔
Implement appropriate operating level


hours Others, specify
Provide adequate buffer and/or NA


planting of trees
Others, specify
NA

PEOPLE

 Displacement of residents Size of population of host  Provide relocation/disturbance  Regular monitoring for OK

including indigenous barangay/s: compensation packages presence/absence of

Project Name: ___________________________________________ Page 9 of 14
 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 
cost

 
people in the project site ≤ 1,000 persons Prioritize local residents for complaints

 Enhanced employment
OK

 
and within its vicinity employment Regular coordination with LGU
>1,000 and ≤


✔
5,000persons Promptly pay local taxes and other Others, specify


and/or livelihood financial obligations

 Reduced employment 
opportunities
✔
>5,000person NA


Regular coordination with LGU
✔
Indigenous People Size:
Conduct prior consultation and
and/or livelihood 500
coordination to minimize disruption

 Increased revenues for

opportunities


of daily domestic activities
✔

Ensure participation of IPs in

 Disruption/Competition in
LGU
delivery of public services
consultations and dialogues &
consider IP rights and cultural
Classification of host practices in the provision of


(e.g., education, peace barangay: relocation/disturbance compensation

  
and order, etc.) Urban packages
✔
Enhanced delivery of ✔
Rural Provide appropriate traffic/warning


public services (e.g., signs, lighting, etc
education, peace and Employment/Livelihood Others, specify


order, etc.) Opportunity Rate in the host NA


Increase in traffic volume Municipality:


and worsening of traffic ✔ High
flow
Low
Description:
NA

Available services within/near

 Schools (e.g. elementary,

the host barangay:
✔

 Health facilities (e.g.,

high school, college)
✔

clinics, hospitals, etc.)

Project Name: ___________________________________________ Page 10 of 14
 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts

 Peace and order (e.g.,

cost
✔
OK
police outpost, Brgy.

 Recreation and sports

Tanod, etc.)
✔

 Others, specify
facilities

NA

  

Impacts on community Source of risks (please Regular coordination with LGU Regular monitoring for


OK
health and safety specify) presence/absence of
✔
Provide appropriate warning signs,

 Regular monitoring of buffer

✔
Explosives : lighting and barricades, whenever complaints

 
Safety Risks NA practicable

  
Fire Observe proper housekeeping zones

 
Explosion ✔
Provide on-site medical services for Regular coordination with LGU


Release of toxic any emergency. Regular submission of reports

  
materials to concerned agency
✔
Participate in public awareness


Structural failure ✔
Flammable substances: programs on health and safety Others, specify
NA ✔
Implement appropriate safety NA
programs for both community and


workers
Strictly comply with fire, safety and


similar regulatory requirements

✔
Toxic substances:
Strictly comply with requirements of


RA 6969
NA
Others, specify
NA

 Others, specify

Project Name: ___________________________________________ Page 11 of 14

 Generic Initial Environmental Examination (IEE) Checklist Report Form

Monitoring Parameters/
Possible Preventive/ Mitigating Measures

 Cost of preventive/mitigating as well as monitoring integrated in the construction /operation

Implementation
Environmental/Social Baseline Environment Remarks
Impacts
cost
SURFACE WATER (RIVER BED) OK

Project Name: ___________________________________________ Page 12 of 14