Title Page
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Site conducted
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Conducted on
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Period being reviewed (mm/yy - mm/yy)
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Completed by
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Location
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Is this being completed by a supplier to the business?
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What is the name of the supplier?
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What service does the supplier provide?
- Transport
- Maintenance
- Packaging
- Warehouse
- Facilties management
- Online services
- Utility company
- Other
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Footprint (m2)
Energy Consumption
Energy Generation
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Is energy generated at this location?
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Which energy type is generated at this location?
- Solar (kWh)
- Wind (kWh)
- Hydro (kWh)
- Anaerobic Combustion kWh)
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How much solar energy was generated (kWh)?
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How much wind energy was generated (kWh)?
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How much hydro energy was generated (kWh)?
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How much combusion energy was generated (kWh)?
Energy Consumption
Stationary Electricity (buildings)
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What stationary energy source is used?
- Mains electricity (brown)
- Mains electricity (green)
- Self-generated electricity
- None
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How many kWh of mains electricity (brown) were consumed?
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How many kWh of mains electricity (green) were consumed?
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How many kWh of self-generated electricity were consumed?
Heating Fuel
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What heating fuel is used?
- Natural Gas
- Oil
- LPG
- Bio-combustion
- Wood
- Coal
- None
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How many kWh of natural gas were consumed?
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If the meter read is in the form of M3 format - the calculation for kWh = M3x1.02x39.5/3.6
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How many litres of oil were consumed?
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How many Kg of LPG were consumed?
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How many Tonnes of bio-combustion fuel were consumed?
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How many Tonnes of Wood were consumed?
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How many Tonnes of Coal were consumed?
Vehicle Fuel (fleet and on-site operations)
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Which vehicle fuels were consumed within fleet and operations?
- LPG (Kg)
- B7 Diesel (Litres)
- Red Diesel (Litres)
- E10 Petrol (Litres)
- E5 Petrol (Litres)
- Biofuel (Litres)
- Hydrogen (Litres)
- Electricity (kWh)
- None
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How many Tonnes of LPG were consumed?
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How many litres of B7 diesel were consumed?
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How many litres of red diesel were consumed?
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How many litres of biofuel were consumed?
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How many litres of hydrogen were consumed?
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How many kWh of electricity were consumed?
Vehicle Fuel (grey fleet)
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Which vehicle fuels were consumed within fleet and operations?
- LPG (Kg)
- B7 Diesel (Litres)
- Red Diesel (Litres)
- E10 Petrol (Litres)
- E5 Petrol (Litres)
- Biofuel (Litres)
- Hydrogen (Litres)
- Electricity (kWh)
- None
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How many Tonnes of LPG were consumed?
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How many litres of B7 diesel were consumed?
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How many litres of red diesel were consumed?
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How many litres of biofuel were consumed?
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How many litres of hydrogen were consumed?
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How many kWh of electricity were consumed?
Business travel
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Grey fleet mileage/ consumption should be recorded previously with vehicle fuel consumption
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Which styles of business travel has been undertaken?
- Train
- Aeroplane
- Boat
- Coach/Bus
- Taxi/ Uber
- Cycle/ rickshaw
- None
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How many miles were travelled by train?
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How many miles were travelled by aeroplane?
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How many miles were travelled by boat?
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How many miles were travelled by coach/ bus?
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How many miles were travelled by taxi/ Uber?
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How many miles were travelled by cycle/ riskshaw?
Waste Management
Waste Generated
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What waste streams are generated at this location?
- General Waste Stream (T)
- Mixed Recycling Waste Stream (T)
- Plastic Waste Stream (T)
- Wood Waste Stream (T)
- Glass Waste Stream (T)
- Metal Waste Stream (T)
- Paper Waste Stream (T)
- Cardboard Waste Stream (T)
- Food Waste Stream (T)
- Construction Waste Stream (T)
- Hazardous Waste Stream (T)
- Garden Waste Stream (T)
- None
- Other
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How much general waste was generated in Tonnes?
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How much mixed recycling waste was generated in Tonnes?
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How much plastic waste was generated in Tonnes?
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How much wood waste was generated in Tonnes?
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How much glass waste was generated in Tonnes?
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How much metal waste was generated in Tonnes?
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How much paper waste was generated in Tonnes?
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How much cardboard waste was generated in Tonnes?
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How much food waste was generated in Tonnes?
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How much construction waste was generated in Tonnes?
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How much hazardous waste was generated in Tonnes?
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How much garden waste was generated in Tonnes?
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Please specify the waste type generated
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How much of this waste was generated in Tonnes?
Waste Recovered/ Reused
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What waste streams are recovered/reused at this location?
- General Waste Stream (T)
- Mixed Recycling Waste Stream (T)
- Plastic Waste Stream (T)
- Wood Waste Stream (T)
- Glass Waste Stream (T)
- Metal Waste Stream (T)
- Paper Waste Stream (T)
- Cardboard Waste Stream (T)
- Food Waste Stream (T)
- Construction Waste Stream (T)
- Hazardous Waste Stream (T)
- Garden Waste Stream (T)
- None
- Other
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How much general waste was recovered/ reused in Tonnes?
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How much mixed recycling waste was recovered/ reused in Tonnes?
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How much plastic waste was recovered/ reused in Tonnes?
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How much wood waste was recovered/ reused in Tonnes?
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How much glass waste was recovered/ reused in Tonnes?
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How much metal waste was recovered/ reused in Tonnes?
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How much paper waste was recovered/ reused in Tonnes?
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How much cardboard waste was recovered/ reused in Tonnes?
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How much food waste was recovered/ reused in Tonnes?
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How much construction waste was recovered/ reused in Tonnes?
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How much hazardous waste was recovered/ reused in Tonnes?
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How much garden waste was recovered/ reused in Tonnes?
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Please specify the waste type generated
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How much of this waste was recovered/ reused in Tonnes?
Water Management
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How much water for welfare was consumed at this location (Litres)
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How much water for operations was consumed at this location (Litres)
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How much water was captured at this location, e.g. rainwater harvesting (Litres)
Sign Off
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All of the data is correct to the best of my knowledge
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Name and signature of person completing this report
