ASSIGNMENT

Instructions:
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2. Work offline, fill out the Incident Report form provided with the sample case.
3. Convert to PDF and upload in the General channel post thread: “ASSIGNMENT No. 6”

NAME: CORDOVA, DANNA JANE

ASSIGNMENT: #5
WORKSHOP CASE: ENVIRONMENTAL INCIDENT

CASE FACTS:
 An estimated 400 Liters of Diesel Oil leaked from ABC Corporation located at
Brgy. Sta. Rita Aplaya, Batangas City on September 9, 2022.
 The Roving Guard (Juan Dela Cruz – Cell # 09192223333) noticed a leak in one of
the fuel storage tanks and reported it to the Shift Charge at around 10:00 AM.
 The discharge valve of the storage tank was left open.
 Strong rain swept the spilled oil from the plant drainage and flowed into the
nearby creek.
 Plant operators and emergency response team deployed spill boom and
contained the oil spill after one (1) hour.
 Spilled oil was recovered using an oil skimmer.
 Traces of oil at the creek were treated using an oil dispersant.
 Recovered oil was stored in empty drums and stored at the hazardous waste
storage area.
 ENVIRONMENTAL INCIDENT REPORT

Name of Establishment:
ABC CORPORATION
Address:
BRGY. STA. RITA APLAYA, BATANGAS CITY
Name of Managing MR. ABC
Head:
Name of PCO: CORDOVA, DANNA JANE

Date of Incident: SEPTEMBER 9, 2022

Time of Incident: 10:00 AM

Type of Incident:
 Breakdown of wastewater treatment plant
 Breakdown of air pollution control device
 Release of chemicals to environment media
 Release of hazardous waste to environment media
 Exceedance to effluent standards
 Exceedance to emission standards
 Others, please specify
Description of Incident:
The Roving Guard (Juan Dela Cruz – Cell # 09192223333) noticed a leak in one of the fuel
storage tanks. Strong rain swept the spilled oil from the plant drainage and flowed into
the nearby creek.

Estimated Amount of Chemicals, Hazardous Wastes, Emissions, and /or Effluent Released to the
Receiving Environment:
Estimated 400 Liters of Diesel Oil

Probable Cause of the Incident:

The discharge valve of the storage tank was left open.

Interim Contingency Measures to Mitigate Any Potential Negative Impacts:

 Plant operators and emergency response team deployed spill boom and contained the
oil spill after one (1) hour.
 Spilled oil was recovered using an oil skimmer.
 Traces of oil at the creek were treated using an oil dispersant.
 Recovered oil was stored in empty drums and stored at the hazardous waste storage
area.

Completed by: CORDOVA, DANNA JANE T. Date: SEPT. 10, 2022

(Name and Signature of PCO)
Completed by: CORDOVA, DANNA JANE T. Date: SEPT. 10, 2022
 (Name and Signature of PCO)
Note: Corrective Actions to prevent recurrence, estimated amount pf the needed recovery/repair/ clean-up and estimated date
of completion for any needed repairs should be reflected in the next submission of the SMR.