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Coffs Harbour Hospital Expansion Independent Environmental Audit Assessment of CPB Contractors Environmental System Compliance Against the SSD 8981 Conditions of Consent Audit Reference: AQ1249.04 Audit Organisation: CPB Contractors Auditors: Annabelle Tungol, Lead Auditor, AQUAS Ana Maria Munoz, Auditor, AQUAS Date of Audit: 3 September 2021 Draft Report Submitted: 21 September 2021 Final Report Submitted: 22 September 2021
Transcript

Coffs Harbour Hospital Expansion Independent Environmental Audit

Assessment of CPB Contractors Environmental System Compliance Against the SSD 8981 Conditions of Consent

Audit Reference: AQ1249.04

Audit Organisation: CPB Contractors

Auditors: Annabelle Tungol, Lead Auditor, AQUAS

Ana Maria Munoz, Auditor, AQUAS

Date of Audit: 3 September 2021

Draft Report Submitted: 21 September 2021

Final Report Submitted: 22 September 2021

Amendment, Distribution & Authorisation Record

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 2 OF 49

Version Control and Distribution

Revision No. Date Reasons for Revision Issued to

Draft 21 September 2021 - PwC

Final 22 September 2021 Finalise report PwC

No reproduction of this document or any part thereof is permitted without prior written permission of AQUAS Pty Limited. This report has been prepared and reviewed in accordance with our Quality control system. This report has been prepared by: ANA MARIA MUNOZ Date: 22/9/2021 Environmental Auditor Reviewed by: ANNABELLE TUNGOL Date: 22/9/2021 Lead Environmental Auditor

© Copyright AQUAS Pty Ltd ABN: 40 050 539 010 All rights reserved. No material may be reproduced without prior permission. While we have tried to ensure the accuracy of the information in this publication, the Publisher accepts no responsibility or liability for any errors, omissions or resultant consequences including any loss or damage arising from reliance in information

in this publication. AQUAS Pty Ltd www.aquas.com.au

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 3 OF 49

1. Executive Summary 4

2. Introduction 5

2.1 Background 5

2.2 Project Details 5

2.3 Audit Team 5

2.4 Audit Objectives 5

2.5 . Audit Scope 6

2.6 Audit Period 6

3. Audit Methodology 7

3.1 Approval of Auditors 7

3.2 Audit scope development 7

3.3 Audit Process 7 3.3.1 Opening Meeting 7 3.3.2 Conduct of Audit 7 3.3.3 Closing Meeting 7 3.4 Interviewed Persons 7

3.5 Details of Site Inspection 7

3.6 Consultation 7

3.7 Audit Compliance Status Descriptors 8

4. Document Review 9

5. Audit Findings 10

5.1 Assessment of Compliance 10

5.2 Notices, Incidents and Complaints 10

5.3 Previous Audit (September 2019) Recommendations 11

5.4 Audit Site Inspection 12

5.5 Suitability of Plans and the EMS 12

5.6 Development Past Performance 12

5.7 Actual and Predicted Impacts 12

5.8 Key Strengths 12

6. Audit Recommendations 14

Appendices

Appendix A. Auditors Approval 16

Appendix B. Audit Attendance Sheet 17

Appendix C. Independent Audit Declaration Form 18

Appendix D. Audit Checklist and Audit Findings 19

Appendix E. Audit Photos 45

Appendix F. Consultation Records 49

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 4 OF 49

1. Executive Summary This audit was completed to assess the compliance prior to occupation of the main Coffs Harbour Hospital Expansion Project (excluding refurbishment works) against the requirements of Development Consent State Significant Development (SSD) 8981 Condition C43 and in accordance with the approved Audit Programme. The audit was conducted by AQUAS (Annabelle Tungol – Lead Auditor and Ana Maria Munoz – Auditor) on 3 September 2021. This audit covered the conditions under Part A, Part B, Part C and Part D of the Development Consent SSD 8981.

The building structure, internal services and finishes, façade, carpark, helipad and landscaping were completed. During this audit the current works were rectification of defects. This audit was conducted prior to the occupation of the development in accordance with the Staging Report. Overall, the project is generally compliant to the conditions of Development Consent SSD 8981 with the following key strengths noted:

• Hospital construction activities were carried out as per the project programme, approved Crown Certificates and Staging Report with no harm to the environment;

• CEMP, sub-plans and environmental mitigation measures were implemented during the construction to comply with the SSD conditions;

• Environmental inspections were undertaken throughout the project construction activities; • Communication mechanisms, disruption notice process and consultation with the Hospital and

other stakeholders were conducted; • Noise and vibration monitoring was conducted and controls maintained. • Tree protection measures were in place and maintained within the construction site; • Process for reporting incidents and complaints was implemented and recorded; and • Non-conformances raised in the previous audit were addressed accordingly.

Last modification (Mod-5) was approved by the Department of Planning, Industry and Environment (DPIE) on the 12 May 2021 to remove the Rainwater Harvesting conditions B27 and D21. No non-compliances were found during this audit. The non-compliances raised in the previous Independent Environmental Audit (January 2021) were addressed and closed out, details were presented in Section 5.3 of this report.

The auditors recommendation is for the proponent to ensure that all the necessary notifications and submissions to DPIE and Certifying Authority are implemented prior to the occupation/operation of the Main Hospital building within the required timeframes as required by Part D - Prior to Occupation requirements of the SSD 8981. Refer to Section 6.0 of this report.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 5 OF 49

2. Introduction 2.1 Background

CPB Contractors has been appointed by PwC for the construction of a new 5 storey Clinical Services Building as part of the Coffs Harbour Hospital Expansion Project. PwC has engaged AQUAS to undertake the fourth independent environmental audit on 3 of September 2021 during construction phase prior to the occupation of the main Coffs Harbour Hospital Expansion project (excluding refurbishment works) in compliance with the SSD 8981 condition C43. 2.2 Project Details

Project Name Coffs Harbour Hospital Expansion

Project Application Number SSD 8981

Project Address 345 Pacific Highway Coffs harbour

Project Phase Construction prior to occupation of the main development (excluding refurbishment). The scope of this development covers Stages 1 to 5 as per the Staging Report.

Project Activity Summary Building structure, internal services and finishes, façade, carpark, helipad, and landscaping work 100% completed. Current site work: Rectification of defects.

2.3 Audit Team

Details of the AQUAS environmental auditors for this audit were submitted to the Department of Planning, Industry and Environment (DPIE) by PwC. Endorsement by DPIE of the following auditors was granted prior to the conduct of the audit Refer to Appendix A:

Name Company Position Certification

Annabelle Tungol AQUAS Lead Environmental Auditor

Exemplar Global Lead Environmental Auditor – Certificate No. 119536

Ana Maria Munoz AQUAS Environmental Auditor SAI Global Lead Auditor; Exemplar Global Environmental Auditor – Certificate No. 115421

2.4 Audit Objectives

The objective of this audit was to undertake the fourth independent environmental audit (prior to occupation of the main development (excluding refurbishment) in compliance with the Development Consent Condition SSD 8981 Cl. C43, in accordance with:

(a) the Independent Audit Program submitted to the Department and the Certifier under condition C42 of this consent; and

(b) the requirements for an Independent Audit Methodology and Independent Audit Report in the Independent Audit Post Approval Requirements (Department 2018).

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 6 OF 49

2.5 . Audit Scope

The scope of this audit comprised of the following:

Review of implementation of CPB Contractors Construction Environmental Management Plan (CEMP) and subplans;

Review of environmental records; Interview of site personnel; and Consultation with stakeholders.

It should be noted that there was no physical site inspection conducted due to the current Covid-19 lockdown restrictions in NSW. However, online inspection was conducted through a photo report provided by CPB to demonstrate the progress onsite and environmental site controls.

2.6 Audit Period

This was the fourth independent environmental audit (prior to occupation of the main development (excluding refurbishment) carried out by AQUAS on the project which covers the review of environmental documentation and records for the construction from February 2021 to 3 September 2021 only.

It should be noted that this report is based on the result of sampling and supplied documentation/records, as well as site activities on the day of audit (3 September 2021).

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3. Audit Methodology 3.1 Approval of Auditors

Letter from the DPIE agreeing to the auditors is attached as Appendix A.

3.2 Audit scope development

AQUAS developed the audit scope and a checklist based on the Project Development Consent Requirements Application No. SSD 8981. Refer to Appendix D of this report.

3.3 Audit Process

3.3.1 Opening Meeting

An opening meeting was held on 3 September 2021 at 9:00am with PwC, CPB project personnel and AQUAS auditors as per the Audit Attendance Sheet. Refer to Appendix B of this report.

Key items were discussed, including: Purpose and scope of the audit; Overview of the project and status of the works; Occurrence of Environmental incidents and complaints; and Overview of the audit process in accordance with the proposed Audit Program.

3.3.2 Conduct of Audit

Audit activities included the following:

Reviewed the project documentation to verify compliance with the SSD 8981 conditions; Conducted the audit following the checklist that was prepared based on the SSD Conditions by

interviewing personnel and review of records provided as evidence of compliance; Reviewed of photos provided by CPB to verify environmental controls on site; and Discussed identified audit findings during the closing meeting and actions required.

3.3.3 Closing Meeting

The closing meeting was held on 3 September 2021 at 2.00pm with PwC, CPB and AQUAS. General feedback and the findings of the audit were discussed during the closing meeting.

AQUAS auditors acknowledged the cooperation and openness of CPB and PwC staff during the conduct of this audit.

3.4 Interviewed Persons

Name and position of persons interviewed:

Name Organisation Position

Ahmed Jaradat PwC Project Manager

Andrew Zvirdinas CPB Environmental Manager

Peter Ashcroft CPB Project Engineer

3.5 Details of Site Inspection

No physical site inspection was conducted by AQUAS auditors due to the NSW Health Order of State-wide lockdown. On online review of controls through presentation of photos taken during the day of

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 8 OF 49

the audit at construction site were presented to the auditors demonstrating the current environmental controls on site and completion of the construction of the main building (excluding the refurbishment works). Permanent environmental controls as per the landscaping design, parking requirements, fire safety, mechanical plant, traffic controls and way finding signage and waste management were sighted during this online review. There was no issue raised during this audit. Refer to photos taken by CPB and submitted for this audit on Appendix E.

3.6 Consultation

Correspondence was sent to the DPIE via email to request feedback about the project and to highlight any focus areas for review during the audit.

Feedback from the DPIE indicated that the Department was particularly interested in the conditions contained in Part D - prior to occupation requirements of the consent as the occupation of the new building was approaching.

HI did not have specific areas of concern in relation to this project at this time. For consultation records please refer to Appendix F.

3.7 Audit Compliance Status Descriptors

The following audit criteria were used for the rating of audit findings.

Status Description

Compliant The auditor has collected sufficient verifiable evidence to demonstrate that all elements of the requirement have been complied with within the scope of the audit.

Non-Compliant The auditor has determined that one or more specific elements of the conditions or requirements have not been complied with within the scope of the audit.

Not Triggered A requirement has an activation or timing trigger that has not been met at the time when the audit is undertaken, therefore an assessment of compliance is not relevant.

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4. Document Review The following documents were reviewed and/or sighted as part of this audit:

• Construction Environmental Management Plan Rev.6 – 16/01/2021 • Staging Report for CHHE prepared by GeoLink – 22/10/2020 • Letter of approval for CHHE Revised Staging report from the DPIE – 6/11/2020 • BCA Crown Certificate No.5 CRO20069 by Blackett Maguire + Goldsmith – 28/1/2021 • BCA Completion Certificate (Interim) No. BCAC-21094 by Blackett Maguire + Goldsmith –

10/09/2021 • Proponent Response to Independent Audit Findings for CHHE Version 1.0 – 24/02/2021 • Independent Audit Program Rev.3 – 20/07/2021 • Construction Compliance Report #3 Rev.1 – 10/11/2020 • Construction Monitoring Results for October 2020 • Environmental Inspections records: #2106 - 25/6/21, #2107 - 30/7/21 and #2108 - 17/8/21 • Construction Traffic Management Plan from Complete TSS Rev.9 - 28/5/2020. • Stormwater and Siteworks Plan Drawings No. 0000106, 0000107 and 0000108 Rev. P1 –

27/08/2021 • Civil Inspection Certificate for Occupation Certificate from TTW – 3/09/2021 • Noise and vibration monitoring results from 11/1/2021 to 17/1/2021 from Osterman Consult • Complaints Register for January and February 2021 • Covid -19 Project Continuity Plan, Revision D - 13/7/2021 • Landscape Management Plan Rev. C from Site Image (NSW) 9/9/2021 • ROL Licence No. 1557640 from TfNSW (Intersection Pacific Hwy and Isles Drive) from

1/2/2021 to 1/7/2021. • Waste Register - Synergy Input Summary up to July 2021 • Handybin waste services invoice No.105345 - 30/7/2021 • Certificate for stormwater and carparking from TTW - 30/7/2021 • MNC-MAN-0194-17 Security Manual - 8/8/2017 • CHHC Waste Management Plan MNC-PRO-0045-21 - 1/3/2021 • Green Travel Plan for CHHE Version 3.0 - July 2021 • Bushfire Emergency Management and Evacuation Plan – 1/6/2021 • Flood Emergency Response Plan - 1 June 2021 version 5.0 • Coffs Clinical Network Health Emergency Management Committee Meeting Minutes –

1/6/2021 • PD2020_049 Clinical and Related Waste Management for Health Services Policy – 14/12/202 • PD2012_061 Environmental Cleaning Policy - 16/11/2016 • Letter from DPIE with reference to the IEA report and RAR for CHHE dated 22 March 2021 • Stormwater Management Plan - 20/07/2021

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 10 OF 49

5. Audit Findings This audit was completed to assess the compliance prior to occupation of the main Coffs Harbour Hospital Expansion Project (excluding refurbishment works) against the requirements of Development Consent State Significant Development (SSD) 8981 Condition C43 and in accordance with the approved Audit Programme. This audit reviewed the compliance against the condition of consent, implementation of CEMP, implementation environmental mitigation measures and online inspection through photos presentation.

The following table summarises the audit findings by rating category:

Findings Rating Findings

Compliant 58

Non-Compliant 0

Not Triggered 32

Total Requirements 90

5.1 Assessment of Compliance

The audit determined that the proponent has implemented the controls for environmental management within the construction activities that are currently being undertaken. The comparison of audit requirements against the compliance ratings is as follows:

5.2 Notices, Incidents and Complaints

CPB Contractors noted that no agency notices, orders, penalty notices or prosecutions have been issued. Two incidents occurred during this audit period and they were addressed in accordance with

SSD Requirements Requirements Findings

Part A – Administrative Controls 8 Compliant – 5

Non-Compliant – 0

Not Triggered – 3

Part B – Prior to commencement of Construction

3 Compliant – 2

Non-Compliant – 0

Not Triggered – 1

Part C – During Construction Appendix 1 – Incident Notification

45 (part C) 4 (Appendix 1)

Complaint – 40

Non-Compliant – 0

Not Triggered – 9

Part D – Prior to Occupation 30 Complaint – 12

Non-Compliant – 0

Not Triggered – 18

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 11 OF 49

the Appendix 1 - Incident Notification and Reporting requirements.

Complaints Register is maintained and posted in the project website. Sighted registers from January to July 2021 with zero complaint received. All previous complaints have been resolved accordingly.

5.3 Review of Previous Audit Findings (January 2021):

Previous audit findings were reviewed with the proponent as part of the audit as follows:

Finding No. SSD Condition Audit Finding Follow-up Comments Status

Non-Compliance

01

A2: Terms of Consent

Based on the audit identifying four non-compliances for the project, condition A2 (a) is assessed as non-compliant.

The proponent closed out all the previous non-compliances and has improved in the administrative requirements as required by SSD Conditions and DPIE.

Closed 3/9/2021

Non-Compliance

-02

B2 Notification of Commencement

DPIE was not notified within 48 hours prior to the commencement of Stage 4 works as per Crown Certificate CRO-20066 dated 13/11/2020.

Notification to DPIE was provided on 14 July 2020 for the non-compliance associated with overdue of Stage 4 Crown Certificate through condition C39. Stage 5 Crown Certificate (CC5) CRO-20069 dated 28 January 2021. CC5 was issued to DPIE on the 10 February 2021. Notification to DPIE for Stage 5 was made on the same day 10 February 2021 before commencement of the Stage 5.

Closed 3/9/2021

Non-Compliance

-03

B20: External Walls and Cladding

The external walls and cladding documentation was provided as part of Crown Certificate No.4 CRO-20066 dated 13/11/2020. Copy of documentation was sent to the DPIE on 10/12/2020. Failure to provide the copy of the documentation for external walls and cladding within 7 days to DPIE after the Certifying Authority accepted it.

An email from DPIE was received 10 December 2020 acknowledging receipt of condition B20 - External Walls and Cladding for the CHHE, with no comments on the document at this time. Additionally, on 1 March 2021 the IEA audit report and responses were provided to DPIE.

Closed 3/9/2021

Non-Compliance

-04

C39: Non-compliance Notification

CPB noted non-compliances in the Construction Compliance Report No.3 for June to October 2020 and notified PWC on 16/11/2020. However, Construction Compliance Report No.3 was sent to DPIE on 17/12/2020 through the portal, which indicates that notification to DPIE of non-compliances was not conducted within seven days after the proponent becoming aware of the non-compliances.

Non-compliances raised in the IEA on the 28 January 2021 were addressed. Non-compliances were notified to DPIE on the 1 March 2021 with the Proponent Response to Audit Recommendation (RAR) dated 24 February 2021. Construction Compliance Report for period of 1 November 2020 to 30 April 2021 included the same AQUAS Non-compliances. Letter from DPIE was received on the 22 March 2021 with reference to the IEA (Feb 2021) and RAR for the audit indicating that no further enforcement action was required.

Closed 3/9/2021

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5.4 Audit Site Inspection

No physical site inspection was conducted due to the NSW Health Order of State-wide lockdown.

Therefore, CPB project staff provided photos of construction site, where environmental controls were observed by the auditors, including:

- Hospital Signage and way findings were installed; - Tree protection has been maintained; - Suitable storage for dangerous goods and hazardous materials; - Wastes bin was available and maintained; - Traffic controls; - Building Fire safety equipment and certificate; - Parking and disability access; - Mechanical plant area; and - Landscaping works were completed.

No issues were raised based on the photos provided. Refer to photos in Appendix E.

5.5 Suitability of Plans and the EMS

The CEMP and subplans were generally compliant with the requirements of the Development Consent; Plans were implemented on site. The Environmental Management System implemented during the project construction activities, testing and commissioning was robust to prevent, minimise and control any harm to the environment.

5.6 Development Past Performance

The audit indicated that the project’s performance was overall satisfactory and only had some administrative issues. Good performance was determined by the following aspects:

- Independent Environmental Audits were carried out in accordance with the Audit Program; - The Development Consent Conditions SSD 8981 were tracked and monitored; - Compliance Reports were prepared; - Compliance certificates were approved by Certifying Authority prior to commencement of

each project stage. - The Staging Report was approved by DPIE and implemented on site; - Environmental mitigation measures were implemented; - Noise and vibration monitoring was conducted, and reports were posted on the website; and - No disputes or complaints were raised.

5.7 Actual and Predicted Impacts

There were no significant changes or additional impacts noted on the actual construction works based on the construction results. The predicted impacts as stated in the Environmental Impact Assessment (EIA) remain the same.

5.8 Key Strengths

Overall, the project environmental performance in compliance with Development Consent SSD 8981 is satisfactorily met with the following key strengths noted:

• Hospital construction activities were carried out as per the project programme, approved Crown Certificates and Staging Report with no harm to the environment;

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 13 OF 49

• CEMP, sub-plans and environmental mitigation measures were implemented during the construction to comply with the SSD conditions;

• Environmental inspections were undertaken throughout the project construction activities; • Communication mechanisms, disruption notice process and consultation with the Hospital and

other stakeholders were conducted; • Noise and vibration monitoring was conducted and controls maintained. • Tree protection measures were in place and maintained within the construction site; • Process for reporting incidents and complaints was implemented and recorded; and • Non-conformances raised in the previous audit were addressed accordingly.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 14 OF 49

6. Audit Recommendations There were no non-compliances identified during this audit. Refer to the attached Appendix D for full details of the SSD Conditions assessment and auditor notes.

The auditors recommendation is for the proponent to ensure that all the necessary notifications and submissions to DPIE and Certifying Authority are implemented prior to the occupation/operation of the Main Hospital building within the required timeframes as required by Part D - Prior to Occupation requirements of the SSD 8981, which are the following conditions:

D1 Notification of Occupation The date of commencement of the occupation of the development must be notified to the Department in writing, at least one month before occupation. If the operation of the development is to be staged, the Department must be notified in writing at least one month before the commencement of each stage, of the date of commencement and the development to be carried out in that stage.

D2 Works as Executed Plans Prior to occupation of the building, works-as-executed drawings signed by a registered surveyor demonstrating that the stormwater drainage and finished ground levels have been constructed as approved, must be submitted to the Certifying Authority.

D3 Operational Environmental Management Plan Prior to the commencement of operation, the Applicant must prepare an Operational Environmental Management Plan (OEMP) for the site.

D4 The OEMP required by condition D3 must be submitted to the satisfaction of the Certifying Authority and implemented for the life of the approved development. The OEMP is to be reviewed as required to ensure the safety of all users of the hospital campus is maintained.

D5 Operational Safety and Security Plan Prior to the commencement of operation, the Applicant must prepare an Operational Safety and Security Plan (OSSP).

D6 Operational Waste Management Plan Prior to the commencement of operation, the Applicant must prepare a Waste Management Plan for the development and submit it to the Department / Certifying Authority.

D7 Green Travel Plan Prior to the commencement of operation, the Applicant must prepare a Green Travel Plan (GTP) and submit to the Planning Secretary to promote the use of active and sustainable transport modes. The GTP must:

a) be prepared by a suitably qualified traffic consultant in consultation with Council and Transport for NSW;

d) include measures to promote and support the implementation of the plan, including financial and human resource requirements, roles and responsibilities for relevant employees involved in the implementation of the GTP;

e) include details regarding the methodology and monitoring/review program to measure the effectiveness of the objectives and mode share targets of the GTP including the frequency of monitoring and the requirement to travel surveys to identity travel behaviours of staff to and from the hospital campus.

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D8 Stormwater Operation and Maintenance Plan Prior to the commencement of operation, the Applicant must prepare a Stormwater Operation and Maintenance Plan (SOMP) to the satisfaction of the Certifying Authority to ensure proposed stormwater quality measures remain effective.

D10 Operational Bushfire Emergency Management Plan Prior to the commencement of operation, the Applicant must provide the local Bushfire Management Committee a copy of the approved OBEMP.

D11 Operational Flood Emergency Management Plan Prior to the commencement of operation, the Applicant must prepare an Operational Flood Emergency Management Plan (OFEMP) in consultation with Council and the NSW State Emergency Service. The OFEMP must be submitted to the satisfaction of the Certifying Authority.

D14 External Walls and Cladding The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

D17 Road Damage The cost of repairing any damage caused to Council or other Public Authority’s assets in the vicinity of the Subject Site as a result of construction works associated with the approved development is to be met in full by the Applicant prior to commencement of use of any stage of the development.

D19 Utilities and Services Prior to occupation of the Clinical Services Building, a compliance certificate under the section 307 of the Water Management Act 2000 must be obtained from Council and submitted to the Certifying Authority.

D24 Fire Safety Certification Prior to the final occupation, a Fire Safety Certificate must be obtained for all the Essential Fire or Other Safety Measures forming part of this consent. A copy of the Fire Safety Certificate must be submitted to the relevant authority and Council. The Fire Safety Certificate must be prominently displayed in the building.

D30 Landscaping The Applicant must not commence final operation until the Landscape Management Plan is submitted to the Certifying Authority.

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Appendix A. Auditors Approval

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Appendix B. Audit Attendance Sheet

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Appendix C. Independent Audit Declaration Form

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 19 OF 49

Appendix D. Audit Checklist and Audit Findings

ID No.

SSD Part No.

SSD Req. No.

SSD Requirement Audit Evidence Audit Findings / Recommendations

Compliance Descriptor

1.0 PART A - ADMINISTRATIVE CONDITIONS

1.1 A A1 Obligation to Minimise Harm to the Environment In addition to meeting the specific performance measures and criteria in this consent, all reasonable and feasible measures must be Implemented to prevent. and if prevention is not reasonable and feasible, minimise, any material harm to the environment that may result from the construction and operation of the development.

Environmental inspections continue being carried out monthly. Sighted records for inspections conducted on 25/6/21 (No.2106), 30/7/21 (Mo.2107) and 17/8/21 (No.2108). Building structure completed and as well as interior works, currently doing defects. There was no material harm reported.

Compliant

1.2 A A2 Terms of Consent The development may only be carried out:

The development has been carried out in accordance with all written directions of the Department and the approved plans. Modification 1 approved on the 25/8/2019 and Modification 2 approved on the 1/12/2019. Modification 3 approved on the 28/7/2020 and Modification 4 approved on the 24/9/2020. Modification 5 approved on the 12/5/2021. Plans have been posted in the project website.

Compliant

1.3 A A2 (a) in compliance with the conditions of this consent;

1.4 A A2 (b) in accordance with all written directions of the Planning Secretary;

1.5 A A2 (c) generally, in accordance with the EIS and Response to Submissions; generally in accordance with the Section 4.55(1A) Modification Report and appendices, prepared by GeoLINK environmental management and design, dated 5 November 2019; and

1.6 A A2 (d) in accordance with the approved plans in the table below: - Architectural Drawings Prepared by MSJ Architects - Landscape Concept prepared by Site Image

Landscape Architects - Wayfinding signage prepared by MSJ Architects

1.7 A A3 Consistent with the requirements in this consent, the Planning Secretary may make written directions to the Applicant in relation to:

Modification 5 was approved by DPIE o the 12 May 2021 regarding modification of rainwater harvesting conditions.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 20 OF 49

ID No.

SSD Part No.

SSD Req. No.

SSD Requirement Audit Evidence Audit Findings / Recommendations

Compliance Descriptor

1.8 A A3 (a) the content of any strategy, study, system, plan, program, review, audit, notification, report or correspondence submitted under or otherwise made in relation to this consent, including those that are required to be, and have been, approved by the Planning Secretary; and

The Staging Report has been updated on the 16/11/2020 - version 5 and was approved by DPIE 15/12/2020.

1.9 A A3 (b) the implementation of any actions or measures contained in any such document referred to in (a) above.

1.10 A A4 The conditions of this consent and directions of the Planning Secretary prevail to the extent of any inconsistency, ambiguity or conflict between them and a document listed in condition A2(c) or A2(d). In the event of an inconsistency, ambiguity or conflict between any of the documents listed in condition A2(c) and A2(d), the most recent document prevails to the extent of the inconsistency, ambiguity or conflict.

No inconsistencies, ambiguity or conflict have been identified.

Not Triggered

1.11 A A7 Planning Secretary as Moderator In the event of a dispute between the Applicant and a public authority, in relation to an applicable requirement in this approval or relevant matter relating to the Development, either party may refer the matter to the Planning Secretary for resolution. The Planning Secretary's resolution of the matter must be binding on the parties.

No disputes to date.

Not Triggered

1.12 A A9 Legal Notices Any advice or notice to the consent authority must be served on the Planning Secretary.

No legal notices received.

Not Triggered

1.13 A A12 Staging, Combining and Updating Strategies, Plans or Programs If the Planning Secretary agrees, a strategy, plan or program may be staged or updated without consultation being undertaken with all parties required to be consulted in the relevant condition in this consent.

The Staging report dated 22 October 2020 (Issue 2) approved by DPIE 6 November 2020. Consultation was carried out with DPIE, HI, PwC and CPB.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 21 OF 49

ID No.

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1.14 A A13 If approved by the Planning Secretary, updated strategies, plans or programs supersede the previous versions of them and must be implemented in accordance with the condition that requires the strategy, plan or program.

Staging report dated 22 October 2020 (Issue 2) approved by DPIE 6/11/2020. Conditions will be monitored and implemented at each stage, as per the Staging Report.

Compliant

2.0 PART B - PRIOR TO COMMENCEMENT OF CONSTRUCTION

2.1 B B2 If the construction or operation of the development is to be staged, the Department must be notified in Writing at least 48 hours before the commencement of each stage, of the date of commencement and the development to be carried out in that stage.

Stage 5 Crown Certificate (CC5) CRO-20069 dated 28/1/2021. CC5 was issued to DPIE on the 10/2/2021. Notification to DPIE for Stage 5 was made on the same day 10/2/2021 before commencement of the stage.

Compliant

2.2 B B20 The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

An email from DPIE was received 10/12/2020 acknowledging receipt of condition B20 - External Walls and Cladding for the CHHE, with no comments on the document at this time. On 1/3/2021 the IEA audit report and responses were provided to DPIE.

Compliant

2.3 B B36 Notwithstanding the requirements of the Compliance Reporting Post Approval Requirements (Department 2018), the Planning Secretary may approve a request for ongoing annual operational compliance reports to be ceased where it has been demonstrated to the Planning Secretary's satisfaction that an operational compliance report has demonstrated operational compliance.

No requests to cease the ongoing annual operational compliance reports received to date.

Not Triggered

3.0 PART C - DURING CONSTRUCTION

3.1 C C1 Approved Plans on Site A copy of the approved and certified plans specifications and documents Incorporating conditions of approval and certification must be kept on the Site at all times and must be readily available for perusal by any officer of the Department, Council or the Certifying Authority.

Approved CEMP (CHH-CPB-MPL-EN-GEN-000001) and sub-plans are kept in the site office 16/01/2021 (Revision 6.0), sent to DPIE 19/01/2021. Electronic copies kept in Aconex available to all and also provided with the s/c pack. Note: CEMP posted on the website was revision 5.0

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 22 OF 49

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3.2 C C2 SafeWork Requirements To protect the safety of work personnel and the public, the work site must be adequately secured to prevent access by unauthorised personnel, and work must be conducted at all times in accordance with relevant SafeWork requirements.

Fence installed along the site, gates are locked at the end of the day, traffic controllers manage trucks entering the gates. Covid -19 Continuity Plan in place for the project, last update was made on the 13/7/2021 Revision D.

Compliant

3.3 C C3 Site Notice A site notice(s):

Site notice satisfying the dimension, materials and the information requirements were noted in the signage.

Compliant

3.4 C C3 (a) must be prominently displayed at the boundaries of the site for the purposes of informing the public of project details including, but not limited to the details of the Builder, Certifying Authority and Structural Engineer.

3.5 C C3 (b) is to satisfy all but not be limited to, the following requirements:

3.6 C C3 (b) (i)

minimum dimensions of the notice must measure 841 mm x 594 mm (A1) with any text on the notice to be a minimum of 30-point type size;

3.7 C C3 (b) (ii)

the notice is to be durable and weatherproof and is to be displayed throughout the works period;

3.8 C C3 (b) (iii)

the approved hours of work, the name of the site/ project manager, the responsible managing company (if any), its address and 24-hour contact phone number for any inquiries, including construction/ noise complaint must be displayed on the site notice; and

3.9 C C3 (b) (iv)

the notice(s) is to be mounted at eye level on the perimeter hoardings/fencing and is to state that unauthorised entry to the site is not permitted.

3.10 C C4 Operation of Plant and Equipment All plant and equipment used on site, or to monitor the performance of the development must be:

Sighted record for Mobile Elevating Work Platforms (EWP) workplace inspection dated 26/2/2021. Crane Inspection record on the 18/2/2021 indicating ‘no cranes on site’.

Compliant

3.11 C C4 (a) maintained in a proper and efficient condition; and

3.12 C C4 (b) operated in a proper and efficient manner. 3.13 C C5 Hoarding Requirements

The following hoarding requirements must be complied with:

ATF fence along the site. No advertising sighted.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 23 OF 49

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3.14 C C5 (a) no third-party advertising is permitted to be displayed on the subject hoarding/ fencing;

3.15 C C5 (b) the construction site manager must be responsible for the removal of all graffiti from any construction hoardings or the like within the construction area within 48 hours of its application; and

No graffiti.

3.16 C C5 (c) the Applicant must submit a hoarding application to Council for the installation of any hoardings over Council footways or road reserve.

No footways or road reserve.

3.17 C C6 No Obstruction of Public Way The public way (outside of any approved construction works zone) must not be obstructed by any materials, vehicles, refuse, skips or the like, under and circumstances, unless prior approval has been obtained from the relevant authority. Non-compliance with this requirement will result in the issue of a notice by the relevant Authority to stop all works on site.

No obstructions on public access. Compliant

3.18 C C7 Implementation of Management Plans The Applicant must carry out the construction of the development in accordance with the most recent version of the approved CEMP (including Sub-Plans).

CEMP Rev.6 – 16/1/2021 was implemented on site. CPB undertook a HSE audit on the 25/3/2021.

Compliant

3.19 C C8 Construction Hours Construction, including the delivery of materials to and from the site, may only be carried out between the following hours:

Induction includes permitted working hours and refers to the SSD conditions, (including hours of work). Section 2.3 of the CEMP includes hours of work. Works were normally conducted within the normal standard hours.

Compliant

3.20 C C8 (a) between 7am and 6pm, Mondays to Fridays inclusive; and

3.21 C C8 (b) between 8am and 4pm, Saturdays.

3.22 C C8 No work may be carried out on Sundays or public holidays.

3.23 C C9 Activities may be undertaken outside of the hours in condition C8 if required:

No Out of Hours (OOH) works notification. Sighted Environmental Planning and Assessment (Covid-19 Development Health Services Facilities) Order 2020

Compliant

3.24 C C9 (a) by the Police or a public authority for the delivery of vehicles, plant or materials; or

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 24 OF 49

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3.25 C C9 (b) in an emergency to avoid the loss of life, damage to property or to prevent environmental harm; or

provided by the Minister of Planning and Public Spaces in March 2021. Disruption Work Notice 6/8/2021 fire test to western link detector, approved. Disruption notice for the power outage was submitted on the 3/9/2021.

3.26 C C9 (c) where the works are inaudible at the nearest sensitive receivers; or

3.27 C C9 (d) where a variation is approved in advance in writing by the Planning Secretary or her nominee if appropriate justification is provided for the works.

3.28 C C9 Notification of such activities must be given to affected residents before undertaking the activities or as soon as is practical afterwards.

3.29 C C10 Rock breaking, rock hammering, sheet piling, pile driving, and similar activities may only be carried out between the following hours:

No rock breaking or hammering during this reporting period.

Not Triggered

3.30 C C10 (a) 9am to 12pm, Monday to Friday;

3.31 C C10 (b) 2pm to 5pm Monday to Friday; and

3.32 C C10 (c) 9am to 12pm, Saturday.

3.33

C11 Operation of Plant and Equipment All plant and equipment used on site, or to monitor the performance of the development must be a) maintained in a proper and efficient condition; and b) operated in a proper and efficient manner.

Synergy app use to cover P&E on site. Sighted Inspection Report for the EWP on the 9/3/2021. Also, CPB undertook a HSE audit on the 25/3/2021 covering the operation of plant and equipment. Sighted ICA Commissioning report from ECS dated 19/8/2021 Rev.2 for the independent commissioning assessment.

Compliant

3.34 C C12 Demolition Demolition work must comply with Australian Standard AS 2601-2001 The demolition of structures (Standards Australia, 2001). The work plans required by AS 2601-2001 must be accompanied by a written statement from a suitably qualified person that the proposals contained in the work plan comply with the safety requirements of the Standard. The work plans and the statement of compliance must be submitted to the Certifying Authority before the commencement of works.

No demolition works done. Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 25 OF 49

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3.35 C C13 Construction Traffic All construction vehicles (excluding worker vehicles) are to be contained wholly within the site, except if located in an approved on-street work zone, and vehicles must enter the site before stopping.

Sighted CTMP Rev.9 dated 28/5/2020 and TCP 4/1/2021 showing the new way to the emergency carpark and public access (way finding). Induction covers traffic management and construction parking.

Compliant

3.36 C C14 Road Occupancy Licence A Road Occupancy Licence must be obtained from the relevant road authority for any works that impact on traffic flows during construction activities.

ROL Licence No. 1557640 from TfNSW in place for intersection at the front of the construction pacific highway and isles drive. From 1/2/2021 Exp. 1/7/2021. No need to be extended.

Compliant

3.37 C C15 Construction Noise Limits The development must be constructed to achieve the construction noise management levels detailed in the Interim Construction Noise Guideline (DECC, 2009). All feasible and reasonable noise mitigation measures must be implemented and any activities that could exceed the construction noise management levels must be identified and managed in accordance with the management and mitigation measures identified in the approved Construction Noise and Vibration Management Plan.

No noise complaint recorded to date. Noise monitoring has been carried out to date to validate the noise limits. Noise and vibration monitoring results for 11/1/2021 to 17/1/2021 from Osterman Consult were sighted. Note: Results from 2021 have not been posted on the website.

Compliant

3.38 C C16 The Applicant must ensure construction vehicles (including concrete agitator trucks) do not arrive at the site or surrounding residential precincts outside of the construction hours of work outlined under condition C8.

Traffic controllers man the gates. No noise complaints.

Compliant

3.39 C C17 The Applicant must implement, where practicable and without compromising the safety of construction staff or members of the public, the use audible movement alarms of a type that would minimise noise impacts on surrounding noise sensitive receivers.

Beepers and quakers installed on mobile plant and vehicles.

Compliant

3.40 C C18 Any noise generated during construction of the development must not be offensive noise within the meaning of the Protection of the Environment Operations Act 1997 or exceed approved noise limits for the site.

No offensive noise to date. Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 26 OF 49

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3.41 C C19 Vibration Criteria Vibration caused by construction at any residence or structure outside the site must be limited to:

Vibration monitoring reports from Osterman Consult were posted in the project website.

Compliant

3.42 C C19 (a) for structural damage, the latest version of DIN 4150-3 (1992-02) Structural vibration - Effects of vibration on structures (German Institute for Standardisation, 1999); and

Nil exceedance reported to date.

3.43 C C19 (b) For human exposure, the acceptable vibration values set out in the Environmental Noise Management Assessing Vibration: a technical guideline (DEC, 2006) (as may be updated or replaced from time to time).

Section 4.2 of the NVMP defined the construction vibration criteria in accordance with ICNG.

3.44 C C20 Vibratory compactors must not be used closer than 30 metres from residential buildings unless vibration monitoring confirms compliance with the vibration criteria specified in condition C19

No residential buildings within 30 metres. No exceedances reported.

Not Triggered

3.45 C C21 The limits in conditions C19 and C20 apply unless otherwise outlined in a Construction Noise and Vibration Management Plan, approved as part of the CEMP required by condition B5 of this consent.

NVMP defined the construction vibration criteria. Limits of condition C19 and C20 are applied.

Compliant

3.46 C C22 Dust Minimisation The Applicant must take all reasonable steps to minimise dust generated during all works authorised by this consent.

No dust or stockpiles. Compliant

3.47 C C23 During construction, the Applicant must ensure that: No stockpile.

Compliant

3.48 C C23 (a) exposed surfaces and stockpiles are suppressed by regular watering;

3.49 C C23 (b) all trucks entering or leaving the site with loads have their loads covered;

N/A

3.50 C C23 (c) trucks associated with the development do not track dirt onto the public road network;

N/A

3.51 C C23 (d) public roads used by these trucks are kept clean; and Road clean and free of dirt.

3.52 C C23 (e) land stabilisation works are carried out progressively on site to minimise exposed surfaces.

Minimal ground exposure.

3.53 C C24 Erosion and Sediment Control All erosion and sediment control measures, must be

No exposed ground. Landscaping work were completed. Refer to photos.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 27 OF 49

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effectively implemented and maintained at or above design capacity for the duration of the construction works and until such time as all ground disturbed by the works have been stabilised and rehabilitated so that it no longer acts as a source of sediment.

3.54 C C25 Imported Soil The Applicant must:

This was completed in the previous audit and construction works of the main building which subject of this audit have now been completed.

Not Triggered

3.55 C C25 (a) ensure that only Virgin Excavated Natural Material (VENM), Excavated Natural Material (ENM); or other material approved in writing by EPA is brought onto the site;

3.56 C C25 (b) keep accurate records of the volume and type of fill to be used; and

3.57 C C25 (c) make these records available to the Certifying Authority upon request.

3.58 C C26 Disposal of Seepage and Stormwater Adequate provisions must be made to collect and discharge stormwater drainage during construction of the building to the satisfaction of the Certifying Authority. The prior written approval of the relevant authority must be obtained to connect or discharge site stormwater to Councils stormwater drainage system or street gutter.

No discharge of stormwater or seepage to date. Compliant

3.59 C C27 Tree Protection For the duration of the construction works:

Only trees identified in the Arboricultural Impact Assessment, prepared by ArborSafe, dated 2 July 2018 were removed.

Compliant

3.60 C C27 (a) only trees identified in the Arboricultural Impact Assessment, prepared by ArborSafe, dated 2 July 2018 are removed;

3.61 C C27 (b) All trees on the site except those identified in condition C28 (a) must be suitably protected at all times during construction as per recommendations of the Arboriculture Impact Assessment, prepared by ArborSafe, dated 2. July 2018;

Tree protection installed around the trees near the site. Refer to photos.

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 28 OF 49

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3.62 C C27 (c) If access to the area within any protective barrier is required during the works, it must be carried out under the supervision of a qualified arborist. Alternative tree protection measures must be installed, as required. The removal of tree protection measures, following completion of the works, must be carried out under the supervision of a qualified arborist and must avoid both direct mechanical injury to the structure of the tree and soil compaction within the canopy or the limit of the former protective fencing, whichever is the greater;

No access has been required within protective barrier.

3.63 C C27 (d) street trees must not be trimmed or removed unless It forms a part of this development consent or prior written approval from Council's obtained or is required in an emergency to avoid the loss of life or damage to property; and

No street trees removed.

3.64 C C27 (e) All street trees must be protected at all times during construction. Any tree on the footpath, which is damaged or removed during construction due to an emergency must be replaced, to the satisfaction of Council.

Tree protection installed around the trees near the site. Refer to photos.

3.65 C C28 Bushfire Protection During construction, the property around the building for a distance of 60 m shall be managed as an asset protection zone- inner protection area (IPA) as outlined within section 4.1.3 and Appendix 5 of Planning for Bush Fire Protection 2006 and the NSW Rural Fire Service's Standards for Asset Protection Zones.

Hot works permit process was in place, firefighting equipment available and hazardous chemicals contained and bunded.

Compliant

3.66 C C29 The Applicant must construct the development in accordance with sections 3 and 5 (BAL 12.5) Australian Standard AS3959-2009 Construction of buildings in bushfi.re-prone areas or NASH Standard (1 July 2014 updated) National Standard Steel Framed Construction in Bushfire Areas- 2014 as appropriate and section A3.7 Addendum Appendix 3 of Planning for Bush Fire Protection 2006.

Email from Certifying Authority dated 22/1/2021 indicates that C29 Bushfire Compliance Certificate is subject to SSD modification 5.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 29 OF 49

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3.67 C C30 The Applicant must construct internal roads in accordance with the following requirements of Planning for Bush Fire Protection 2006;

Internal access were constructed as certified by the CA.

Compliant

3.68 C C30 (a) traffic management devices are constructed to facilitate access by emergency services vehicles;

Access points for all emergency vehicles are in place.

3.69 C C30 (b) a minimum vertical clearance of 4m to any overhanging obstructions, including tree branches, is maintained;

No overhead obstacles.

3.70 C C30 (c) Hydrants are to be located in accordance with section 4.1.3(1) of Planning for Bush Fire Protection 2006.

Hydrants located in place in the fire stairs.

3.71 C C31 Waste Storage and Processing Waste must be secured and maintained within designated waste storage areas at all times and must not leave the site onto neighbouring public or private properties.

One Skip bin on site. Refer to Photos. Sighted Waste Register up to July 2021. Sighed synergy system where data is taken from. Sighted Handybin waste services invoice No.105345 dated 30/7/2021 including quantity disposal for the general waste and recycling.

Compliant

3.72 C C32 All waste generated during construction must be assess, classified and managed in accordance with the Waste Classification Guidelines Part 1: Classifying Waste (EPA, 2014).

Waste register maintained in Synergy System included waste recycled, waste landfill. Sighted Waste Register - Synergy Input Summary up to date to July 2021.

Compliant

3.73 C C33 The body of any vehicle or trailer used to transport waste or excavation spoil must be covered before leaving the premises to prevent any spillage or escape of any dust, waste of spoil. Mud, splatter, dust and other material likely to fall from or be cast off the wheels, underside or body of any vehicle, trailer or motorised plant leaving the site must be removed before leaving the premises.

Wastes containers (Handy bins) are available, refer to photos. Bins are collected daily by Handybin Waste Services.

Compliant

3.74 C C34 The Applicant must ensure that concrete waste and rinse water are not disposed of on the site and are prevented from entering any natural or artificial watercourse or stormwater system.

No washing of concrete waste onsite as the concrete supplier depot was just near the work site.

Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 30 OF 49

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3.75 C C35 Unexpected Finds Protocol - Aboriginal Heritage In the event that surface disturbance identifies a new Aboriginal object, all works must halt in the immediate area to prevent any further impacts to the object(s). A suitably qualified archaeologist and the registered Aboriginal representatives must be contacted to determine the. significance of the objects. The site is to be registered in the Aboriginal Heritage Information Management System (AHIMS) which 1s managed by OEH and the management outcome for the site included in the information provided to AHIMS. The Applicant must consult with the Aboriginal community representatives, the archaeologists and OEH to develop and implement management strategies for all objects/sites. Works shall only recommence with the written approval of OEH.

No aboriginal objects found. Not Triggered

3.76 C C36 Unexpected Finds Protocol - Historic Heritage If any unexpected archaeological relics are uncovered during the work, then all works must cease immediately in that area and the OEH Heritage Division contacted. Depending on the possible significance of the relics, an archaeological assessment and management strategy may be required before further works can continue in that area. Works may only recommence with the written approval of Heritage Division of the OEH.

No archaeological relics found. Not Triggered

3.77 C C37 Handling Asbestos The Applicant must carry out works involving asbestos material in accordance with Work Health and Safety Act 2011, Work Health and Safety Regulation 2017 and Safe Work Australia Code of Practice How to Manage and Control Asbestos in the Workplace (February 2016), including contactors who hold a current Safe Work Asbestos or Demolition Licence and any other current Safe Work Licence required. The Applicant must notify SafeWork NSW in accordance with the relevant policy prior to the

No asbestos found to date Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 31 OF 49

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commencement of works involving asbestos material. Waste must be transported by an appropriately licensed transporter and disposed to a facility that is licensed to receive that class of waste.

3.78 C C38 Incident Notification, Reporting and Response The Department must be notified in writing to [email protected] immediately after the Applicant becomes aware of an incident. The notification must identify the development (including the development application number and the name of the development if it has one) and set out the location and nature of the incident. Subsequent notification must be given, and reports submitted in accordance with the requirements set out ln Appendix 1.

Two incidents reported. Refer to Appendix A for full details.

Compliant

3.79 C C39 Non-compliance Notification The Department must be notified in writing to [email protected] within seven days after the Applicant becomes aware of any non-compliance. The Certifying Authority must also notify the Department in writing to [email protected] within seven days after they identify any non-compliance. The notification must identify the development and the application number for it, set out the condition of consent that the development is non-compliant with, the way in which it does not comply and the reasons for the non-compliance (if known) and what actions have been, or will be, undertaken to address the non-compliance. A non-compliance which has been notified as an incident does not need to also be notified as a non-compliance.

Non-compliances raised in the Independent Environmental Audit 28/01/2021 were addressed. Non-compliances were notified to DPIE in the Proponent Response to Audit Findings on 24/2/2021. Construction Compliance Report for period of 1/11/2020 to 30/04/2021 includes the same AQUAS NCs.

Complaint

3.80 C C40 Revision of Strategies Plans and Programs Within three months of:

No changes required as a result of the audits or incidents. It was mentioned that on the 3/2/2021 an email from DPIE was sent to HI regarding Condition B21

Compliant

3.81 C C40 (a) the submission of a compliance report under condition B35;

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 32 OF 49

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3.82 C C40 (b) the submission of an incident report under condition C38;

requesting further information for the Compliance Report No.3. This was responded 7/6/2021. DPIE attended the site on the 10/6/2021. 3.83 C C40 (c) the submission of an Independent Audit under

condition C42; 3.84 C C40 (d) the issue of a direction of the Planning Secretary under

condition A2 which requires a review,

3.85 C C40 the strategies, plans and programs required under this consent must be reviewed, and the Department and the Certifying Authority must be notified in writing that a review is being carried out.

3.86 C C41 If necessary, to either improve the environmental performance of the development, cater for a modification or comply with a direction, the strategies, plans and programs required under this consent must be revised, to the satisfaction of the Certifying Authority. Where revisions are required, the revised document must be submitted to the Certifying Authority for approval within six weeks of the review.

No improvements required.

Compliant

3.87 C C42 Independent Environmental Audit No later than two months after the date notified for the commencement of construction, an Independent Audit Program prepared in accordance with the Independent Audit Post Approval Requirements (Department 2018) must be submitted to the Planning Secretary and the Certifying Authority.

Independent Audit program was updated on 21/7/2021 (Rev.3) and letter received from DPIE on 26/8/2021 with an extension of time for Independent Environmental Audit.

Compliant

3.88 C C43 Independent Audits of the development must be carried out in accordance with:

Previous Independent Environmental Audit (IEA) 28/1/2021 was carried out in accordance with the audit program and the audit report followed the methodology from the IAPAR document.

Compliant

3.89 C C43 (a) the Independent Audit Program submitted to the Department and the Certifying Authority under condition C42 of this consent; and

3.90 C C43 (b) the requirements for an Independent Audit Methodology and Independent Audit Report in the Independent Audit Post Approval Requirements (Department 2018).

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 33 OF 49

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3.91 C C44 In accordance with the specific requirements in the Independent Audit Post Approval Requirements (Department 2018), the Applicant must:

The proponent prepared a response to the IEA on the 24/2/2021 (RAR) and submitted to DPIE and CA on the 1/3/2021. Letter from DPIE was received on the 22/3/2021 with reference to the IEA (Feb 2021) and RAR for the audit indicating that no further enforcement action was required. IEA Reports and responses have been made publicly available on HI website.

Compliant

3.92 C C44 (a) review and respond to each Independent Audit Report prepared under condition C42 of this consent;

3.93 C C44 (b) submit the response to the Department and the Certifying Authority; and

3.94 C C44 (c) make each Independent Audit Report and response to it publicly available within 60 days after submission to the Department and notify the Department and the Certifying Authority in writing at least seven days before this is done.

3.95 C C45 Notwithstanding the requirements of the Independent Audit Post Approval Requirements (Department 2018), the Planning Secretary may approve a request for ongoing annual operational audits to cease, where it has been demonstrated to the Planning Secretary's satisfaction that ongoing operational audits are no longer required.

No request to cease the ongoing annual operational audits received to date.

Not Triggered

4.0 PART D - PRIOR TO OCCUPATION OR COMMENCEMENT OF USE

4.1 D D1 Notification of Occupation The date of commencement of the occupation of the development must be notified to the Department in writing, at least one month before occupation. If the operation of the development is to be staged, the Department must be notified in writing at least one month before the commencement of each stage, of the date of commencement and the development to be carried out in that stage.

The Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Notification to DPIE to be provided. Handover from CPB has been set for the 10 of September 2021.

Not Triggered

4.2 D D2 Works as Executed Plans Prior to occupation of the building, works-as-executed drawings signed by a registered surveyor demonstrating that the stormwater drainage and finished ground levels have been constructed as approved, must be submitted to the Certifying Authority.

The Certifying Authority (BMG) indicated that on the 27/8/2021 Civil engineer to provide certification for the kerbs gutters, etc. Sighted TTW Civil Inspection Certificate (Interim) for stormwater and carparking dated 30/7/2021 sent to BMG. Listed in the BCAC-21094 Certificate dated 10/9/2021 item No. 36.

Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 34 OF 49

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4.3 D D3 Operational Environmental Management Plan Prior to the commencement of operation, the Applicant must prepare an Operational Environmental Management Plan (OEMP) for the site. The plan must include the following sub-plans:

Operational Environmental Management Plan was not presented during this audit. However, occupation date is yet to be decided by the Hospital, tentative end of November 2021. This is not yet triggered.

Not Triggered

4.4 D D3 (a) Operational Safety and Security Plan (see condition D5);

4.5 D D3 (b) Operational Waste Management Plan (see condition D6);

4.6 D D3 (c) Green Travel Plan (see condition D7);

4.7 D D3 (d) Stormwater Operation and Maintenance Plan (see condition D8);

4.8 D D3 (e) Operational Bushfire Emergency Management Plan (see condition D9); and

4.9 D D3 (f) Operational Flood Emergency Management Plan (see condition D11).

4.10 D D4 The OEMP required by condition D3 must be submitted to the satisfaction of the Certifying Authority and implemented for the life of the approved development. The OEMP is to be reviewed as required to ensure the safety of all users of the hospital campus is maintained.

As above. Not Triggered

4.11 D D5 Operational Safety and Security Plan Prior to the commencement of operation, the Applicant must prepare an Operational Safety and Security Plan (OSSP). The OSSP must:

Sighted: - MNC-MAN-0194-17 Security Manual dated 8/8/2017 which seems to be for the current hospital. - NSW Health Policy and Standards for Security Risk Management in NSW Health Agencies June 2013. Occupation date is yet to be decided by the Hospital, tentative end of November 2021.

Not Triggered

4.12 D D5 (a) be prepared in consultation with relevant stakeholders of the Coffs Harbour Health Campus; and

4.13 D D5 (b) include measures to ensure all wayfinding signage, CCTV security measures and landscaping is managed to maintain their effectiveness in ensuring the safety of all users of the Coffs Harbour Health Campus.

4.14 D D6 Operational Waste Management Plan Prior to the commencement of operation, the Applicant must prepare a Waste Management Plan for the development and submit it to the Department /

CHHC Waste Management Plan MNC-PRO-0045-21 issued on the 1/3/2021 was sent after the audit. Plan includes:

Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 35 OF 49

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Certifying Authority. The Waste Management Plan must:

- Section 5.4.1: Handling and disposal of wastes - Section 5.6: Management of waste - Section 5.8: Waste minimisation and recycling Also the PD2020_049 Clinical and Related Waste Management for Health Services Policy (14 Dec 2020) was sighted and the Environmental Cleaning Policy PD20122_061 dated 16/11/2016. Hospital Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Note: Plan to be submitted to DPIE and CA.

4.15 D D6 (a) detail the type and quantity of waste to be generated during operation of the development;

4.16 D D6 (b) describe the handling, storage and disposal of all waste streams generated on site, consistent with the Protection of the Environment Operations Act 1997, Protection of the Environment Operations (Waste) Regulation 2014 and the Waste Classification Guideline (Department of Environment, Climate Change and Water, 2009);

4.17 D D6 (c) detail the materials to be reused or recycled, either on or off site; and

4.18 D D6 (d) include the Management and Mitigation Measures included in RtS.

4.19 D D7 Green Travel Plan Prior to the commencement of operation, the Applicant must prepare a Green Travel Plan (GTP) and submit to the Planning Secretary to promote the use of active and sustainable transport modes. The GTP must:

Green Travel Plan for CHHE version 3.0 date July 2021 was presented after the audit. Plan was prepared by NSW Mid North Coast Local Health District and endorsed at the CHHE Change and Workforce Working Group. Plan measures and mode share targets included in page 11. Note: Unable to verify the Plan was prepared in consultation with Council and TfNSW; measures to promote the implementation of the plan; resources; roles and responsibilities; and methodology to monitor effectiveness of the plan. Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Note: Plan to include all the requirements from this condition before the commencement of operation.

Not Triggered

4.20 D D7 (a) be prepared by a suitably qualified traffic consultant in consultation with Council and Transport for NSW;

4.21 D D7 (b) include objectives and modes share targets (i.e. Site and land use specific, measurable and achievable and timeframes for implementation) to define the direction and purpose of the GTP;

4.22 D D7 (c) include specific tools and actions to help achieve the objectives and mode share targets;

4.23 D D7 (d) Include measures to promote and support the implementation of the plan, including financial and human resource requirements, roles and responsibilities for relevant employees involved in the implementation of the GTP;

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 36 OF 49

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4.24 D D7 (e) include details regarding the methodology and monitoring/review program to measure the effectiveness of the objectives and mode share targets of the GTP including the frequency of monitoring and the requirement to travel surveys to identity travel behaviours of staff to and from the hospital campus.

4.25 D D8 Stormwater Operation and Maintenance Plan Prior to the commencement of operation, the Applicant must prepare a Stormwater Operation and Maintenance Plan (SOMP) to the satisfaction of the Certifying Authority to ensure proposed stormwater quality measures remain effective. The SOMP must contain the following:

Stormwater Management Plan dated 20/07/2021 was provided after the audit. Plan includes the stormwater management devices, monitoring and reporting of incidents. Items c) and d) were not included and a specific maintenance schedule was not sighted. An Operation, Inspection and Maintenance from Tank Solutions for the Aquator was included as an Appendix of the plan. Note: Occupation date is yet to be decided by the Hospital, tentative end of November 2021.

Not Triggered

4.26 D D8 (a) maintenance schedule of all stormwater quality treatment devices;

4.27 D D8 (b) record and reporting details;

4.28 D D8 (c) relevant contact information; and

4.29 D D8 (d) Work Health and Safety and Water NSW requirements.

4.30 D D9 Operational Bushfire Emergency Management Plan Prior to the commencement of operation the Applicant must prepare a Bushfire Emergency Response Plan (OBEMP) to the satisfaction of the Planning Secretary. The OBEMP must form part of the OEMP required by condition 03 and must

Bushfire Emergency Management and Evacuation Plan dated 1 June 2021 endorsed at the CCN Health Emergency Management Committee was provided after the audit. Sighted meeting minutes for 1/6/21. Plan has been submitted to DPIE. Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Plan included:

i. It appears that this item is included in the CHHE Emergency response plans: code red (fire), code

Not Triggered

4.31 D D9 (a) be prepared by a suitably qualified and experienced person(s);

4.32 D D9 (b) be consistent with section 4.2.7 of NSW Rural Fire Service's Planning for Bush Fire Protection 2006 and NSW Rural Fire Service's A guide to developing a bush fire emergency management and evacuation plan;

4.33 D D9 (c) Include details of:

4.34 D D9 (c) (i)

the bushfire emergency response for operational phase of the development:

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 37 OF 49

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4.35 D D9 (c) (ii)

predicted bushfire attack levels; yellow (internal disaster) and code orange (evacuation). Reference made in page 2.

ii. Three key periods of bush fire attack (Page 5) iii. Notification to HSFAC (page 6 and 7) iv. Designated Emergency Assembly Points (page 8) v. On-site Refuge; Designated Off-Site Refuges;

and Transportation to Off-Site Refuge (page 9 and 10)

vi. Not included in the plan.

4.36 D D9 (c) (iii)

bushfire warning time and bushfire notification;

4.37 D D9 (c) (iv)

assembly points and evacuation routes;

4.38 D D9 (c) (v)

evacuation and refuge protocols; and

4.39 D D9 (c) (vi)

awareness training for employees and contractors.

4.40 D D10 Prior to the commencement of operation, the Applicant must provide the local Bushfire Management Committee a copy of the approved OBEMP.

Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Copy to be provided to local bushfire committee.

Not Triggered

4.41 D D11 Operational Flood Emergency Management Plan Prior to the commencement of operation, the Applicant must prepare an Operational Flood Emergency Management Plan (OFEMP) in consultation with Council and the NSW State Emergency Service. The OFEMP must be submitted to the satisfaction of the Certifying Authority and must address, but not limited to, the following:

Flood Emergency Response Plan dated 1 June 2021 version 5.0 was provided after the audit. Plan included:

- Preparation phase and Response phase floods

- Annual Exceedance Probability (AEP) - Flash food event triggers, roles and

responsibilities - Reference to the hospital evacuation plan

was made in the responsibilities.

Occupation date is yet to be decided by the Hospital, tentative end of November 2021. Note: the OFEMP to be submitted to CA before commencement of Hospital operation.

Not Triggered

4.41 D D11 (a) be prepared by a suitably qualified and experienced person(s);

4.43 D11 (b) address the provisions of the Floodplain Risk Management Guidelines (OEH, 2007);

4.44 D D11 (c) include details of: 4.45 D D11 (c)

(i) the flood emergency responses for the operational phase of the development:

4.46 D D11 (c) (ii)

predicted flood levels;

4.47 D D11 (c) (iii)

flood warning time and flood notification;

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 38 OF 49

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4.48 D D11 (c) (iv)

assembly points and evacuation routes;

4.49 D D11 (c) (v)

evacuation and refuge protocols; and

4.50 D D11 (c) (vi)

awareness training for employees and contractors.

4.51 D D12 Car Parking Prior to the commencement of the operation, the Applicant must construct and operate 319 car parking spaces in the Stage 2 of the at-grade car park approved by the Health Infrastructure on 24 September 2014 (Review of Environmental Factors Approval No: 010/2014),

Civil Certificate from TTW sent to BMG for the new carpark was sighted. Certificate date 30/7/2021. Also, sighted evidence for condition B31 Installation Certificate from CPB. 1128 car park spaces in total.

Compliant

4.52 D D13 External Walls and Cladding Prior to the occupation of the building, the Applicant must provide the Certifying Authority with documented evidence that the products and systems used in the construction of external walls including finishes and claddings such as synthetic or aluminium composite panels comply with the requirements of the BCA.

Presented External Walls system disclosure statement from ABS Façade dated 30/7/2021 which was provided to CA. However, on the 23/8/2021 it was noted that the Certificate needed to include more details e.g. full address, AS 3959:2009 and compliance with BAL rating; this still ongoing.

Compliant

4.53 D D14 The Applicant must provide a copy of the documentation given to the Certifying Authority to the Planning Secretary within seven days after the Certifying Authority accepts it.

This has not been accepted by the Certifying Authority yet, so it has not been sent to DPIE.

Not Triggered

4.54 D D15 Outdoor Lighting The Applicant must ensure the installed lighting associated with the development achieves the objective of minimising light spillage to any adjoining or adjacent sensitive receivers. Outdoor lighting must:

Installation Certificate 24/8/2021 from Stow Australia sighted including:

Compliant

4.55 D D15 (a) comply with the latest version of AS 4282-1997 - Control of the obtrusive effects of outdoor lighting (Standards Australia, 1997); and

As 4282 included.

4.56 D D15 (b) be mounted, screened and directed in such a manner that it does not create a nuisance to surrounding properties or the public road network.

Certificate provided by Stowe Australia and accepted by the Certifying Authority.

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 39 OF 49

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4.57 D D15 Upon installation of outdoor lighting, but before it is finally commissioned, the Applicant must submit to the Certifier evidence from a qualified practitioner demonstrating compliance in accordance with this condition.

4.58 D D16 Protection of Public Infrastructure Unless the Applicant and the applicable authority agree otherwise, the Applicant must:

Sighted Post Construction Dilapidation survey report from OWA Consulting Engineers dated 6/9/2021 on pre-existing buildings following construction of CHHE project at 345 pacific highway.

Compliant

4.59 D D16 (a) repair, or pay the full costs associated with repairing, any public infrastructure that is damaged by carrying out the development; and

4.60 D D16 (b) relocate, or pay the full costs associated with relocating any infrastructure that needs to be relocated as a result of the development. Note: This condition does not apply to any damage to roads caused as a result of general road usage

4.61 D D17 Road Damage The cost of repairing any damage caused to Council or other Public Authority’s assets in the vicinity of the Subject Site as a result of construction works associated with the approved development is to be met in full by the Applicant prior to commencement of use of any stage of the development.

Ongoing assessment and yet to be finalised. Not Triggered

4.62 D D18 Post-construction Dilapidation Report The Applicant must engage a suitably qualified person to prepare a post-construction dilapidation report at the completion of construction. This report is:

Presented Post Construction Dilapidation survey report from OWA Consulting Engineers dated 6/9/2021 on pre-existing buildings following construction of CHHE project at 345 pacific highway. Three areas were noted to have damages: Emergency Room Waiting Area: It was noted that

there is substantial damage to the ceiling linings above the Emergency Room entrance that may have been as a result of construction activities.

Emergency Medical Unit (EMU) Area: there is water damage adjacent to the construction area

Compliant

4.63 D D18 (a) to ascertain whether the construction created any structural damage to adjoining buildings or infrastructure.

4.64 D D18 (b) to be submitted to the Certifying Authority. In ascertaining whether adverse structural damage has occurred to adjoining buildings or infrastructure, the Certifying Authority must:

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 40 OF 49

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4.65 D D18 (b) (i)

compare the post-construction dilapidation report with the pre-construction dilapidation report required by these conditions; and

that may have been as a result of construction activities.

Block A and Main Entrance Façades: There are a number of areas of minor damage to the façade, some of which, such as damaged cladding panels, may be as a result of the construction works.

4.66 D D18 (b) (ii)

have written confirmation from the relevant authority that there is no adverse structural damage to their infrastructure and roads.

4.67 D D18 (c) to be forwarded to Council. 4.68 D D19 Utilities and Services

Prior to occupation of the Clinical Services Building, a compliance certificate under the section 307 of the Water Management Act 2000 must be obtained from Council and submitted to the Certifying Authority.

Not yet undertaken. Not Triggered

4.69 D D20 Mechanical Ventilation Following completion, installation and testing of all mechanical ventilation systems, the Applicant must provide evidence to the satisfaction of the Certifying Authority, prior to the final occupation, that the installation and performance of the mechanical systems complies with:

Sighted Installation Certificate from HVAC dated 20/8/2021. Certifying Authority acceptance received on the 27/8/0021.

Compliant

4.70 D D20 (a) the BCA; Included in item b) of the Certificate

4.71 D D20 (b) AS 1668.2-2012 The use of air-conditioning in buildings – Mechanical ventilation in buildings and other relevant codes;

Included in item c) of the Certificate

4.72 D D20 (c) the development consent and any relevant modifications; and

Included in item a) of the Certificate

4.73 D D20 (d) any dispensation granted by the NSW Fire Brigade. Included in item g) of the Certificate: included the fire safety engineering report 19020-SB-FER1-D issued 17/8/2021.

4.75 D D22 Warm Water Systems and Cooling Systems The installation, operation and maintenance of water cooling systems (as defined under the Public Health Act 2010) must comply with the Public Health Act 2010, Public Health Regulation 2012 and the relevant parts of AS/NZS 3666.2:2011 Air handling and water systems of buildings – Microbial control – Operation and

Sighted Installation Certificate from HVAC dated 20/8/2021, including item c) AS/NZS 3666.2:2011 air handling and water system of buildings.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 41 OF 49

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maintenance and the NSW Health Code of Practice for the Control of Legionnaires’ Disease.

4.76 D D23 Structural Inspection Certificate A Structural Inspection Certificate or a Compliance Certificate must be submitted to the satisfaction of the Certifying Authority prior to the occupation of the relevant parts of any new or refurbished buildings. A copy of the Certificate with an electronic set of final drawings (contact approval authority for specific electronic format) must be submitted to the approval authority and the Council after:

TTW Structural Inspection Certificate provided. BMG indicated on the 6/8/2021 that a reference needs to be included in the certificate, which was addressed on the 27/8/2021. TTW Structural Inspection Certificate dated 26/8/2021 sent to BMG. This has not sent to council yet.

Not Triggered

4.77 D D23 (a) the site has been periodically inspected and the Certifying Authority is satisfied that the structural works is deemed to comply with the final design drawings; and

Not triggered yet.

4.78 D D23 (b) the drawings listed on the Inspection Certificate have been checked with those listed on the final Design Certificate/s.

4.79 D D23 (c) person/s authorised to, for the life of the development.

4.80 D D24 Fire Safety Certification Prior to the final occupation, a Fire Safety Certificate must be obtained for all the Essential Fire or Other Safety Measures forming part of this consent. A copy of the Fire Safety Certificate must be submitted to the relevant authority and Council. The Fire Safety Certificate must be prominently displayed in the building.

No final Fire Safety Certification received yet. Not Triggered

4.81 D D25 Compliance with Food Code The Applicant is to obtain a certificate from a suitably qualified tradesperson, certifying that the kitchen, food storage and food preparation areas have been fitted in accordance with the AS 4674 Design, construction and fit-out of food premises and provide evidence of receipt of the certificate to the satisfaction of the Certifying Authority prior to commencement of use.

Certificate from UFD dated 26/8/2021 was sighted sent to CPB indicating that all was done in accordance with the AS.

Compliant

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 42 OF 49

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4.82 D D26 Signage Way-finding signage and signage identifying the location of staff car parking must be installed prior to occupation.

Installation Certificate from JNC group for carpark signage and bicycle wayfinding dated 20/8/2021.

Compliant

4.83 D D27 Bicycle wayfinding signage must be installed within the site to direct cyclists from footpaths to designated bicycle parking areas upon completion of all construction works.

Photos indicated that bicycle wayfinding signage was installed in accordance with this condition.

Compliant

4.84 D D28 Do not drink' signage on non-potable water used within the site, where applicable should be installed upon completion of all construction works.

This condition is not applicable. Hospital does not have access to non-potable water.

Compliant

4.85 D D29 Landscaping Upon completion of all construction works. the Applicant must prepare a Landscape Management Plan to manage the revegetation and landscaping works on-site, to the satisfaction of the Certifying Authority. The plan must:

Landscape Management Plan dated 7/7/2021 Issue A prepared by Site Image.

Compliant

4.86 D D29 (a) be generally in accordance with the Landscape Concept prepared by Site Image Landscape Architects, dated 15 September2018;

Landscape Management Plan dated 7/7/2021 Issue A prepared by Site Image.

4.87 D D29 (b) detail the species to be planted on-site; Appendix includes the plan schedule.

4.88 D D29 (c) describe the monitoring and maintenance measures to manage revegetation and landscaping works;

Maintenance measures included.

4.89 D D29 (d) be consistent with the Applicant's Management and Mitigation Measures in the RtS; and

BCA Crown Certificate No.5 included the landscaping drawings from site image dated 15/11/2019 and the Landscape Design Certification (Emergency Vehicle Access) from Site Image dated 2/12/2020. Note: Occupational Certificate has not been issued to confirm the implementation of the design.

4.90 D D29 (e) provide for the planting of trees to screen approved car parking areas from the public domain and provide shade.

4.91 D D30 The Applicant must not commence final operation until the Landscape Management Plan is submitted to the Certifying Authority.

Plan has not been sent as the occupation date is yet to be decided by the Hospital, tentative end of November 2021.

Not Triggered

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 43 OF 49

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4.92 D D31 The Applicant must manage the site in accordance with the Landscape Management Plan required by condition D29.

Plan not approved by the CA yet, as per the comment above.

Not Triggered

5.0 APPENDIX 1 WRITTEN INCIDENT NOTIFICATION AND REPORTING

6.1 Appx 1 A written incident notification addressing the requirements set out below must be emailed to the Department at the following address: [email protected] within seven days after the Applicant becomes aware of an incident. Notification is required to be given under this condition even if the Applicant fails to give the notification required under condition C39 or, having given such notification, subsequently forms the view that an incident has not occurred.

Two incidents reported during this reporting period. - Incident on the 1/2/21 service strike – water pipe

was hit as a result of a contractor doing some saw cutting; this was notified to DPIE on the 8/2/21 (6 days).

- Incident on the 9/3/21 water pipe was hit; this incident was notified to DPIE on the 18/3/21 (notified around 8 days after the incident happened).

Compliant

6.2 Appx 2 Written notification of an incident must: Incident notified to DPIE on the 8/2/21 to DPIE included all the requirements. Incidents reported on the 18/3/2021 to DPIE included all the requirements.

Compliant 6.3 Appx 2 (a) identify the development and application number;

6.4 Appx 2 (b) provide details of the incident (date, time, location, a brief description of what occurred and why it is classified as an incident);

6.5 Appx 2 (c) identify how the incident was detected;

6.6 Appx 2 (d) identify when the applicant became aware of the incident;

6.7 Appx 2 (e) identify any actual or potential non-compliance with conditions of consent;

6.8 Appx 2 (f) describe what immediate steps were taken in relation to the incident;

6.9 Appx 2 (g) identify further action(s) that will be taken in relation to the incident; and

6.10 Appx 2 (h) identify a project contact for further communication regarding the incident.

Audit Compliance Codes: C: Complaint NC: No-Complaint; NT: Not Triggered AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 44 OF 49

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6.11 Appx 3 Within 30 days of the date on which the incident occurred or as otherwise agreed to by the Planning Secretary, the Applicant must provide the Planning Secretary and any relevant public authorities (as determined by the Planning Secretary) with a detailed report on the incident addressing all requirements below, and such further reports as may be requested.

Incident report provided on the 8/2/21. Incidents report provided on the 18/3/2021.

Compliant

6.12 Appx 4 The Incident Report must include: Both Incidents reports includes all the details. 4 d) not required.

Compliant 6.13 Appx 4 (a) a summary of the incident;

6.14 Appx 4 (b) outcomes of an incident investigation, including identification of the cause of the incident;

6.15 Appx 4 (c) details of the corrective and preventative actions that have been, or will be, implemented to address the incident and prevent recurrence; and

6.16 Appx 4 (d) details of any communication with other stakeholders regarding the incident.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 45 OF 49

Appendix E. Audit Photos

Photo 1 – Building structure and landscaping works completed. Photo 2 – Landscaping works completed.

Photo 3 – Pedestrian signage, tree protection and fencing in place. Photo 4 – Fencing around the construction site was maintained.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 46 OF 49

Photo 5 – Buse Zone and Bicycle signage completed. Photo 6 – No mud tracking on the road.

Photo 7 - Hospital entrance completed, fencing around the site was maintained. Photo 8 – Way finding signage in place and fencing maintained.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 47 OF 49

Photo 9 – Fuels and chemicals stored in bunded container. Photo 10 – Hospital Loading Dock area tidy.

Photo 11 – Fire Safety Certificate posted. Photo 12 – Skip bin available and well managed.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 48 OF 49

Photo 13 – Interior of Hospital – ICU units completed. Photo 14 – Reception area completed.

Photo 15 – Plant Rooms area finished. Photo 16 – Rooftop area with completed.

AQ1249.04 COFFS HARBOUR HOSPITAL - IEA REPORT FINAL 22.09.2021.DOCX PAGE 49 OF 49

Appendix F. Consultation Records


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