Green Achiever Business Health Check

Green Achiever - Enrolment Form Please fill in the details below.

A Free Company Health Check Report

Stay on the right side of the ever changing legislation!
In Strict Confidence and with no obligation.
Please complete the boxes below answering as many question as you can.
The more information, the more meaningful the report.
Our report will be sent to you in electronic format.
A link will be supplied to download a Green Achiever Logo for your website..

Title
First Name
Last Name
Company Name
Address
City
Postcode
Type of Business
Telephone
Your E-Mail
Your Website
To confirm your Business Activities, please State 'y' for YES or 'n' for NO
Manufacturing
Assembly
Retail
Distribution
Import
Export
Office/Administration
Main Business Activity
Number of Employees 1 - 5
Number of Employees 6 - 20
Number of Employees 21 - 200
Number of Employees more than 200
Turnover Less than £2m
Turnover between £2m - £5m
Turnover More than £5m
Do you have an Environmental Policy?
Do you have an Environmental Management System (e.g. ISO14001?)?
Do you operate a Services Department?
Do you know your Carbon Footprint?
Would you know like to know your business Carbon Footprint?
Do you know about Carbon Offsetting?
Would you like to learn more about Carbon Offsetting?

If you manufacture, please answer questions below Y or N. If not, got to next section.
Do you carry out Paint Spraying?
Do make Electrical or Electronic Goods?
Do your products carry the CROSSED OUT 'wheelie bin' logo?
Do you specify the packaging of the products manufactured?
Oils Policy - Please Answer
Is machine maintenance oil used or stored on site?
Do you store more than 200 litres (45 gals.) on site?
Do you have a 'spillage plan' in operation?
Do you know where your drains are?
Foul Water Sewer?
Foul water via an interceptor on site?
Soak Away?
Septic Tank?
Chemicals
Do you carry any notifiable Chemicals on Site?
Waste - Do you dispose of any of the following?
Card?
Plastic?
Wood (Pallets?)
Electrical or electronic?
Paint Cans or Containers?
Oil?
Oil Rags?
Food and Canteen Waste?
Chemicals?
Batteries?
Fluorescent Light Bulbs?
Other General?
Do you recycle any waste?
Do you take back old and redundant products from customers?
What products do you recycle?
Packaging
Do you buy packaging for packing (e.g. plastic bags, shrink wrap, cartons)?
Energy - Which forms of energy do you use?
Electricity?
Gas?
Oil?
Energy generated on site?
Do you use any renewable energy?
Do you monitor your consumption?
Transport
Do you have your own fleet?
Do you have company cars?
Do you use Biofuels?
Do you carry out your own maintenance?
Do you use third party logistics?
Other general questions
Have you been asked for your Environmental Policy?
Do you ask your suppliers for their Environmental Policy?
Do you source supplies locally?
Do you import products?
Do you advertise your Green Credentials?
Do you feel any pressure to become a 'Greener' Company?

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Carbon Earth Ltd Lower House Cardeston Shrewsbury SY5 9NQ Telephone 01948 861335	E4 Environment Ltd 17/18 Mardol Shrewsbury SY1 1PU Telephone 01743 343403