供应商EHS和社会责任调查表.docx

供应商EHS和社会责任调查表Supplier EHSCSR Survey Form公司名称Company递交日期Date地址Address经办人Fill by职位Position电话 Tel传真Fax/Email内容Content YESNO污染防治设施及排放许可申请状况(请附上环境许可证清单和证书副本)Pollution Preventation Facility and Pollutant Discharge Permit1.有无产生废水（包括生产和生活污水）？Generate Waste Water within company？　　废水污染物成份：Pollutant Component：□重金属□Heavey Metal　□有机杂质□Organic□酸碱性□Acid/Base□染料颜料□Coloring Matter　　□化学药剂□Chemical　□其他□Other　　　2.废水有无设置污染防治设施，是否获得排污许可证？Whether Waste Watert Treatment Facility in place and get relevant Pollutant Discharge Permti？　　若无，请说明现况或原因：If no, please describe the reason3.是否有产生废气？Generate air emission within company？　　废气污染物成份：Pollutant Component：□硫氮氧化物□Sulfur/□有机溶剂□Organic□酸雾□Acid□颗粒物□Particle　　□其他Other　　　　　4.废气有无设置污染防治设施，是否获得排污许可证？Whether Air Emission Treatment Facility in place and get relevant Pollutant Discharge Permti？　　若无，请说明现况或原因：If no, please describe the reason：5.是否有产生危险废弃物？Whether generate hazardous waste？　　废弃物种类：Waste Category：　□含重金属废物□Heavey Metal□粘胶树脂□Viscose resin□高浓度废酸碱液□Aicd/Base□染料颜料□Coloring Matter　　□化学药剂□Chemical　□机油润滑油□Oil□其他□Other　　6.危险废弃物是否委托有资质的处理厂家处理Whether hardzous waste are treated by qualified contractor？　　　若未交合格有资质厂家处理，请说明原因：If hardzous waste are not treated by qualified contractor，please describe reason：7.有无噪音污染？Is there noise pollution？　　8.是否存在消防安全及化学品安全隐患？Is there fire risk or dangerous chemical safety concern？　　若有, 请列明生产过程中使用危险物质的名称,种类和存放要求(可以使用附件)If yes, please describe the detail information such as dangerous chemical name, category information9.有无针对这些隐患的预防及应急措施？Is there any control measure in place to eliminate or reduce the risk？　　若无，请说明现况或原因：If no, please describe current status and the reason：二、环境评估说明Environment Assessment1.生产的产品对环境产生的影响是否已作控制？Is theres any control measure on the product environment impact？　　提供控制措施的有关制度文件名称：Please provide control measure and related document name：2.是否实施工厂废弃物分类活动？Whether carry out waste classfication activity？　　减废的成果说明：Please describe the waste minization activity result：3.是否有计划在指定的时期内限制和逐步淘汰有害物质的使用？Is there any