Environmental Procurement Request Form (Internal)
نموذج تعبئة - Version 1
Environmental Procurement Request Form · FORM-31529
Section 1: Request details
- Goods/Service:
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- Description/Specifications:
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- Please describe the purpose of this procurement:
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- Requester Name:
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- Department:
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- Project Name:
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- Date of Request:
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- Desired Delivery date:
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- Estimated Budget:
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Supplier information
- Supplier Name:
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- Contact Person:
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- Industry/Type of Goods or Services:
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- Location(s) where goods/services are primarily provided:
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Section 2: Environmental impact and requirements
Hazard identification
- Describe the potential environmental impacts associated with the goods or services throughout their lifecycle (e.g., resource use, emissions, waste, disposal).
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- Environmental Requirements: List relevant environmental regulations, company sustainability goals, industry standards, or customer requirements that the supplier must meet.
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Environmental controls and mitigation
- Existing Controls: Describe any environmental controls in place for similar materials or processes.
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- Additional/Modified Controls: Describe any new or modified controls needed to mitigate the environmental risks introduced by this procurement (e.g., specifying recycled content, energy efficiency requirements, take-back programs).
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Subcontractor management (if applicable)
- Our Requirements: Specify environmental standards or expectations that the supplier must enforce with their subcontractors.
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- Supplier's Process: Describe the supplier's approach to selecting, evaluating, and overseeing the environmental performance of their subcontractors.
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Section 3: Supplier capability assessment
Environmental management system
- If yes, specify certification:
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- If No, briefly describe their environmental management approach.
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Supplier environmental performance
- Describe how you will gather information on the supplier's environmental performance (e.g., energy usage data, emissions reporting, waste management practices, environmental compliance history).
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Section 4: Overall environmental assessment and recommendations
Summary and recommendation
- Additional Comments, Actions Needed, or Contractual Requirements:
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Section 5: Sign off
- Department Head/Project Manager:
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- Signature:
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- Line Manager:
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- Signature:
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- Procurement Officer:
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- Signature:
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Environmental Procurement Request Form · FORM-31529
