Health Investigation Request

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It is natural that in the course of day to day living that some activities may result in noise, dust, and other effects, that may affect those living with you or on other nearby properties. While it is acceptable for some activities to be undertaken that may produce, noise, smoke, dust, fumes, odours, or accumulations of solid or liquid waste, there is also a responsibility to ensure that they are within legal limits and do not adversely affect surrounding properties. Similarly, residents should ensure that activities on their land do not result in the breeding or attraction of pests.

If you are experiencing problems with a neighbour’s activity please refer our guidelines on neighbourhood noise before lodging any Investigation Requests.
When lodging a complaint about Noise please ensure you complete a Noise Log Sheet.

Please note that it has been our experience that resolving some noise issues can become protracted and may require you to liaise directly with the investigating Environmental Health Officer to achieve the desired outcome.

Further information can be obtained from the City of Kalamunda Health Service on (08) 9257 9999

Download Health Investigation Request Form OR submit online the required details below.

Contact Information

Full Name:*

Your Address:*

Your Contact Phone:*

During Office Hours

Alternate Contact Phone Number:

Your Email:*

Details of Other Party (where known)

Other Party Name:

Other Party Address:

Other Party Contact Phone:

Details of Issue/Problem

Please outline/describe the details of the problem:*

Action taken to Resolve Issue/Problem

Have you discussed this issue with the other party concerned? * Yes No

Outline what action you have taken to resolve this issue:

Noise Complaint Only

What do you believe to be the source of the noise? EG. The lawn mower at 10 Smith Street

What time does the noise occur? EG. Approximately between 6am to 8am

For how long does the noise occur? EG. Approximately 2 hours on each occasion

How often does the noise occur? EG. Every second Sunday morning (in summer only)

ATTACH: Noise Log Sheet

This is required when putting in a request relating to noise

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Further Information

Any other comments

NOTE: An email will be sent to the email address provided in the above form to confirm details have been successfully received.

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