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Request a Quotation for: ISO 14001 CERTIFICATION
All Information will be treated as confidential and will not be disclosed or discussed with anyone other than with your written permission.
Company name: *
Web: *
Address 1: *
Address 2:
Tel: *
Town / County:
Fax:
Postcode: *
Contact Name: *
E-Mail: *
Describe what the operations/activities on the site(s) requiring registration? *
What are the main materials stored on site? *
Site Details (see later for multi-site activities)
Location:
Rural
Industrial
Commercial
Residential
Total land area of site:
Total area of buildings:
Total No. Employees on site
Shift System in Use?
Yes
No
Daily operating hours
Period of Maximum Activity:
Morning
Afternoon
Evening
Night
24 Hours
Sub-contract activities?
Site Placement
Are past/present activities likely to have an effect on neighbouring land? - Yes
No
If Yes, give details
Are there sites of special scientific interest near the site? - YES
NO
If YES, give details
Are there any sensitive properties near the site? - Yes
NO
If YES, highlight as applicable:
Waste disposal operations
Sewage treatment works
Petrol Stations
Refineries
Farming
Light Industry
Mining/Quarrying
Chemical Industry
Power Generation
Other
Please provide brief details of your major environmental aspects (
I.e. your major emissions to air, discharge to water, waste outlets etc
)
IPC Authorisation
Waste Management Licence
Discharge consent for discharge to controlled water
(
surface or ground water
)
Registration of radiactive source
Hazardous substances consent
Local Environment plan
(
obtained from Local Authority or Environment Agency
)
Local Authority Licence/Authorisation
Trade effluent consent for discharge to sewer
Licence for abstraction of surface water or ground water
Regulations for vehicle pollution & traffic noise
Planning conditions
(
town & country, environmental impact statement
)
Activities covered by CIMAH Regulations
Environmental responsibilities for leased/rented site/premises
List any other local requirements or Regulations applicable to your business:
Compliance
Do you comply with all permits currently held? - YES
NO
Have any been breached? - YES
NO
(If YES, please give details)
Nature of Breach:
Reason for Breach:
Was the problem resolved? - YES
NO
(If YES, please give details)
Waste Management
What wastes are removed from, or brought onto site
(highlight as applicable)
General Site Waste
Waste Oil
Biological Waste (sanitary)
Biological Waste (clinical)
Fluorescent Tubes
Explosive/explosive devices
Chemical Wastes
Toxic wastes
Ferrous Scrap
Mixed metal scrap
Batteries (lead acid)
Batteries (Ni/Cd)
Inflammable Waste
Recycling
Effluent
Other:
Your Management System
How long has your EMS been implemented:
Is your EMS integrated with another managment system ? - YES
NO
(If YES, please give details)
Do you have an ISO9001 registered quality system? - YES
NO
Date of latest EMS audit?
(or when it is planned)
Date of latest Management Review?
(or when it is planned)
Is your EMS documentation ready for review now? - YES
NO
When will you be ready for assessment?
Multi Site Operations
Site Location
Site Activities
Environment Aspects
Licences/Consents
Request Completed by
Position:
Date:
Please ensure you have completed
ALL
the questions above.
Fields marked with
*
must be filled.