GENERAL INFORMATION
Name of the Chief Executive Officer/ Chairperson -
Contact Details (for information) -
Name & Designation-
Telephone No
Land -
Mobile -
Fax -
Email -
GREEN APPROACHES
Do you have an environmental policy for your industry/activity for environmental
management (Yes/No) -
o If yes, state such policy -
o If yes, state the strategies adopted to implement such environmental policy -
Financial allocation for environmental activities
o Annual total operational cost -
o Annual cost for environmental activities -
Surrounding Environment of the Industry/Activity
Displays in factory.
Posters (Yes/No) -
Notices (Yes/No) -
Newsletters (Yes/No) -
employees’ ideas (Yes/No) -
environment articles (Yes/No) -
What are the preventive measures to eradicate mosquito breeding places?
o
Internal Environment of the Industry/Activity
Details of housekeeping system –
Availability of sufficient number of wash rooms and proper maintenance of them -
C (Carbon) and Water Footprints
Ratio of green area to total land area -
Did you calculate the carbon footprint and water footprint?
Carbon footprint (Yes/No) -
Water footprint (Yes/No) -
What is your carbon footprint for the year 2023 -
What is your water footprint for the year 2023 -
Do you have a carbon management plan for carbon reduction (Yes/No) -
(If yes, submit the executive summary.)
What action have you taken to reduce GHG emissions in the year 2023-
Amount of GHG reduced/tons
Energy efficiency -
Renewable Energy -
Reforestation / Afforestation -
Carbon Credits -
Percentage reduction of GHG emission from 2023 -
Details of adaptation of C (Carbon) negative product concept -
Optimum Resources Management
Strategies for overall energy savings -
Strategies for minimization of wastewater generation -
Strategies for optimum labor productivity -
Strategies for minimizing raw material consumption. -
Extent of using waste as raw material -
Extent of Reduction and Substitution for hazardous materials -
Extent of using ecofriendly raw materials -
Extent of utilizing green building concept -
Environmental Documentation and Reporting
Frequency of self-reporting -
Describe method of record keeping (if available) -
Maintaining a notice board for environmental awareness (Yes/No) -
Provide details on environmental publications, including annual reports ( if any) -
Are you a member of National Green Reporting System (NGRS) / Global Reporting
Initiatives (GRI) or any other acceptable reporting system -
(Submit a copy of the latest report.)
Availability of committed officer to the environment sector -
Environmental Health and Safety
Do you have an emergency preparedness plan including flood prevention plan -
Details of the emergency preparedness plan –
(Provide factory layout plan with emergency exits)
Details of display of sign boards for health and safety -
Details of firefighting equipment in place -
Details of better ventilation system with lighting -
Usage of personal protection equipments by workers -
Do you conduct regular emergency preparedness drills and awareness for workers
(Yes/No) –
( If yes, state the frequency.)
Solid Waste Management
Method of separation at source -
Method of Collection -
Method of Storage/Transportation -
Strategies for minimization of non-degradable materials -
Strategies for minimization of waste generation -
Waste treatment methods (composting/bio gas/incineration/other) -
Final disposal methods for residues -
Monitoring mechanism of waste management process including waste auditing -
Pollution control strategies
Existing treatment facilities and controlling systems.
Air emission (Yes/No) -
Noise & vibration (Yes/No) -
Status on functioning of emission controlling systems and mitigation measures for noise
& vibration -
Self-monitoring methods to treatment facilities and pollution control systems -
Mitigation measures for noise and vibration -
Do you have HR policy to recruit personnel with environmental qualifications (Yes/No) -
(If yes attach the policy) -
How many have you recruited in year 2023 with the qualification of environment
management -
Percentage of the total recruitment -
Do you have a policy to procure products, machinery or materials with environmentally
friendly features (Yes/No) -
(If yes, attach a copy of the policy)
Legal Status
Certificate of Conformity for constructions –
(Submit copies)
Indicate continuity of the EPL from commencement -
Indicate continuity of the Scheduled Waste Management license from commencement (If
applicable) -
Do you have Trade license/Company Registration/Business Registration or other relevant
approvals as required (location specified and category specified) for your activity
(Yes/No) -
(Submit copies)
Is there any legal action taken against the industry/ activity? Provide details-
Approvals for discharges or input raw materials (if any) -
Availability of maintaining a file for legal requirement -
Details of new systems, procedures and process invented and introduced during year
2023 to improve your productivity/process to enhance efficiency/quality of the
environment -
What are the benefits gained by enhancing the quality of the environment by applying
above innovations –
Corporate Social Responsibility
List social activities done by your industry/activity during year 2023 -
(Submit details with proof.)
Environmental awareness programs -
Tree planting programs
No. of programs conducted -
Monitoring & Maintenance -
Environment related community/rehabilitation programs -
Other environment related programs/Projects –
Previous Awards
Environmental Awards and Certificates obtained in past 3 years -
(Attach copies of certificates )
