Environmental Procurement Request Form (Internal)
Form - Version 1
Environmental Procurement Request Form · FORM-31529
Section 1: Request details
- Goods/Service:
- —
- Description/Specifications:
- —
- Please describe the purpose of this procurement:
- —
- Requester Name:
- —
- Department:
- —
- Project Name:
- —
- Date of Request:
- —
- Desired Delivery date:
- —
- Estimated Budget:
- —
Supplier information
- Supplier Name:
- —
- Contact Person:
- —
- Industry/Type of Goods or Services:
- —
- Location(s) where goods/services are primarily provided:
- —
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).
- —
- Environmental Requirements: List relevant environmental regulations, company sustainability goals, industry standards, or customer requirements that the supplier must meet.
- —
Environmental controls and mitigation
- Existing Controls: Describe any environmental controls in place for similar materials or processes.
- —
- 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).
- —
Subcontractor management (if applicable)
- Our Requirements: Specify environmental standards or expectations that the supplier must enforce with their subcontractors.
- —
- Supplier's Process: Describe the supplier's approach to selecting, evaluating, and overseeing the environmental performance of their subcontractors.
- —
Section 3: Supplier capability assessment
Environmental management system
- If yes, specify certification:
- —
- If No, briefly describe their environmental management approach.
- —
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).
- —
Section 4: Overall environmental assessment and recommendations
Summary and recommendation
- Additional Comments, Actions Needed, or Contractual Requirements:
- —
Section 5: Sign off
- Department Head/Project Manager:
- —
- Signature:
- —
- Line Manager:
- —
- Signature:
- —
- Procurement Officer:
- —
- Signature:
- —
Its guidance and example entries are locked
You can see how the form is laid out. Get it to fill in on any device, print it, or make it your own.
Environmental Procurement Request Form · FORM-31529