Environment Statement Form
An environmental statement form is a sort of communication written by an organization to announce about the internal policies followed in that organization to control the pollution level generated by the company. The form acknowledges the reasons for such company policies and the form should be specific so that it can be understood by everyone.
Sample Environment Statement Form:
Details of the organization:
Name: ___________
Address: __________________________
Year of establishment: ___________________
Contact number: _______________ Fax number: __________________
Date of submitting the last environmental statement: __________________
Total amount of production: _________________
Consumption of raw material: (total amount)
Name of raw material Consumption per unit of product
_____________ ____________________
_____________ _______________________
_____________ ________________________
Pollution discharge details: (per unit of the product)
Pollution Total amount of pollutant Concentration of pollutants
Discharged in discharge
___________ ________________ ______________
___________ ________________ ______________
___________ ________________ ______________
___________ ________________ ______________
Wastes that can cause health hazard:
___________________
___________________
Measurements taken to control pollution and improve the quality of the environment:
______________________________________________
Category: Statement Forms
