NON-FOOD (Textile, Rubber, Chemical) MANUFACTURING PLANT PROJECTS

INITIAL ENVIRONMENTAL EXAMINATION (IEE) CHECKLIST REPORT

For

Project Name or Title

This IEE Checklist Report shall be used for proposed NON-FOOD (Textile, Rubber, Chemical)
MANUFACTURING PLANT PROJECTS to be located within Environmentally Critical Area (ECA).
This IEE Checklist Report is applicable for the following projects (please check appropriate box):
 Project Type Project Size Parameter Threshold
Manufacture of Other Products
Glass-based products annual production rate ≥ 30,000 MT
Metal-based products
(including semi-conductor / annual production rate ≥ 15,000 MT
electronic industries)
Paper and plastic-based
annual production rate ≥ 15,000 MT
products
Chemical Industr
bstances included in the
es Manufacturing, processing Priority Chemical List >0.001 MT but
and/or use of s quantity of toxic chemicals to < 1.0 MT
be used per month
Manufacture of agri-chemicals
200 MT but
and other industrial chemicals annual production rate
< 30,000 MT
not in the PCL
Pharmaceutical industries and
manufacture of soap and
200 MT but
detergents, health and beauty annual production rate
< 50,000 MT
products, and other consumer
products.
Surface coating industries
(paints, pigments, varnishes, 200 MT but
annual production rate
lacquers, anti- capacity fouling < 30,000 MT
coating, printing inks)
Textile, Wood, Rubber Industries
Textile, Wood, Rubber
annual production rate <50,000 MT
Industries
Daily processing rate of raw
Leather and related industries ≥ 1 MT
hides
Mineral Ore Processing

Metallic Mineral or Ore

Processing (e.g. copper, lead,
nickel, cobalt, zinc, silver,
magnesium, and manganese, >200.0 MT annually but
Annual processing (inputs)
gold, placer with metal content) <70,000 MT
with Physical or Mechanical
Processing

For ECC applications, this IEE Checklist Report shall be submitted with:
 Proof of Compatibility with the existing Land Use Plan
 Proof of Authority over the Project Site
 Accountability Statements of Proponent (see attached form) and the Preparer (if any, following
Annexes 2-22 of Revised Procedural Manual for DAO 2003-30)
 Photographs or plates/vicinity map of the project site showing impact areas and affected areas
and communities
 Duly Accomplished Project Environmental Monitoring & Audit Prioritization Scheme (PEMAPS)
Questionnaire (see Annex 2-7d of Revised Procedural Manual for DAO 2003-30)
(No other documents shall be required as pre-requisite to ECC applications per DENR MC 2010-14)

Read the questions carefully and write the required information on the blank spaces provided or
otherwise check () the appropriate boxes □ or parenthesis ( ). Boxes with check marks() are
automatically required. Use additional sheets if necessary and indicate this in the appropriate space.

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 Project proponents are strongly discouraged to engage the services of
consultants/facilitators/preparers to accomplish/fill-up the IEE Checklist Report
Form. The Report Forms have been designed to be user-friendly.

Furthermore, EMB Regional Office is required to complete the processing of an

ECC application using the IEE Checklist Report within twenty (20) working days
upon receipt for completed/duly-accomplished form.
Misleading or erroneous answers are basis for legal actions and/or denial of ECC issuance.

PROJECT FACT SHEET

Project Name: _______________________________________________________

Project Location: _______________________________________________________

Total Project Land Area: ______________________________________________________

Total Project/Building
Footprint Area ______________________________________________________
(Area actually utilized)
Project Proponent: ______________________________________________________
Office Address: ______________________________________________________
Contact Person: ______________________________________________________
Designation: ______________________________________________________
Contact Information
Telephone Number: _________________________________________
Fax Number: _________________________________________
Mobile Number: _________________________________________
E-mail Address: _________________________________________

I. PROJECT DESCRIPTION

1.2 PROJECT LOCATION AND AREA: Street Name, Barangay, and Municipality/City, Province

_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

See attached vicinity map/s and photographs of the project site and site development/layout plan.

Geographic coordinates of the project area (Preferably use WGS 84 datum, otherwise specify datum used).
Perimeter/Boundary points
Longitude Latitude
(based on OCT/TCT/etc)

1.3 PROJECT COMPONENTS

Facilities No. of Units Area (sq. m.) / Specification/

Capacity Description / Remarks

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 1. Material storage facility
Raw, chemical and process
materials
Fuel, lubricants and similar
materials

Finished product (e.g.

equipment facilities, silo,
hopper, etc.)
Others, specify
________________

2. Processing facility
Material preparation and
handling (e.g., screening,
sorting, conveyor belt, etc.)
Material size
reduction/agglomeration
Heating/Drying (direct
heat/energy application)
Processing (e.g., mixing,
blending, refining, milling, etc.)
Finishing (e.g., sorting, filling,
packaging, etc.)
Others, specify
________________

3. Support Facilities (e.g.

emergency generators, boilers,
steam generators, etc.)
4. Admin support (e.g., canteen,
office, clinic, quarters, etc.)
5. Water source / supply
6. Waste water management
Facility
7. Solid waste management
facility
8. Drainage system
9. Others, specify
_____________________

(Use additional sheets if needed)

1.3 UTILITIES/REQUIREMENTS (Operation Phase):

Utilities Source Estimated Demand/Consumption

Power/Electricity
KWh
(Total)
Power/Electricity
(From Renewable Energy KWh
Sources)
Water
(Total) m3/day
(Fill-up table below if water is not
obtained from the local water utility)
Water
(Rainwater Collection m3/day
System)

Water Source

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[ ] ground water [ ] well [ ] spring [ ] others: ____________________________

[ ] Surface water [ ] river [ ] lake [ ] others: ____________________________

Location of water source

____________________________________________________________________________
(Sitio/Zone, Barangay, Municipality/City, Province, Region)

Energy/Water Efficiency

Utilities Estimated Savings Proposed Efficiency/Conservation

Measures
Power/Electricity KWh

Water m3/day

1.4 MANPOWER

a. Construction Phase
Manpower Expertise/Skills Total
Requirement

b. Operation Phase
Manpower Expertise/Skills Total
Requirement

1.5 INDICATIVE PROJECT COST

Project Cost (PhP): ____________

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 II. ENVIRONMENTAL IMPACTS AND CLIMATE CHANGE RISK MANAGEMENT PLAN

Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
LAND
 Consistency with land Current land use w/in 1km radius  See attached proof of compatibility with
use (as per zoning ordinance): land use
 Residential
 Commercial/ Institutional
 Industrial
 Agricultural/ Recreational
 Protected Areas
 Others, specify
___________________

Actual land uses w/in 1km radius:

 Residential
 Commercial/ Institutional
 Industrial
 Agricultural/ Recreational
 Protected Areas
 Others, specify
___________________

 Disturbance to wildlife
Existing vegetation in the area:  Compliance with conditions of DENR/LGU  Annual inspection of area  Cost integrated in the
due to vegetation  Forestland SLUP, Tree Cutting Permit, ROW, PCA replanted/ re-vegetated construction /operation cost
clearing Permit
 Marshland
 Limit land clearing as much as possible
 Grassland  Provide temporary fencing to vegetation

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Possible Environmental/
Social Impacts
 Change in surface
landform/ topography/
terrain/slope
 Soil Erosion
 Soil/Land contamination
due to improper solid
waste disposal
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Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
that will be retained
 Mangrove
 Promote restoration of damaged or
 Wetland destroyed vegetation where possible (e.g.,
tree planting);
 Others, specify
____________________
Slope:
 Provide erosion control and slope  Regular inspection of slope  Slope/ Erosion Control
 flat (0-3%) protection measures protection measures in Cost: ___________
erosion-prone areas
 gently sloping to rolling (3-  Designate a Spoils Storage Area, with  Others, specify
18%) topsoil set aside for later use and allow  Regular inspection for new __________________
maximum re-use of spoils eroded areas near the site
 steep (>18%)
 Construction during dry season  Others, specify
_______________________
 Stabilization of embankment with grasses
or other soil cover
 Others, specify
____________
Is the project site located in an area
identified by MGB/PAG-ASA/  Compliance with the DENR Administrative
PHIVOLCS as hazard prone? Order No. 2003-30 and DENR
 Yes Administrative Order No. 2000-28,
Implementing Guidelines on Engineering
 No Geological and Geo-hazard Assessment
(EGGA).
Existing soil type in the area:  Implementation of the Ecological Solid  Daily inspection of  Cost integrated in the
 sandy Waste Management Plan (ESWMP) waste/recycling bins for construction /operation cost
segregation
 clay  Set-up temporary fence around the
construction area  Daily inspection for presence
 sandy-loam
 Implement re-use and recycling of waste
of mixed garbage in the
facility
 Others, specify materials
 Weekly inspection of waste
____________________  Implement proper segregation, collection accumulated
and disposal of domestic wastes in
Possible Environmental/
Social Impacts
Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
designated areas
 Others, specify
 Implement proper collection and _______________________
processing of animal waste into organic
fertilizer
 Implement proper collection, labeling and
storage of hazardous waste
 Provide receptacles / bins for solid wastes
 Coordinate with the municipal / city waste
collectors
 Engage third party company for waste
collection
 Others, specify
________________

 Impairment of visual
Presence of visually significant
 Implement landscaping and other  Regular inspection of  Cost integrated in the
landforms/landscape/structures? construction/ operation cost
aesthetics beautification measures landscaping and other
 Yes beautification activities
 Devaluation of land  Provide adequate buffer
values  No  Regular monitoring of buffer
 Compensate adjacent property owners
zones
 Others, specify  Regularly monitor for
________________ presence/absence of
complaints from adjacent
property owners

WATER

 Increased siltation due

to project activities
 Water quality
degradation
 Others, specify
Specify nearest/receiving water
body:
____________________________
Distance to nearest/receiving water
body:
 Provision of wastewater treatment facility
Regular (ocular) inspection of  Cost integrated in the
water body for: construction/ operation cost
(e.g. septic tank, oil and water separator,
etc.)  Turbidity and/or silted
condition
 Provide ring canals around fuelling tanks/
motor pool/ maintenance areas  Floating wastes or debris

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Possible Environmental/
Social Impacts
_________________
Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
 0 to less than 0.5 km  Set-up proper and adequate sanitary
facilities
 0.5 to 1 km
 Strictly require the contractor and its
Monthly monitoring of the
following:
 More than 1 km workers to observe proper waste disposal  pH
and proper sanitation
 Strictly observe proper waste handling and  TSS concentration
disposal
 BOD
 Set up silt trap/stilling ponds to minimize
downstream siltation
 Total Coliform

 Others, specify  Color

 Oil and Grease
If nearest/receiving water body is
fresh water, specify classification:  Trace Metals (Pb, Cd, Hg,
Cr6, As)
 AA
 A
 B
 C
 D

If nearest/receiving water body is

coastal or marine water, specify
classification:
 SA
 SB
 SC
 SD

Current Water Use:

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Possible Environmental/
Social Impacts
Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
 Fishery
 Tourist Zone / Park
 Recreational
 Industrial
 Agricultural

Distance of project area to the

nearest well used:
 0 to less than 0.5 km
 0.5 to 1 km
 More than 1 km

Use of the nearest well:

 Drinking/Domestic
 Industrial
 Agricultural

 Competition in water
Size of population using receiving
 Implement rainwater harvesting and similar  Cost integrated in the
use
surface water:
measures as an alternative source of water  Regularly monitor for construction/ operation cost
 ≤ 1,000 persons presence/absence of
 Depletion of water  Observe water conservation measures complaints
resources  >1,000 and ≤ 5,000persons

 Careful selection of project site to avoid Regular coordination with
 >5,000person disruption of traditional water uses concerned agencies
 Regularly monitor for
Available/nearest water source.
 Obtain Water Permit from NWRB
occurrences of water
 Improve efficiency of water supply and shortages

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Possible Environmental/
Social Impacts
Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
distribution system
 Deepwell  Others, specify
 Others, specify ____________________
 Water district/LGU
_______________________
 Surface water
 Others, specify
______________________

 Increased occurrence
of flooding
Is the project site located in an area
 Use appropriate design for project facilities  Regularly monitor for  Cost integrated in the
identified by MGB/PAG-ASA as presence/absence of construction/ operation cost
flood prone?  Implement appropriate drainage system complaints
 Yes  Regularly remove debris and other  Regular coordination with
concerned agencies
 No materials that may obstruct water flow
 Regularly monitor for
 Use appropriate technology (e.g. raised
increased frequency of
hand-pumps) to protect drinking water from flooding
flood contamination
 Others, specify
 Others, specify
_________________
_________________________

AIR / NOISE

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Possible Environmental/
Social Impacts
 Air quality degradation
 Nuisance due to
generation of
obnoxious/unpleasant
odor
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Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
Distance to nearest community:
 Properly operate and maintain all  Regularly monitor for  Cost integrated in the
 0 to less than 0.5 km emission sources (e.g. vehicles, boiler, presence/absence of construction/ operation cost
generator, etc) complaints
 0.5 to 1 km
 Install when applicable, the appropriate Regular (ocular) inspection of:
 More than 1 km
air pollution control device/s  Absence of white or black
 Strictly enforce good housekeeping smoke from vehicles,
practices heavy equipment,
generator, etc.
 Control vehicle speed to lessen
suspension of road dust  Presence of truck cover
during deliveries
 Conduct water spraying to suppress
dust sources and minimize discomfort Quarterly monitoring of emission
to nearby residents for the following:
 Use covered vehicles to deliver  TSP
materials that may generate dust
 PM10
 Other, specify
________________________  NOx
 SOx
 CO / CO2
Distance to nearest community:
 Regular clean-up and good  Regularly monitor for  Cost integrated in the
 0 to less than 0.5 km housekeeping practices presence/absence of construction/ operation cost
complaints
 0.5 to 1 km  Use of environment-friendly deodorizer
or odor masking substances
 More than 1 km
 Spraying natural / microbial
Is the wind direction blowing disinfectants
towards the nearest community
most of the year?
 Provide adequate buffer and/or
planting of trees
 Yes
 Others, specify
Possible Environmental/ Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Social Impacts Implementation
___________
 No

 Nuisance due to noise

Distance to nearest community:
 Properly operate and maintain all noise  Regularly monitor for  Cost integrated in the
generation  0 to less than 0.5 km sources (e.g. vehicles, boiler, generator, presence/absence of construction/ operation cost
etc) complaints
 0.5 to 1 km
 Regular monitoring of buffer
 Install when applicable, the appropriate
 More than 1 km
noise control device/s (e.g., mufflers, zones
silencer, sound barriers, etc.)
 Implement appropriate operating hours  Quarterly monitoring noise
level
 Provide adequate buffer and/or planting of
trees
 Others, specify
______________________

PEOPLE

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Possible Environmental/
Social Impacts
 Displacement of
residents in the project
site and within its
vicinity
 Displacement of
Indigenous People
 Enhanced employment
and/or livelihood
opportunities
 Reduced employment
and/or livelihood
opportunities
 Increased revenues for
LGU
 Disruption/Competition
in delivery of public
services (e.g.,
education, peace and
order, etc.)
Baseline Environment
Size of population of host barangay:
 ≤ 1,000 persons
 >1,000 and ≤ 5,000persons
 
>5,000person
Classification of host barangay:
 Urban
 Rural
Available services within/near the
host barangay:
 Schools (e.g. elementary,
high school, college)
 Health facilities (e.g.,
clinics, hospitals, etc.)
 Peace and order (e.g.,
police outpost, brgy. Tanod,
etc.)
Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
 Provide relocation/disturbance  Presence/Absence of  Cost integrated in the
compensation packages complaints construction/ operation cost
 Prioritize local residents for employment  Regular coordination with
LGU
Promptly pay local taxes and other
financial obligations  Others, specify
 Regular coordination with LGU _________________
 Prior consultation & coordination to
minimize disruption on daily domestic
activities & respect for IP rights and
cultural practices
 Ensure participation of IPs in consultations
and dialogues
 Provide appropriate traffic/warning signs,
lighting, etc
 Others, specify
_________________

 Enhanced delivery of  Recreation and sports

public services (e.g., facilities
education, peace and
order, etc.)  Others, specify
 Increase in traffic ____________________
volume and worsening
of traffic flow

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Possible Environmental/
Social Impacts
 Impacts on community
health and safety
 Others, specify
___________________
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Baseline Environment Preventive/ Mitigating Measures Monitoring Parameters/ Cost of Mitigation/ Monitoring
Implementation
 Regular coordination with LGU  Regularly monitor for  Cost integrated in the
presence/absence of construction/ operation cost
 Provide appropriate warning signs, lighting
complaints
and barricades, whenever practicable
 Regular coordination with
 Observe proper housekeeping LGU
 Provide on-site medical services for any  Regular submission of reports
emergency. to concerned agency
 Participate in public awareness programs  Others, specify
on health and safety _________________
 Implement appropriate safety programs for
both community and workers
 Strictly comply with fire, safety and similar
regulatory requirements
 Strictly comply with requirements of RA
6969
 Others, specify
______________________
III. ABANDONMENT /DECOMMISSIONING/REHABILITATION POLICIES AND GENERIC
GUIDELINES (if Applicable)

Project Life or Service : ___________ years

Provide description of the Abandonment activities, such as, dismantling and waste disposal.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
________________

IV. INSTITUTIONAL PLAN FOR EMP IMPLEMENTATION

Organization Chart:

IV.1. Abandonment Plan (if Applicable)

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Process Flow

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Attach drawing/plan of waste water treatment facility (with dimensions and descriptions)

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Attach drawing/plan of air pollution source and control installations (with dimensions and
descriptions)

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 SWORN STATEMENT OF ACCOUNTABILITY OF THE PROPONENT

This is to certify that all the information and commitments in this Initial Environmental
Examination (IEE) Checklist Report are accurate and complete to the best of my knowledge.

By the authority vested in me by the ______(Company Name) as

___(Position/Designation), I hereby commit to ensure implementation of all commitments,
mitigating measures and monitoring requirements indicated in this IEE Checklist Report as well
as the following:
 Conform to pertinent provisions of applicable environmental laws e.g., R.A. No.
6969 (Toxic Substances and Hazardous and Nuclear Wastes Control Act of
1990), R.A. No. 9003 (Ecological Solid Waste Management Act of 2000), R.A.
No. 9275 (Philippine Clean Water Act of 2004), and R.A. No. 8749 (Philippine
Clean Air Act of 1999).
 Abide and conform to LGU development plans and guidelines.
 Promptly pay local taxes and other financial obligations.
 Regularly submit reports to concerned agencies.

I hereby bind myself to answer any penalty that may be imposed arising from any
misrepresentation or failure to state material information in this IEE Checklist.

In witness whereof, I hereby set my hand this ____ day of __________ at

______________________.

__________________________
NAME OF PROPONENT HEAD
(Position)
(Company Name)

SUBSCRIBED AND SWORN TO before me this _____ day of ____________ 201__, affiant
exhibiting his/her Community Tax Certificate No. ___________________ issued at
______________________ on __________________________.

Doc. No. ____________________

Page No. ____________________
Book No. ____________________
Series of ____________________

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