供应商环境管理物质管制情况调查表

reference.
一、体系
11.排污申报信息：报告、申报日期 Declaration on Pollution Discharge
√
1. System
12.排污许可证信息：许可证编号、许可事项、许可时效
、签发部门
√
Permit of pollution Discharge
13.工业废气如柴油发电机烟气、锅炉烟气等是否达标排
√
Environment-related Substances?
6.是否设定了实施的方针目标
Does the company establish the policy and target for the Environment-related Substances management
√
system?
环境管理物质管制情况调查表
Environment-related Substances Compliance Questionnaire
DATE:
供应商名称 Vendor Name
公司印章 Company Name (with seal)
调查项目 Item
1.组织是否建立了环境管理物质控制的体系 Does the company build up a control system for Environment-related Substances ? 2.是否识别禁止使用的物质 Are the Environment-related Substances identified? 3.是否形成了相应文件 Is there any related documentation?
16.各类固体废物有分类收集、分类处理吗？Are the solid wastes separately collected and treated?
√
17.建筑工程（包括分期、改扩建）竣工消防验收证明：
验收单位、验收公文文号、签发时间 Acceptance Certificate on Fire Protection for
供应商编码 Vendor Code
部门名称 Department
联络人姓名 Contact Name
结果 (Check all that apply)
符合 Yes
不符合 No
不适用 Non-Applicable
材料类别 Type of Material
联系电话 TEL
电子邮件 Email
说明 Remarks
on monitoring issued by qualified institutions
for reference.
14.环境噪声是达标排放吗?若是，请后附有资格机构的监
测报告Does the environmental noise emitted meet
the environmental noise emitted limits? If yes,
√
please attach reports on monitoring issed by
qualified institutions for reference
15.危险废弃物种类（国家危险废物名录上列出的代码）
及其处理单位、资质、许可证编号、合同Category of
√
Hazardous Wastes and Legal Status of Receiver
√
Completion of Construction Engineering
第 1 页，共 4 页
FM：PE-07002-05（E）
调查项目 Item
18.有使用化学危险物品吗? Does the company apply hazardous chemical substances?
放？若是，请后附有资格机构的监测报告
Does the industrial waste gas emission, such as
smoke given off by diesel gernerators and boilers, meet the
√
sischarge standard? If yes, please attach reports
10.工业污水处理后是达标排放的吗？
若是，请后附有资格机构的监测报告Does it meet
standard for discharge of industrial sewage after being treated? If yes, please attach reports on
√
monitoring issed by qualified institutions for
以下7-22是组织的ISO14001环境管理体系状况调查 Item 7 to 22 are survey on status of environmental management systems.
7.工程项目（包括新、改、扩建）环境管理：是否有环境
影响报告书、登记表、三同时验收报告 Environmental management on new-build,
√
modification and expansion projec
8.环境监测状况：是否环境监测报告、检测结果如何、分
别符合哪项国家或地方标准、级别
√如电镀、线路板生产清理废水）有处理设施
吗？如有，是哪一种工业废水？
Is there any treatment facility of industrial
sewage, such as electroplating effluent,
√
wastewater from PCB production and cleaning? If
yes, please specify category of industrial sewage
the company discharged.
√
√ √
4.有无控制环境管理物质的实施计划
Is there the implementation plan of controlling
√
Environment-related Substances?
5.是否对环境管理物质管理进行了定期的审核
Is a periodic review conducted for management of