Certification body of TÜV Thüringen e.V. Rudolstädter Straße 41, D – 07745 Jena Revision: 01/2008 Tel. +0 36 41/39 97-40/ Fax +0 36 41/39 97-71 E-Mail zertifizierung@tuev-thueringen.de Page 1 of 2 Additional questionnaire environmental management For combined offers for Certification with other management systems Certification according to ISO 14001 Validation according to EMAS This list of questions serves for the collection of information in the context of contract examination (preparation and checking of the offer) as well as for the preparation in the assessment method by the certification body/organization of environmental expert opinion. It is component of the process documentation. 1 Details on the desired contact Certification in accordance with DIN EN ISO 14001 Validation in accordance with regulation (EC) no. 761/2001 Certification/Validation in accordance with DIN EN ISO 14001 and regulation (EC) no. 761/2001 Certification in accordance with decree for specialized enterprises for waste disposal Other: ___________________________________________ not yet decided 2 Details on the environmental relevance of the organization Please, indicate separately (if necessary use enclosure) for every location/branch to be certified Which essential environmental influences appear? (e.g. emissions into the air, noise, sewage, floor consumption, energy and water consumption, waste) by the production plants and processes: by raw materials, auxiliary materials and used substances (e.g. chemicals, cooling smearing substances, cleaning agents etc.): by the products (e.g. energy consumption, life time, disposal etc.): Do you operate plants with a special environmental relevance? Plants subject to authorization e.g. according to pollution protection, waste or water right etc. : Plants with special safety and environmental risks (e.g. coming under the disruptive incident/Seveso II guideline:) Other plants (e.g. plants for the emission reduction and purification of sewage, painting plants, gas stations, storeplaces for hazardous materials/water-polluting substances -- please indicate performance or store quantity): For which business exist representatives for environmental protection on legal basis or voluntary orders in your company? Disruptive incident Dangerous goods 726742837 Prevention of water pollution Pollution protection Waste Radiation protection Rev. 01.08 Certification body of TÜV Thüringen e.V. Rudolstädter Straße 41, D – 07745 Jena Revision: 01/2008 Tel. +0 36 41/39 97-40/ Fax +0 36 41/39 97-71 E-Mail zertifizierung@tuev-thueringen.de Page 2 of 2 Are the following boundary conditions correct? (Please cross where applicable:) There are special requirements to internal logistics, because processes are extended over several buildings on a big area or over several locations in comparison with the number of employees, it is a very big/extensive location in comparison with the number of employees, it is a very little location (e.g. pure office location) the production processes are very complex or activities consist of a proportionally large number of different activities a very high percentage of employees executes uniform simple activities there are essential processes which take place exclusively in the night shift the location has the responsibility for the development of products with environment relevant qualities the location has more general responsibilities for other locations/branch offices (central functions) atypical environmental aspects have to be taken into account (if yes, which one)? the organization has already other management systems (if yes, which ones)? when certified? _________________________________________ by whom? _________________________________________ ____________ Classification to EA/NACE - code (detail only if known): EA: NACE: ____________ ____________ If branch offices/branches shall be included in the certification/validation, then please make statements also for these plants as above for questions under § 4. 3 Management system There is only one management system representative (for QMS=EMS) there is a common (integrated) management system manual there is one Management system responsible person for various tasks (e.g. internal auditor, member for QM and EM-workshops) Assessment of the quality and environmental aspects following the same or similar requirements (e.g. FMEA) Contemporaneous QM and EM-audit is possible 4 Assessment per random sampling at several uniform locations Please fill in only when a assessment per random sample is desired All locations are similar with regard to the processes and environmental consequences (if no, please explain situation): All locations work according to the same system which is managed and audited centrally, and which is subject to a central EM-assessment ( if no, please explain situation): All locations have been audited with the internal audit method ( if no, please explain situation): Date 726742837 Place Signature/firm stamp Rev. 01.08