EHS评估文件资料清单

环境健康安全评估资料提供表

Document Requisition List for EHS Assessment

请参照下表准备好贵厂相关管理文件、许可证及记录，并提供给现场评估人员评审。

The facility should prepare and provide available documents, records or permits/licenses as per the following list, which will be reviewed during the EHS assessment.

类别Category 工厂相关政策，文件及管理程序

Factory policies, procedure and documentation

若具备(√)

If Available (√)

提供复印件（√）

If Copy provided （√）

说明

Remark

1．基本信息General 工厂名称、地址、运营历史Facility name, address, and history 厂区平面布置图(电子版) Site layout plan （Electronic）

产品信息与生产规模（现在的和历史的）

Production information and scale (current and historical)

生产工艺流程图Production flow chart

建筑物台帐，包括面积，层数，建筑时间，功能等

Building Record including area, floor, age, and operation.

员工数量及生产作息规程

Employee quantity and operation time and shift

工厂电、水、燃气、蒸汽等供应及使用信息

Information on supply and use of electricity, water, gas, steam, etc. 工厂环境健康安全管理规程、培训手册及记录

EHS management procedure, training manuals and records

相关的管理体系认证(ISO 9000, ISO22000等)

Correlative Management System Certificates

2．场地背景Site setting 场地周边使用情况

Surrounding land use

场地以前的环境调查报告（土壤、地下水、大气、石棉等）Previous environmental investigation reports

(soil, groundwater, air emission, asbestos, etc.)

所在工业园区的介绍册（如适用）

Industrial Zone Introduction (if applicable)

3. 环境许可Envir. Permitting 建设项目环境影响评价报告书或报告表

Environmental Impact Assessment (EIA) report or form

建设项目环境“三同时”验收监测报告，验收批复“Three synchronies” monitoring report and approval forms 年度污染物登记报表(包括废水、废气、固体废物和噪声) Annual Pollution Discharge Registration Form

(for air, wastewater, noise and solid waste)

污染物排放许可证(包括废水、废气、固体废物和噪声) Pollutant Discharge Permit (air, wastewater, noise and waste)

4．废气

Air emission 废气源清单（含产生量和主要污染物）

Air emission sources including volumes and major pollutants 废气排放口数量

Number of air emission point(s)

Category Factory policies, procedure and documentation If Available (√) If Copy provided （√）Remark 废气排放监测报告

Air emission monitoring documents

废气处理设施清单（如油烟分离，过滤器，文丘里等）

Air emission treatment facilities

5．噪音Noise 噪声源清单Noise sources

边界噪声监测报告

Boundary noise monitoring documents

噪音减缓设施清单及规格说明（如消声器，隔音罩等）

Noise abatement facilities (including muffler, sound isolation cover)

6．水与废水Water and wastewater 厂区排水系统平面图Pipeline Layout

取水许可证（如适用）Surface Water Abstraction Permit

地下水井信息（如适用）Groundwater well information

最终雨水去向及最终雨水排放口数量

Stormwater receptor and number of final discharge point(s)

最终废水去向及最终废水排放口数量

Wastewater receptor and number of final discharge point(s)

废水源清单（含产生量和主要污染物信息）

Wastewater sources including volumes and major pollutants

污水排放协议Wastewater discharge agreement

污水排放监测报告

Wastewater discharge monitoring documents

污水处理设施清单及规格说明（如污水处理站，化粪池，隔油池）List of wastewater treatment facilities

污水处理站污泥的最终处置方式或去向（如适用）

Final treatment means or destination of sludge from WWTP

废水外包处理合同及处置商资质（如适用）

Wastewater out-sourced treatment contracts and vendor licenses

7．废物处理Waste handling 一般废物与危险废物清单与数量

General waste and hazardous waste inventory with quantities 废物处置合同及废物处置商资质

Waste disposal contracts and vendor licenses

危险废物转移五联单

Hazardous waste transfer manifest (five-sheet)

废物最终处置方式或去向

Final treatment means or destination of wastes

危险废物处理员培训记录

Training records for hazardous waste handlers

8．化学品Chemicals 原材料清单与数量（含化学品与危险化学品）

Raw materials inventory with quantities (including general chemical and dangerous chemical)

危险化学品的安全技术说明书（MSDS）

MSDS of dangerous chemical