Operator Name *
Number of Employees *
Phone *
1. Do you recycle your waste? * Select one Yes No
If yes, how the recycling is done? * Select one Mixed Recycling Segregated
Please specify
If yes, do you quantify the waste sent for disposal and for recycling? Select one Yes No
Please specify the amount of recycable waste
Please specify the amount of general waste
Please specify the amount of miscellaneous waste (landfill)
2. Do you store residual waste from your vessel in accordance with government guidance? Select one Yes No Not applicable
If you handle any hazardous waste, is it being stored in accordance with government guidance? Select one Yes No Not applicable
Please specify
Do you have any comments about marine litter?
4. Please describe how waste is stored in your office and on vessel(s)?
5. Is your company a plastic free organisation? Select one Yes No
6. Do you offer water refill facilities to customers? Select one Yes No
Is it adequately stocked for vessels work? Select one Yes No
Regularly checked and maintained? Select one Yes No
Stored in an appropriate place? Select one Yes No
10. Do you report spills, accidents or the near miss events to authorities? Select one Yes No Not applicable
Please specify the number of spills in the last calendar year
Please specify the number of accidents in the last calendar year
Please specify the number of near miss events in the last calendar year
Please specify
Please specify
Please specify NGO or university
Please specify
Please specify
Please specify if your company sponsors or collaborates with any wildlife charities
Please specify
16. Do you report wildlife to the relevant authority? Select one Yes No
17. Have you attended any conference/workshop/course related to emission reduction/energy saving? Select one Yes No
Please specify
18. Have any of your vessels been actively involved in trials to reduce emissions? Select one Yes No
Please specify
Would you be interested in a trial in the near future? Select one Yes No
19. Does your company have a nuisance complaints procedure? Select one Yes No
20. Please specify the number of complaints in the last calendar year.
21. Please specify any enforcement actions from any regulator in the last calendar year
22. Does your company have an Environmental Management System? Select one Yes No
Is it in conformity with ISO 14001? Select one Yes No
23. Do you own any piers? Select one Yes No
How many piers do you own?
How many of them have renewable energy installed?
Comments?
25. Have you recorded any reduction in carbon since the first carbon footprint was calculated? Select one Yes No Not applicable
Please specify
26. Have you set a carbon footprint reduction target? Select one Yes No
Please specify
27A. Please describe how the target will be achieved: Scope 1 & 2
27B. Please describe how the target will be achieved: Scope 3