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Regulatory Compliance > Compliance Audits

air qualityConducting an environmental audit is no longer an option but a sound precaution and a proactive measure in today's heavily regulated environment. Environmental compliance auditing is a core focus of EPS. Since 1996, our staff has provided public and private sector clients with compliance auditing services that provide not only an accurate snap-shot their current condition, but the tools and training to allow for continued compliance after we leave. EPS personnel have conducted nearly 100 environmental compliance audits including the establishment of audit programs for several Fortune 500 companies.  EPS personnel have developed audit methodology, provided  training and seminar instruction, and compliance plans for a variety of industries, hospitals, universities, and municipal operations.  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What is an Environmental Audit
Environmental auditing is a systematic, documented, periodic and objective process in assessing an organization's activities and services in relation to:

  • Assessing compliance with relevant statutory and internal requirements
  • Facilitating management control of environmental practices
  • Promoting good environmental management
  • Maintaining credibility with the public
  • Raising staff awareness and enforcing commitment to departmental environmental policy
  • Exploring improvement opportunities
  • Establishing the performance baseline for developing an Environmental Management System (EMS)


Planning an Environmental Audit
An organization that wishes to conduct an environmental audit must have a clear idea of the objectives of the exercise and the steps required to achieve it. Before commencing an environmental audit, the following requirements must be fulfilled:


Commitment

  • Obtain commitment at the Directorate level
  • Communicate commitment to personnel at all levels



Define the Audit Scope
To include:

  • Audit site and boundary
  • Audit objectives
  • Areas of audit

Audit objectives typically entail:

  • Verification of legislative and regulatory compliance
  • Assessment of internal policy and procedural conformance
  • Establishment of current practice status
  • Identification of improvement opportunities

Areas of audit normally encompass:

  • Material management, savings and alternatives
  • Energy management and savings
  • Water management and economy of use
  • Waste generation, management and disposal
  • Air emissions and indoor air quality
  • Environmental emergency prevention and preparedness
  • Staff awareness, participation and training in environmental issues
  • Environmental information publicity
  • Public enquiry and complaints response
  • Environmental management system set up, suitability and performance


Conducting an Environmental Audit
An environmental audit is typically undertaken in three phases:

  • Pre-audit
  • On-site audit
  • Post-audit

Each of these phases comprises a number of clearly defined Objectives, with each objective to be achieved through specific Actions, and these actions yielding results in the form of Outputs at the end of each phase.

    Pre-audit
    The pre-audit phase typically includes defining the purpose of the audit, roles and responsibilities, and the completion of a pre-audit questionnaire.  Once these items are addressed, the audit schedule is confirmed, and the on-site review proceeds. 
    Onsite audit
    The on-site audit objectives should reflect those of the environmental audit, which are:


    • Verification of legislative and regulatory compliance
    • Assessment of internal policy and procedural conformance
    • Establishment of current practice status
    • Identification of improvement opportunities


    Opening Meeting
    Conduct an on-site audit Opening Meeting with site personnel to:

    • Introduce audit team members
    • Present audit scope and objectives
    • Outline the audit approach and methodology
    • Address questions or concerns of site personnel
    • Rally staff support and assistance
    • Conduct an initial site tour


    Document Review
    Audit Team members then review relevant document such as:

    • Management policy
    • Management system documentation
    • Operational procedures
    • Records (utility, inventory, monitoring, calibration, training etc.)
    • Previous audit reports

    In particular, to evaluate whether the records are:

    • Current
    • Properly completed
    • Signed and dated
    • Consistent
    • Meet relevant requirements

    Post audit
    The objectives of the post audit are to produce an Audit Report with audit findings and recommendations that Contribute towards formulation of an Action Plan for continual performance improvement. Information to be organized should include:

    • Completed pre-audit questionnaire, operational document checklists
    • Completed on-site survey questionnaires, on-site audit protocols
    • All relevant correspondence, memoranda, reports, diagrams and drawings
    • Copies of records, photographs, and other information collected during the site visit
    • Detailed inspection and interview notes and summaries


Development of the Action Plan
Once the audit is complete, it is incumbent upon the organization to develop an action plant that allows for not only obtaining compliance, but marinating compliance.  Upon endorsement of the Audit Report, an Action Plan with the appropriate targets and objectives for environmental improvement may be developed in consultation with audit site senior management.

An action plan should cover:

  • Action objectives
  • Specific actions required
  • Responsible personnel
  • Budget allotted
  • Implementation program

To monitor progress of Action Plan implementation, a status report should be prepared and should include information on:

  • Progress of action(s) undertaken
  • Problem(s) encountered when action(s) taken
  • Proposed solution(s) and revised timescale for completion

Review the Action Plan upon completion of Action Plan implementation.  Key points to review include:

  • Review results of action plan implementation
  • Establish levels of performance improvement achieved
  • Address possible need for changes in management policy, objective(s) and procedure(s)
  • Next audit scope and schedule



EPA Auditing Policy

The EPA Audit Policy, formally titled “Incentives for Self-Policing: Discovery, Disclosure, Correction and Prevention of Violations,” safeguards human health and the environment by providing several major incentives for regulated entities to voluntarily come into compliance with federal environmental laws and regulations.

To take advantage of these incentives, regulated entities must voluntarily discover, promptly disclose to EPA, expeditiously correct, and prevent recurrence of future environmental violations. Disclosures are often preceded by consultation between EPA and the regulated entity, so that they can discuss mutually acceptable disclosure details, compliance, and audit schedules can be discussed.

Summary of Incentives: Significant penalty reductions. Civil penalties under the environmental laws generally have two components, an amount assessed based upon the severity or “gravity” of the violation, and the amount of economic benefit a violator received from failing to comply with the law.

  • No gravity-based penalties if all nine of the Policy’s conditions are met. EPA retains its discretion to collect any economic benefit that may have been realized as a result of noncompliance.
  • Reduction of gravity-based penalties by 75% where the disclosing entity meets all of the Policy’s conditions except detection of the violation through a systematic discovery process.

No recommendation for criminal prosecution for entities that disclose criminal violations if all of the applicable conditions under the Policy are met. “Systematic discovery” is not a requirement for eligibility for this incentive, although the entity must be acting in good faith and adopt a systematic approach to preventing recurring violations. Refer to the Audit Policy for a complete discussion of issues relating to disclosure of criminal violations.

No routine requests for audit reports would be made.


Conditions for Penalty Mitigation

Entities that satisfy the following conditions are eligible for Audit Policy benefits. Even if your entity fails to meet the first condition - systematic discovery - you can still be eligible for 75% penalty mitigation, and a recommendation for no criminal prosecution of the violations against your entity.

  • Systematic discovery of the violation through an environmental audit or the implementation of a compliance management system.
  • Voluntary discovery of the violation was not detected as a result of a legally required monitoring, sampling or auditing procedure.
  • Prompt disclosure in writing to EPA within 21 days of discovery or such shorter time as may be required by law. Discovery occurs when any officer, director, employee or agent of the facility has an objectively reasonable basis for believing that a violation has or may have occurred.
  • Independent discovery and disclosure before EPA or another regulator would likely have identified the violation through its own investigation or based on information provided by a third-party.
  • Correction and remediation within 60 calendar days, in most cases, from the date of discovery.
  • Prevent recurrence of the violation.
  • Repeat violations are ineligible, that is, the specific (or closely related) violations have occurred at the same facility within the past 3 years or those that have occurred as part of a pattern at multiple facilities owned or operated by the same entity within the past 5 years; if the facility has been newly acquired, the existence of a violation prior to acquisition does not trigger the repeat violations exclusion.
  • Certain types of violations are ineligible such as those that result in serious actual harm, those that may have presented an imminent and substantial endangerment, and those that violate the specific terms of an administrative or judicial order or consent agreement.
Cooperation by the disclosing entity is required.
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