ANNEX A

EIS Screening Form / Checklist for Build, Build, Build – Non-ECP

Date Submitted for Screening: ______________

Form of Submission: ___ Hard ___ Digital
Project Title:
Project Location:
Project Proponent:
Authorized Representative:
Address:
Contact No: Fax No: Contact Person:
EIS Consultant:
Address:
Contact No: Fax No: Contact Person:
Project Size::___________________________________________________________________________________

Table 1. Checklist of Documentary Requirements

Pages are to be filled-up prior to submission of EIS for screening

1. Environmental Impact Statement (EIS)

✓ Executive Summary
✓ Project Description
✓ Assessment of Environmental Impacts (including baseline)
✓ Environmental Management Plan
✓ Environmental Risk Assessment (ERA) & Emergency Response Policy and Guidelines
✓ Social Development Plan/Framework (SDP) and IEC Framework
✓ Environmental Compliance Monitoring
✓ Decommissioning / Abandonment /Rehabilitation Policy
✓ Institutional Plan for EMP Implementation including EGF Commitments

2. Proof of Authority over the Project Site

Tenurial Instruments/Clearance
 FLA (in case the proposed project will cover portion of foreshore)
 PAMB Clearance (in case the proposed project is located within NIPAS)
 FLAg (in case the proposed project is located within forestland)
 Area Clearance Endorsement (in case there is a reclamation component)
 Others: ___________________

3. Accountability Statements of Preparers & Proponent

Table 2. EIS Annotated Outline

Sections /
Content Page #
Subsections

Executive Summary

Project Fact Sheet Summary of Project Description

Process Documentation of the process undertaken in the conduct of EIA (EIA

Documentation Team, EIA Study Schedule & Area, description of key EIA
Methodologies including sampling and measurement plan, Scoping
and Public Participation)

EIA Summary • Summary of alternatives considered in terms of siting,

technology selection/operation processes and design
• Concise integrated summary of the main impacts and residual
effects after applying mitigation
• Risks and uncertainties relating to the findings and
implications for decision making

Project Description

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Sections /
Content Page #
Subsections

1.1 Project Location a) Map showing sitio, barangay, municipality, province, region
and Area boundaries, vicinity, proposed buffers surrounding the area and
Primary & secondary impact areas

b) Geographic coordinates (shape file data) of project area (use WGS

84 datum - GPS setting)

c) Describe the vicinity and the accessibility of the project site/area

I.2. Project Rationale • Cite and focus on the need for the project based on national and
regional/local economic development in terms of contribution to
sustainable development agenda or current development thrusts.
• Describe the justification for the Project with particular reference
made to the economic and social benefits, including employment
and associate economic development, which the project may
provide. The status of the project should be discussed in a regional
and national context.

I.3. Project a) Cite criteria used in determining options for facility siting,
Alternatives development design, process/technology selection, resource
utilization and discuss how the decisions on the preferred options
were made.
Siting: Present the process and criteria for the selection of the alignment
Discuss alternative project locations including factors significant to the
selection such as severity of impacts, perception of affected
communities with regards to project, ancestral domain issues, land
classification, etc.
Design Selection: Discuss factors significant to design selection in
consideration to project’s adverse impacts to environment
Resources: Alternative sources of power, water, raw materials and
other resources needed including factors significant to the selection
such as supply sustainability and climate change projections. In case
the project includes reclamation activity, provide source of filling
materials.

Likewise contextualize the determination of preliminary options in

terms of project site factors significant to the selection such as supply
sustainability and susceptibility to:
• Liquefaction, Ground Shaking, Ground Rupture, Earthquake
induced Landslides Volcanic eruptions, tsunami (PHIVOLCS )
• Rain-induced landslide and flooding (MGB)
• Storm surge, and flooding as well as extreme climatologic
conditions (PAGASA)

b) Discuss the consequences of not proceeding with the project or no

project option

1.4 Project a) General layout of facilities

Components
b) Maps showing in particular, the location and boundaries of project
area, location and footprint of main facilities, storage and support
facilities, and proposed buffers.

b) Identification and general description of major components

 Roads and Bridges
1. Main Carriageway
2. Overpass and Underpass
3. Interchanges
4. Toll Facilities
5. Bridges and Box Culverts
 Airports
1. Runway
2. Taxiway
3. Apron

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Sections /
Content Page #
Subsections

4. Terminal Building
5. Control Tower
6. Hangar
7. Parking
 Other Infrastructure Projects:___________________

c) Identification and description of support facilities and infrastructure

requirements such as energy/power generating facility (if any) or
energy source, water supply/storage, storm water drainage, sewerage

e)Identification and description of pollution control devices during

construction phase (ie. silt curtains, gabion) and operation phase (ie.
sewage treatment plant (STP) for airport, etc.)

1.7 Project Size Total Project Area in hectares

For Roads and bridges: Length in km

1.8Development Plan, Phases to be described in terms identifying specific activities (w/

Description of special attention on those with significant environmental impacts as
Project Phases well as climate change adaptation options relevant to the project and
and project activities) and corresponding projected implementation
Corresponding timeframes:
Timeframes • Pre-construction (e.g. planning, acquisition of rights to use
land, Road Right of Way, Resettlement Action Plan, Tree
cutting permit, zoning clearance, etc.)
• Construction (e.g. land/site clearing, temporary housing,
transport of materials, excavation, mobilization of equipment,
operation of crusher plant, concrete batching plant and
bitumen mixing plant, slope cutting for road width formation,
road formation clearance, construction of road, interchanges,
for bridges: construction of substructure: pile driving and
concreting, dredging and construction works, for airports,
foundation works, dewatering, asphalt laying)
• Operation (projected period of start-up/commissioning/full
operation of various project components) include discussion
on the operation of various components (as identified above)
in terms of raw materials, fuel requirements, waste
management and infrastructure requirements, airport traffic
management
• Decommissioning/Abandonment/Rehabilitation
- projected life of the project and alternatives for the future use of the
project area which should be consistent with long term zoning and
land use development plan of the municipality;
- Abandonment Plan (general) to include management plan for the
remediation of contaminated soil and water resources, land
restoration, proper dismantling/abandonment of facilities/
equipment and other necessary activities
- Demobilization plan to include proper dismantling/abandonment
of temporary facilities/ equipment and other necessary activities

I.8. Manpower Tabulate the following per project phase (pre-construction,

construction, operation and maintenance):
• manpower requirements;
• expertise/skills needed;
• nature & estimated number of jobs available for men, women, and
indigenous peoples (if in IP ancestral land);
• scheme for sourcing locally from host and neighboring LGUs
I.9. Project Cost Indicative Project Investment Cost (Philippine Peso)

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Sections /
Content Page #
Subsections

2. Assessment of Environmental Impacts

See Table 3 for the list of key environmental impacts which shall be subjected to assessment.
The assessment shall done using the prescribed approach/method and in relation to the
corresponding baseline characterization in the primary and secondary impact areas (as
determined using the Guidelines in Annex 2-2 of the Revised Procedural Manual (RPM) for
DAO 2003-30 or succeeding issuances). The sampling and measurement plan used shall be
discussed. Likewise, the assessment should be done for the various phases of development (i.e.
pre-construction, construction and operation) and should consider climate change projections
and disaster risks based on existing natural hazard information. For all maps, include overlays
of project area footprint, show sensitive/critical receptors and sampling points for baseline data
(indicate geographical coordinates). In conclusion, the residual and cumulative impacts shall be
assessed.

3. Environmental Management Plan

Appropriate mitigation/management measures should be specified for each of the identified key
impacts (Table 3). Appropriate climate change adaptation and disaster risk reduction
measures/options shall likewise be thoroughly discussed. The impact management plan should
be summarized using at the minimum, the format in Annex 2-17 of RPM for DAO 2003-30

4. Environmental Risk Assessment (ERA) & Emergency Response Policy and Guidelines

The level of coverage and type of document required shall first be determined based on Annex
2-7e of RPM for DAO 2003-30.

See Table 4 for details

Social Development Plan/Framework (SDP) and IEC Framework

5.1 Social Community development or livelihood programs/activities, projected

Development beneficiaries, partner institutions, timeframe of implementation as well
Program (SDP) as source and amount allotted per activity/component (See Annex 2-
18 of RPM for DAO 2003-30)

5.2.Information and Target sector, key messages, scheme/strategy/methods, Information

Education Campaign medium, timelines and frequency, cost (See Annex 2-19 of RPM for
(IEC) DAO 2003-30)
Environmental Compliance Monitoring

6.1.Self-Monitoring The monitoring plan shall be summarized using Annex 2-20 of RPM
Plan for DAO 2003-30 or succeeding issuances as template.

6.2 Environmental • Discussion on the necessity of putting up an EGF. If deemed

Guarantee and necessary, present a proposed amount of EGF indicating the basis
Monitoring Fund for the estimate (per guidelines in annex 3-6 of RPM for DAO 2003-
Commitments 30)

7.Decommissioning / Abandonment /Rehabilitation Policy

Statement on Proponent’s policies to implement the abandonment plan described in Item 1.7
and to formulate and submit procedures for Rehabilitation/ Decommissioning/Abandonment
within a timeframe specified in the ECC.

8. Institutional Plan for EMP Implementation

Present the organizational scheme of the proponent including line of command and reporting
procedures as well as manpower complement and relationships with other operating
departments.

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Table 3. Key Environmental Impacts to be included in the Assessment and Formulation of
Management and Monitoring Plan to be reflected in the EIS
✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

Page Page Page Page

I. Land

1.1. Land Use and

Classification
1.1.1 Impact in terms of Description & Map showing Assessment of the
compatibility with the project area in relation to compatibility of the
existing land use existing land use. proposed project vis-a-
vis actual land use and
1.1.2 Impact on Identify ECA where the the approved
compatibility with project is located or near the comprehensive land use
classification as an project area. plan/zoning
Environmentally Critical classification, ECA
Area (ECA) Identify areas Classification and/or the
vulnerable/susceptible to coastal resource
natural hazards where the management plan of the
project is located or near the LGU if any.
project area (include map/s).

1.1.3 Impact in existing Determine if the project area Identify and assess
land tenure issue/s is under CARP or with impact in terms of land
CADC / CADT / CALC/ tenure issues in relation
CALT, with to project
IFMA/CBFMA, within implementation
COC, within MPSA or other
tenurial instruments and
identify corresponding
existing tenure issues
including presence of
informal settlers.

1.1.4 Impairment of visual Visually significant Identify and assess

aesthetics landforms/ impact of the project on
landscape/structures these visually significant
landforms/landscape/
structures

1.2
Geology/Geomorphology

1.2.1 Change in surface Slope and Identify and assess

landform/geomorphology Elevation/Topographic project impact in terms
/ topography/ Map; of the changes in surface
terrain/slope landform/topography/ter
rain/slope including
existing hazard as maybe
aggravated by climate
change as projected by
PAGASA
1.2.2 Change in sub- Regional/General Identify and assess
surface Geological Map project impact in terms
geology/underground of the changes in sub-
conditions Natural Hazard Map (sub surface geology and
surface) inducement of

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

Page Page Page Page

1.2.3 Inducement of Geological Map as needed.; subsidence, liquefaction,

subsidence, liquefaction, hazard maps (NAMRIA, landslides, mud/debris
landslides, mud / debris NDRRMC, MGB, flow to the environment
flow, etc. PHIVOLCS, PAGASA) including the possibility
of aggravating existing
natural hazards

Discuss and assess the

impacts of geologic
hazards and planned
earthworks on the
project facilities (e.g.,
landslides, mudflows,
subsidence, ground
shaking from
earthquake, liquefaction,
flooding, etc.). Note in
the discussion how
climate change can
aggravate the hazards
and impacts. The
geologic hazards map
must consider the
hazards/exposure/vulner
ability/ risk maps of
Section 1.1.2.

1.3 Pedology

1.3.1 Soil erosion / Loss • Summary of Soil Describe capability of

of topsoil/overburden Investigation the land to accommodate
Report on soil type the proposed
and quality development with
• Soil map showing minimal or without soil
soil types, erosion/loss of
sampling stations, topsoil/overburden
topography,
streams, built-up Describe the physical
areas, and planned properties and erodibility
project features potential of the soil,
• Sediment sources ongoing erosion
processes and assess the
erosional impacts of the
project.
1.4 Terrestrial Ecology

1.4.1 Vegetation • Map showing land cover; To establish baseline,

removal and loss of sampling sites; location of - Use quadrat
habitat observed important, sampling for
endangered, and keystone flora to cover
species; ecologically all land cover
sensitive sites; planned types
land development works - Use transect
• Flora and fauna species walk , mist
inventory or survey report nets, traps, for
to cover species listing, fauna
abundance, richness,
dominance, diversity,

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

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evenness, ecological - show survey

status, and uses; locations in a
map

Relate discussions to
estimated GHG
1.4.2 Threat to existence Summary of endemicity / emissions and possible
and/or loss of local conservation status carbon sequestration
species program/s

1.4.3Threat to • Summary of abundance,

abundance, frequency frequency and distribution
and distribution of • Economic importance and
species uses of significant flora
and fauna
1.4.4 Hindrance to Survey map in relation to the
wildlife access project site

2. THE WATER

2.1
Hydrology/Hydrogeology

2.1.1 Change in drainage Drainage map (also showing Identify and assess
morphology / inducement local drainage project impact on the
of flooding/ Reduction in system/infrastructures); change in drainage
stream volumetric flow Historical flooding/drought morphology/local
occurrences, stream flow drainage system and
measurements/estimates; resulting effects of
Delineation of watershed flooding pattern in the
/sub-watersheds/ floodplain; project area and
and identification of surrounding. Include
aquifers if any climate projections
effects on flooding.

Relate discussions to
item 3.1.1

2.1.2 Change in stream, Regional hydrogeological Identify and assess

lake water depth map project impact in terms
of change in stream, lake
water depth

2.1.3 Depletion of water Current / projected water Identify and assess

resources / competition in use (groundwater/surface project impact on the
water use water) in the area and existing water resources
adjacent areas and the resulting
competition in the water
Inventory of water supply use using
source including springs and analysis/estimation of
wells( indicate depth of water availability.
water table) and show Include discussions
location in a map of taking into consideration
appropriate scale the PAGASA medium to
long term projections

2.2 Oceanography (applicable to projects with jetty/port and/or subsea structures that will change the bathymetry in the
area)

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

Page Page Page Page

2.2.1 Change/disruption • Bathymetric Identify and assess

in water circulation survey and map project impact on the
pattern, littoral current, • Measurement of degree of
and coastal erosion and water currents change/disruption of
deposition • Analysis of circulation pattern and
available the potential for coastal
proximate tides erosion
data
• Hydrodynamic Build a hydrodynamic
modeling model based on the
• Particle dispersion measured bathymetry
modeling and map and currents and tidal
• Storm surge analysis and then
hazard, exposure, validate the model. A
vulnerability, risk public domain software
maps like the United States
Environmental
Protection Agency
Environmental Fluid
Dynamics Code (EFDC)
may be used. Through
the validated
hydrodynamic model,
assess the impacts of the
project on water
circulation, littoral
current, and coastal
erosion and deposition.
Use the modeling results
of Sec. 1.3.1 and 2.1.1.
Discuss how the impacts
may be affected by
climate change
especially sea level rise.

2.2.2 Change in Bathymetric map; USLE / similar modeling

bathymetry when applicable

Use the hydrodynamic

model to assess the
impacts of the
bathymetric changes.
Discuss how the impacts
may be affected by
climate change.
Compare projected new
bathymetry as a result of
the project with the
existing
2.3 Water Quality

2.3.1 degradation of Physico-Chemical Identify and assess

groundwater quality characterization of water: project impact in terms
of degradation of
 pH groundwater, coastal
surface water and
 BOD5 coastal/marine water

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

Page Page Page Page

2.3.2 degradation of ✓ BOD5 quality. Use DENR

surface water quality standard methods and
✓ Oil and grease
procedures for sampling
✓ TSS and analysis.
✓ fecal / total
coliform Assess impact on
2.3.3 degradation of siltation of surface and
coastal/marine water  sampling site map coastal/marine waters.
quality

2.4 Freshwater Ecology

2.4.1 Threat to existence • Summary of endemicity / Identify and assess

and/or loss species of conservation status project impact in terms
important local and • Abundance of of threats to
habitat ecologically and existence/and or loss of
economically important species, abundance
species (fishes, benthos, frequency and
2.4.2 Threat to planktons); distribution species and
abundance, frequency and include discussions on
• Presence of pollution
overall impact to
distribution of species
indicator species;
freshwater ecology.
• sampling site map
Relate discussions to air
and water quality

2.5 Marine Ecology (applicable if project involves activities, discharges or with structure in marine waters)

2.5.1 Threat to existence • Abundance/densiti Quadrat, transect, line

and/or loss of important es/distribution of intercept, spot dive,
local species and habitat ecologically and manta tow, marine
economically resource characterization
important species (e.g. municipal and
(mangroves, fishes, commercial fisheries
2.5.2 Threat to
benthos, planktons, data) for baseline
abundance, frequency
coral reefs, algae, gathering.
and distribution
seaweeds, sea
grasses); Identify and assess
• sampling site map project impact in terms
of threats to existence,
loss of important local
species and include
discussions on overall
impact to marine
ecology.

Show in a map, sampling

sites for monitoring
purposes.

3.0 THE AIR

3.1
Meteorology/Climatology

3.1.1 Change in the local Monthly average rainfall Identify and assess
micro-climate e.g. local and temperature of the area; project impact in terms
temperature Climatological of change in the local
normals/extremes; Wind micro- climate change.

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

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rose diagrams; Frequency of Also discuss effects of

Tropical cyclones climate change using
PAGASA medium to
long term projections
3.1.2 Contribution in Data on Greenhouse gasses Estimate projected
terms of greenhouse gas (i.e. carbon dioxide, nitrous greenhouse gases (GHG)
emissions (or GHG oxide); using IPCC guidelines;
mitigation potential)
Include carbon sink
program for offsetting.

Note: Per existing DENR -

FMB regulations,
replacement of trees shall
follow the following ratio:
1:50 (50 trees for 1planted
tree cut), and 1:100 (100
trees for 1 naturally
growing tree cut)

3.2 Air Quality (&

Noise)
3.2.1 Degradation of air Characterization of ambient Use DENR standard
quality air quality: methods and procedures
✓ TSP for sampling and
✓ PM10 analysis.

 sampling site map Show in a map, sampling

sites for monitoring
purposes based on the
above assessment.

3.2.2 Increase in ambient Characterization of ambient Use DENR standard

noise level noise level methods and procedures
for sampling and
sampling site map measurement.

4.0 THE PEOPLE

4.1 Displacement of Demographic data of impact Identify and assess

settler/s area: project impacts on
- Number of households demography of affected
Displacement / and household size communities. Use
disturbance of properties - Land area, assessment in the
formulation of SDP/IEC
Change/conflict in land
- Population,
ownership - Population densityAssess availability of
/growth alternative public access
Change/conflict Right of - gender and age profile, and housing options for
way - literacy rate, profile of displaced settlers
educational attainment For project with
Impact on Public Access - settlements map displacement/
disturbance of
Focus Group Discussion properties/settlers,
covering various population change/conflict in land
ownership and

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

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sectors (women, men, change/conflict right of

youth, elderly and others as way, formulate
applicable) shall be resettlement framework
undertaken in the impact plan or RAP
area/s to gather perception
4.2 In-migration data Identify and assess
project impact due to in-
proliferation of informal Census of population / migration patterns
settlers property that will be including proliferation of
displaced / disturbed informal settlers

Housing ownership profile /

availability of housing/
number of informal settlers

4.3 Cultural/Lifestyle Demographic data on Identity and assess

change Indigenous People (if any) project impact in terms
and existing of Culture/Lifestyle that
Culture/Lifestyle that may may be affected and/or
be significantly affected introduced

4.4 Impacts on physical Inventory and description of Identify all potential

cultural resources physical cultural resources project impacts in an
and landscapes that have integrated manner
archaeologic, paleontologic, considering the type,
historical, religious, significance, and
aesthetic, or cultural value/importance of the
significance: Movable or physical cultural
immovable objects, below resource/s
ground or under water, sites,
structures, groups of Identify risks in terms of
structures, and natural capacity and
features commitment in
managing the impacts
Classify cultural interest
value/ importance into local, (protocols in handling
provincial, national, or chance finds shall be
international level implemented)

Sources of information:
UNESCO, National
Museum (NM), National
Historical Commission of
the Philippines (NHCP),
National Commission for
Culture and Arts (NCCA)
and the Local Government
Units (LGUs) in the project
area and other UN or
National Publications

4.5 Threat to delivery of Availability of public Identify and assess

basic services /resource services in terms of: project impact in terms
competition • Water supply of threats to delivery of
• Power supply basic services including
potential for resource
• Communications competition in the area
/transportation
including effects of in-
• Conflict migration
• education facilities

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 ✓ For completeness, page numbers should be
provided upon submission of the EIS

Baseli
Impact Monit
Baseline Data Parameter Required Assessment ne Mgmt.
List of Key Impacts Analys oring
Requirements Methodology/Approach Condit Plan
is Plan Remarks
ions

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• recreational
facilities / sports
facilities

4.6 Threat to public health Availability of public Identify and assess

and safety services in terms of: health specific threats to public
resources (Government and health and safety due to
Private) project impacts. Relate
discussions to land, air
Statistical data / information and water (Item 1 to 3)
related to public services:
• Morbidity and Analysis of the impact of
mortality rates project implementation
(infants and adults on existing disease
- 5-year trend) profile including weather
• Common diseases sensitive diseases and
in the area impact aggravation as a
including endemic result of climate change
diseases; as projected by
PAGASA
Environmental Health and
Sanitation Profile

4.7 Generation of Local Socioeconomic data: Identify and assess local

Benefits from the project • Main sources of benefits of the project in
Income terms of enhancement of
Enhancement of • Employment rate/ employment and
employment and profile livelihood opportunities,
livelihood opportunities increased business
• Poverty incidence opportunities and
Increased business • sources of associated economic
opportunities and livelihood activities and increased
associated economic • commercial revenue of LGU
activities establishments and
activities
Increased revenue of • banking and
LGUs financial
institutions

4.8 Traffic congestion Road network/ systems Identify and assess

Existing project impact on the
Transportation/traffic traffic situation in the
situation area including
congestion based on
existing capacity of road
system

Table 4. Environmental Risk Assessment to be included in EIS

✓ For completeness during
procedural screening; page
numbers should be provided
upon submission of the EIS
Monitor
Level of Coverage & CONTENTS OF ERA AS PART OF EIS ERA ERP
ing Plan
REMARKS
Type of Risks For the identified safety risks in column 1
Page Page Page

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Level of Coverage:
Refer to Annex 2-7e of the RPM For EIS, check type of report to be submitted
for DAO 2003-30 prior to Operation:
 Level 2 (QRA  Quantitative Risk
Required) Assessment(QRA)
 Level1 (Emergency  HAZOP
Plan based on hazard
analysis)
 Risk Screening Level

Note: for airport only

Safety Risks Type:  Description of conditions, events

 Fire and circumstances which could be
 Explosion significant in bringing about
identified safety risks
 Release of toxic  Description & assessment of the
substances (eg fuel
oil/lubricants and possible accident scenarios posing
other substances) risk to the environment
 Description of the hazards, both
immediate (acute effects) and
delayed (chronic effects) for man
and the environment posed by the
release of toxic substance, as
applicable
 The safety policy and emergency
preparedness guidelines consistent
with the regulatory requirements.
Emergency Preparedness should
also consider natural hazards to the
infrastructures and facilities.

 Physical Risks  Description of conditions,

(Failure of Structure w/c could events and “trigger” which
endanger life, property and/or could be significant in
the environment) bringing about identified
physical risks
 Description & assessment
of the possible accident
scenarios posing risk to the
environment
 Description of the hazards
both immediate (acute
effects) and delayed
(chronic effects) for man
and the environment posed
by the failure of structure,
as applicable

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