Free Operations Environmental Sustainability Survey Template
Operations Environmental Sustainability Survey
Thank you for participating in [Your Company Name]'s Operations Environmental Sustainability Survey. Please take a few moments to complete this survey honestly and thoroughly.
Section 1: Energy Usage
Please provide information on energy consumption within your department or area of responsibility.
|
Energy Source |
Annual Consumption (kWh or other unit) |
Energy Efficiency Measures Implemented |
|---|---|---|
|
Electricity |
10,000 kWh |
Installation of LED lighting |
|
Natural Gas |
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|
Diesel/Fuel Oil |
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|
Renewable Energy |
Section 2: Waste Management
Please provide details on waste generation and management practices within your department or area of responsibility.
|
Waste Stream |
Annual Generation (tons or other unit) |
Recycling Efforts |
Waste Reduction Strategies Implemented |
|---|---|---|---|
|
Solid Waste |
500 tons |
Partnership with local recycling facilities for efficient waste processing and recycling |
Promotion of reusable products and packaging to minimize single-use items |
|
Paper |
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|
Plastics |
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|
Hazardous Waste |
Section 3: Water Management
Please provide information on water usage and conservation efforts within your department or area of responsibility.
|
Water Source |
Annual Consumption (cubic meters or other unit) |
Water Conservation Measures Implemented |
|---|---|---|
|
Municipal Supply |
1,200 cubic meters |
Installation of low-flow faucets and showerheads |
|
Groundwater |
||
|
Rainwater Harvesting |
Section 4: Carbon Footprint
Please provide data on carbon emissions associated with your department or area of responsibility.
|
Emission Source |
Annual Emissions (metric tons CO2e or other unit) |
Mitigation Measures Implemented |
|---|---|---|
|
Energy Use |
300 metric tons CO2e |
Installation of renewable energy systems such as solar panels or wind turbines |
|
Transportation |
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|
Supply Chain |
Section 5: Transportation
Please provide information on transportation activities related to your department or area of responsibility.
|
Transportation Mode |
Annual Distance Traveled (miles or other unit) |
Fuel Efficiency Measures Implemented |
|---|---|---|
|
Company Vehicles |
50,000 miles |
Adoption of fuel-efficient vehicles such as hybrid or electric cars |
|
Employee Commuting |
||
|
Freight |
Section 6: Procurement Practices
Please provide details on procurement practices within your department or area of responsibility.
|
Procurement Activity |
Environmental Considerations |
|---|---|
|
Material Sourcing |
Prioritizing suppliers with strong environmental sustainability practices and certifications |
|
Packaging |
|
|
Supplier Selection |
Your input will contribute to our efforts to enhance sustainability practices throughout the organization. Thank you for completing the survey. If you have any additional comments or suggestions, please feel free to provide them below.
Section 7: Additional Comments/Suggestions
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[Write additional comments] |
