1. |
Name
Of the Company |
|
| |
Nearest
Station |
|
2. |
What made you to take the decision
to environment and Occupational
Health and
Safety management system based
on ISO 14001/OSHAS18001 standards
|
|
|
Applicable
standard |
ISO 14001:1996
OSHAS 18001
Integrated Management System , (specify)
|
3. |
How long the Environment /Occupational
Health and Safety Management System
has been prepared
|
Less than six months
More than six months
More than one year |
4 |
Locations |
|
4.1 |
Is
the location in the notified industrai
area? |
Yes
No |
4.2 |
If
yes, what categories of industries
around the company |
|
4.3 |
If
no,what is population density
within 3 km radius of the company? |
|
4.4 |
Is
there any monument/heritage building
,protected notified areas and
place of historical importance
within 3 km radius of the company? |
Yes
No |
4.5 |
What
is the category of Industry your
organization falls under classification
by the Ministry of Environment
and Forest
|
High Risk/Red
Medium Risk/ Orange
Low Risk/Green |
5 |
Provide a
brief description of the Processes
with flow chart/Risk chart |
|
6. |
Products
Services & Materials |
|
6.1 |
Main
Products & Services and its
details |
|
6.2 |
Raw
material details |
|
6.3 |
Other
materials used in the process
like catalyst, oils, lubricants
and other hazardous materials:
etc |
|
6.4 |
Raw
materials to finish product yield
in percentage |
|
7. |
Environmental
Issues: |
|
7.1 |
Energy |
|
7.1.1 |
Main
source of energy |
|
7.1.2 |
Energy
Consumption |
KWH/liter of fuel
Per unit of product |
7.1.3 |
Industries
norm of energy consumption per
unit of production for similar
industry |
|
7.1.4 |
Status
of energy audit |
Conducted
Not Conducted |
|
If
energy audit conducted any time
what is the scope for reduction
in the energy consumption(your
estimate) |
|
7.1.5 |
Any
provisions for emergency supply
in case of Power failure |
Yes
No |
7.2 |
Water
Consumption |
|
7.2.1 |
Consumption
per month |
kilo liters |
7.2.2 |
Consumption |
liter per unit of production |
7.3 |
Effluent
Treatment Plant |
|
7.3.1 |
Available |
Yes
No |
7.3.2 |
If
yes, quality of effluent discharged |
|
Domestic
|
|
|
Trade |
|
7.3.3 |
Provide
Concentration of major parameters
of Effluent quantity |
|
7.3.4 |
End
use of Treated Wastewater |
|
7.4 |
Stack
Emission / Exhaust
System Available
|
Yes
No |
|
If
yes, give details of the major
contaminants is mg / NM3 |
|
7.5 |
Solid
Waste Management |
|
7.5.1 |
Recyclables |
Yes
No |
7.5.2 |
Reusable |
Yes
No |
7.5.3 |
Reclaimable |
Yes
No |
7.5.4 |
Disposable |
Yes
No |
7.6 |
Nature
of the Solid Waste |
Hazardous
Non Hazardous |
|
If
Hazardous details of the disposal |
|
8 |
Occupational
Health & Safety Issues |
|
8.1 |
Is
Risk Mapped and Risk Assessed
Identified? |
Yes
No |
|
Attach
a copy of Risk map |
BROWSE |
8.2 |
Are
there any hazards in the Operation
and Maintenance? |
Yes
No |
8.3 |
Are
the safety measurements adequately
taken for all the potential hazards
and accidents? |
Yes
No |
8.4 |
Material
storage |
|
8.4.1 |
Is
Material Safety Data Sheet available?
|
Yes
No |
8.5 |
Trained
personnel available for handling
hazardous material |
Yes
No |
9 |
Status
of license from Ministry of Environment
/ Pollution Control Board/ Factory
Safety Inspectorate and Other Regulatory
Bodies: |
9.1 |
Permission
availability |
Yes
No |
9.2 |
If yes, meeting
conditions with respect to quality
of emission, effluent, noise and
waste disposal as stipulated by
the local regulation Indicate problem
areas (if any): |
|
9.3 |
If no, what
are the reasons for not getting
the necessary permission? |
|
10 |
Disaster
/ Accident Data |
|
|
Major
Disaster and / or accident with
respect to the environmental/
safety problems in the recent
past?
|
Yes
No |
|
If
yes, give brief details of the
incident |
|
11 |
Monitoring |
|
|
Are you monitoring the work place
environmental/ safety with reference
to the
requirements stipulated by the Regulatory
Bodies. |
|
Is
quality of environmental study
/ work Satisfactory |
Yes
No |
|
If
no, indicate problem area (if
any): |
|
12 |
Give brief details of the current
management practices to control
environmental / Safety issues
|
|
13 |
Any
Other Information:
Please specify any other additional
information other than above;
you wish to Indicate with regard
to environment and safety
|
|
14 |
Please
list out applicable regulatory
/ Legislative requirements of
your
organization |
|
|
|
|
|
|
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