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Odour Complaint Form

Your details
Full name
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Phone number
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Email address
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Address
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Date and time when odour was first noticed

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Date and time when odour was last noticed

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Location
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Please indicate where you were impacted by the odour

Odour intensity guide

Subtle: Odour is detected but might not immediately be recognisable, described and attributed to a source. You need to focus to recognise it, for example, by standing still, inhaling into the wind and concentrating but the odour will ultimately be recognised.

Obvious:Odour is recognisable, can be described and can be attributed to a source. You can easily smell it without any effort or focus on it.

Odour intensity
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Odour frequency guide

Transient: less than 25% of the period of time the odour was recognised.

Repetitive: between 25% and 75% of the period of time the odour was recognised.

Continuous: more than 75% of the period of time the odour was recognised.

Odour frequency
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Odour character
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Please describe what the odour smells like

Odour source
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Where do you think the odour was emitted from?

Impact on your household or family
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Did the odour disrupt your activity?

If yes, what did you have to change?

Health effect
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If you experience health effects, please provide details

  • How did the odour make you feel?
  • How long did you feel this?

Additional comments
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