Supply Chain Sustainable Purchasing Survey

COMPANY PROFILE

Company name:*

Address:*

Company website:*

Completed by (name & title):*

Email address:*

Date completed:*

ENVIRONMENTAL POLICIES AND MANAGEMENT SYSTEMS

1. Does your company develop and communicate a company environmental and/or sustainability policy?*

Yes
No

2. Has your company implemented an Environmental Management Standards system (i.e., ISO 14001)?*

Yes
No

3. Does your company have web-based materials available documenting your “Green” initiatives?*

No
Our website includes materials that document company’s “Green” initiatives
Our website contains an environmental policy statement
Our website contains our company’s Sustainability Report
Other

Please elaborate

4. Does your company identify and have plans in place to manage your sustainability risks and opportunities?*

Yes
No

5. Does your company have ethical and legal employment practices assuring compliance with all applicable employment laws impacting employees and suppliers?*

Yes
No

ENVIRONMENTAL MONITORING

6. Does your company comply with all national and local laws relating to environment, safety and health?*

Yes
No

7. Does your company monitor emissions to land, water and air from the manufacturing process?*

Yes
No

8. Are there formal systems in place to identify and evaluate hazardous chemicals and materials in terms of their use, production, release and safe disposal?*

Yes
No
Not applicable for the type of products manufactured by the company

ENVIRONMENTAL REPORTING

9. Does your company measure and publicly report environmental information (i.e., through an annual environmental, sustainability, or corporate social responsibility (CSR) report?)*

Yes
No

10. Does your company respond to the Carbon Disclosure Project (CDP)?*

Yes
No

11. Are you reporting your annual Scope 1 and 2 Greenhouse Gas (GHG) emissions?*

Yes, Scope 1 and 2 GHG Emissions are reported and are publicly available
Yes, we report Scope 1 and 2 GHG Emissions; however the report is not publicly available
No, we do not report GHG Emissions

REDUCTIONSIN CARBON FOOTPRINT, ENERGY USE AND NATURAL RESOURCES

12. Does your company have goals and programs to reduce Greenhouse Gas (GHG) emissions?*

Yes
No

13. Does your company have initiatives to use renewable energy? [i.e., biomass, solar, wind, or purchase renewable energy certificates (RECs)]*

Yes
No

14. Does your company have goals and programs to reduce energy use?*

Yes
No

15. Does your company have goals and programs to reduce packaging material?*

Yes
No

16. Does your company have goals and programs to reduce waste generation?*

Yes
No

17. Does your company have goals and programs to reduce water use?*

Yes
No

ENHANCED PRODUCT STEWARDSHIP

18. Does your company use a product stewardship / lifecycle approach to reduce the environmental impacts of its product(s)?*

Yes
No

If the answer to Question 18 is YES, please answer Questions 19-22:

19. Are you engaged with our supply chain partners to reduce environmental impacts of your products?*

Yes
No

20. Does your company have a formal, documented program to reduce environmental impacts in production?*

Yes
No

21. Does your company have goals and measure progress on reducing environmental impacts in production?*

Yes
No

22. Does your company publicly disclose our goals and progress on reducing environmental impacts in production?*

Yes
No

23. What percentage of the packaging used for your final products, by mass, was post-consumer recycled material and sustainably-sourced renewable virgin material?*

Our company’s packaging / products contain ______% post-consumer recycled material and sustainably- sourced renewable virgin material
We are unable to determine at this time
Not Applicable

Enter Percentage*

Please enter a number from 1 to 100.

24. Does your company use sustainably sourced wood products?*

Yes
No
Not applicable for the type of products manufactured by the company

25. Does your company provide a product reuse or recycling program?*

Yes
No

26. Do you consider sustainability in the design or packaging of your products?*

Yes
No

27. Is your company currently working on any environmental / sustainability programs or initiatives that were not asked about in this survey?*

No
Yes

Please elaborate