Community Engagement Guidelines for Mining and Mineral Exploration in Victoria

Appendix 3: Identified community and impact assessment form

Identified community and type	Impact level* 1 = High 2 = Medium 3 = Low	Name	Personal contact details[3]
Community of place
Neighbouring properties	1 2 3
Neighbouring properties	1 2 3
Other communities affected by the project	1 2 3
Other communities affected by the project	1 2 3
Community of practice
Sports groups	1 2 3
Farmers’ groups	1 2 3
Local businesses	1 2 3
Local schools	1 2 3
Community of standing
Aboriginal community	1 2 3
Environmental groups	1 2 3