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QUESTIONNAIRE :- Enviornmental Management System & Occuptional Health & Safety Management System    

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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