Due Diligence Assessment

• Conducted on

  Date

• Prepared by

• Location
  Address

General Project Questions

• Give brief, complete description of your proposal, including the proposed uses and the size of the project and site.

• Do you have specific address(s) or locations for the project?

  Yes

  No

  N/A
• Please provide the location/address.
  Address

• Do you have a proposed timing or schedule for your project?

  Yes

  No

  N/A

• Please provide your timing or schedule.

• Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal?

  Yes

  No

  N/A

• Please describe these future plans and provide dates or milestones if known.

• What is the current use of the site and adjacent properties?

• Will the proposal affect current land uses on nearby or adjacent properties?

  Yes

  No

  N/A

• Please describe what these impacts are and what the current plans are to mitigate these impacts.

• Will permits be required for your project?

  Yes

  No

  N/A

• Please list the permits, the permitting agency and whether the permit has been request, issued, or no action yet.

• Has any environmental or social impact information been prepared, or will be prepared, directly related to this proposal?

  Yes

  No

  N/A

• Please describe and or attach any of this information.

• Attach any environmental or social information, reports, or studies related to this project.

  Media

• Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste that could occur as a result of this proposal?

  Yes

  No

  N/A

• Please describe these risks and the plans to mitigate them.

ESMS Assessment

• Does the Fund have a mechanism in place to identify and categorize risk?

  Yes

  No

  N/A

• Attach a scanned copy of this mechanism/policy/procedure.

  Media

• Does the Fund have a process to oversee ESH issues?

  Yes

  No

  N/A

Worker Grievance Mechanism Analysis

• Are there two separate methods of submitting the grievance? ADD if yes - describe the two methods

  Yes

  No

  N/A

• Is one method anonymous?

  Yes

  No

  N/A

• Are grievances monitored? ADD IF YES - how?

  Yes

  No

  N/A

External Grievance Mechanism Analysis