Environment assessment questionnaire KEP 5 Issue 5 ：环境评估问卷让5问题5.doc

Key Elements Procedure 5 Environmental Requirements Self Assessment LIST OF CONTENTS 1. Self Assessment Page 2 Self Assessment Please, send the self assessment to your contact at Volvo Group purchaser department and/or post it on the Volvo Group Supplier Portal. Note! First hand, use the on-line Self Assessment in Volvo Group Supplier Portal. If you have any questions, do not hesitate to ask to your contact at the Volvo purchasing department! Company name Volvo Supplier number(s) Address Telephone / Telefax Environmental responsible at supplier (e-mail phone number) REACH responsible at supplier(e-mail phone number) Your contact at the Volvo Group Evaluation date Submitter (name, title) Email Address  There is possibility to write further comments in the end of this document. No, Non-existent, Not begun, No documentation Yes, Completed, Documented, Requirements met Section A. The Company References: 1. 1. Do you have a third party certified (ISO 14001 or EMAS) management system covering all relevant activities (e.g. Product planning development, Production, Purchasing, Sales organisation)? Yes No If yes: please attach a copy of your certificate and document the Volvo Group supplier number(s) covered by the certificate(s) If no: please attach time plan. 2. Have you submitted any environmental requirements that are applicable to your suppliers? Yes No If no: document what are the current requirements are and if there is an action plan, please attach. 3. Are there plans or activities to improve existing products or production process with regard to environment impact (taken the whole life cycle into consideration)? Yes No  Section B. Hazardous Substances References: 1. Are products delivered to Volvo free from chemicals on the black list? /csd/showDocument.jsp?documentName=100-0002 Yes No If no: please document the substances that are being used and attach a phase out plan 2. Are the