ENVIRONMENTAL IMPACT STATEMENT FORMAT

EXECUTIVE SUMMARY

 Briefly describe the project background, objectives, location, shareholders, investment

cost, project description, technology, project alternatives, potential impacts,
mitigation/enhancement measures and project lifespan.

NON TECHNICAL SUMMARY (In English and a local language commonly understood in the
project area).

This is a summary (not detailed) description of the proposed project in layman’s language
including:

 The project
 Location
 Investment cost
 Major potential impacts
o Positive: e.g. Employment opportunities, boosting of local economy, infrastructure
development,
o Negative: e.g. damage to land, plants and animals; pollution of water & air;
displacement of people;
 Mitigation for negative impacts and enhancement measures for positive impacts

THE REPORT SHOULD BE SIGNED BY THE DEVELOPER AND THE STUDY

TEAM.

TABLE OF CONTENTS

1.0 INTRODUCTION

1.1 Background of the project

1.2 Summary description of the project including project rationale
1.3 Objectives the project
1.4 Brief description of the location
1.5 Particulars of Shareholders/Directors
1.6 Percentage of shareholding by each shareholder
1.7 The developer’s physical address and the contact person and his/her details
1.8 Track Record/Previous Experience of Enterprise Elsewhere
1.9 Total Project Cost/Investment
1.10 Proposed Project Implementation Date

2.0 POLICY, INSTITUTIONAL AND ORGANISATIONAL FRAMEWORK

2.1 Policy and institutional framework

 List policy and institutional framework relevant to the project

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  Specific sections of the cited policy and institutional framework relevant to
the proposed project.
 Relevance of cited sections to the proposed development
 Compliance (how the development complies/will comply to the cited sections)

2.2 Organisational Framework

 Identify relevant regulatory organisations and their role in relation to the

proposed project
 Identify traditional leaders and other structures relevant to the project

2.3 International Agreements and Conventions

 International Agreements and Conventions relevant to the proposed project.

 Specific sections of the agreements and conventions relevant to the proposed
project.
 Relevance of cited sections of the agreement or convention to the proposed
development
 Compliance (how the development complies/will comply to the cited sections)

* Institutional framework means formal laws, regulations and procedures, and informal
conventions, customs, and norms, that shape socioeconomic activity and behaviour

3.0 PROJECT DESCRIPTION

3.1 Location

 Provide the spatial extent of the proposed project site(Province,

City/Municipality/district, specific site)
 Provide land marks and their distances from the proposed site to help identify
proposed project site
 Identify surrounding developments
 Provide coordinates of the proposed site where applicable

3.2 Nature of the Project

 Raw materials (including hazardous materials and their storage on site)

 Process and technology (including flow diagrams)
 Products and by-products
 Production capacity
 Schedule and life time of the project

3.3 Main activities

 Site preparation phase

 Construction phase
 Operation phase
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4.0 Project Alternatives

4.1 Identification of alternatives such as but not limited to:

i. Product/service
ii. Site
iii. Design
iv. Technology
v. Process
vi. Raw materials

4.2 Analysis of each of the identified alternatives

4.3 List of chosen alternatives in order of preference

4.4 Reasons for choosing the preferred alternatives and rejecting the other
alternatives

5.0 ENVIRONMENTAL BASELINE STUDY

Description of the site and the surrounding environment especially those aspects that are
relevant to the project including evaluation of the sensitiveness of the environment. Baseline
data should include but not limited to the following:

5.1 Climate

 Rainfall, Temperature, Humidity, Sunshine, etc

5.2 Air quality

5.3 Geology
5.4 Hydrology
5.5 Hydrogeology
5.6 Topography
5.7 Soils
5.8 Land use and land tenure
5.9 Built Environment
5.10 Noise and vibration
5.11 Fauna

 Terrestrial species (Include common names and respective scientific names)

 Aquatic species (Include common names and respective scientific names)
 Identification of rare or endangered species (Include common names and
respective scientific names)

5.12 Avifauna (Birds)

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  Field survey of bird species (Include common names and respective scientific
names)
 Identification of rare and endangered bird species

5.13 Flora

 Terrestrial species (Include common names and respective scientific names)

 Aquatic species (Include common names and respective scientific names)
 Identification of rare or endangered species (Include common names and
respective scientific names)

5.14 Archaeological and cultural environment

 Identify and discuss cultural practices

 Identify and provide location for significant historical or archaeological
features

5.15 Social-economic set up

 Population
 Growth rate, population density and distribution
 Administration
 Social services and amenities
 Market availability on various commodities
 Literacy levels, health and gender equity
 Traditional and religious practices and rites
 Assess vulnerability and/or need for resettlement and compensation

6.0 IMPACTS

6.1 Biophysical Environment

 Positive – direct, indirect, short term, long term, reversible and

irreversible, local, regional
 Negative – direct, indirect short term, long term, reversible and
irreversible, local regional

6.2 Socio-economic and cultural

 Positive – direct, indirect, short term, long term, reversible and

irreversible, local, regional
 Negative – direct, indirect short term, long term, reversible and
irreversible, local, regional

6.3 Evaluation of significance of impacts should combine:

 the frequency of occurrence of the impact

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  the duration of the impact
 the severity of impact
 the spatial extent of the impact
 the sensitivity of the element being impacted.

7.0 ENVIRONMENT AND SOCIAL MANAGEMENT PLAN

(Management Commitments for mitigating negative Environmental Impacts identified and

evaluated in Section 6.0 and measures for enhancing positive impacts)

7.1 Environment and Social Monitoring Plan (These should include environmental
management cost estimates, responsible personnel and the frequency of monitoring)

Aspect* Impact Mitigation/ Frequency of Time Performance Responsible Cost

Enhancement Monitoring frame indicator person
measure

*NOTE: Aspect is an activity, service or product that is likely to cause an impact due to
interaction with the environment.

8.0 Decommissioning and Rehabilitation Plan

State environmental management commitments associated with the Decommissioning and

Closure Phase for the project and associated costs, in the following format

Aspect Impact Mitigation/ Frequency Time Performance Responsi Cost

Enhancement of frame indicator ble
measure Monitoring person

9.0 Bibliography

Full references of the main documents cited in the report should be given

10.0 Declaration of authenticity of report contents

11.0 Appendices

 Letter of approval of TORs;

 Approved TORs with respective attachments (including the scoping report,
minutes of the consultative meeting/s and signed list of meeting attendees);
 Maps and satellite images;
 Tables, charts, graphs, models, photographs;

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 Proof of Public consultation (Minutes and comments from the public during
disclosure) and adverts;
 Specialised study Reports (e.g. water, soil, air, flora, fauna, archaeology,
geotechnical)
 Raw data for the studies of baseline information gathered
(water, soil, air, flora, fauna)
 Any relevant legal documents (title deeds or lease agreements, certificates of
Incorporation, agreements, asset valuation reports, approval documents,
Investment License etc);
 Bibliography
 Any other relevant supporting documents or information that cannot be presented
in the main report

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