Paper Supplier Evaluation Form

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Paper supplier evaluation form
Please complete and return to [insert contact information]. Attach separate pages as necessary. This
information is solely for [insert organization] internal use to evaluate and compare suppliers’ environmental
performance over time.
Part I: Paper Supplier Information
Completed by: _________________________ Title: __________________ Date:______________
Company name: ___________________________________________________________________
Paper purchased by [insert organization]: _______________________________________________
Amount purchased by [insert organization]: _____________________________________________
Location of mill(s) where paper is produced: _____________________________________________
1. What is the composition of the paper you supply to [insert organization]?
Chemical pulp:
____________% (Hardwood: _____% Softwood: _____%)
Semichemical &
Mechanical pulp:
____________% (Hardwood: _____% Softwood: _____%)
Recycled pulp:
____________% (Postconsumer fiber: _____%)
Coatings/fillers/moisture:
____________%
TOTAL:
100%
2. For the paper you supply to [insert organization], how much of the pulp you use is…
Acquired from another source
Produced at your mill
(please specify sources)
Total
Chemical
100%
Semichemical, Mechanical
100%
Recycled
100%
Paper supplier evaluation form
Please complete and return to [insert contact information]. Attach separate pages as necessary. This
information is solely for [insert organization] internal use to evaluate and compare suppliers’ environmental
performance over time.
Part I: Paper Supplier Information
Completed by: _________________________ Title: __________________ Date:______________
Company name: ___________________________________________________________________
Paper purchased by [insert organization]: _______________________________________________
Amount purchased by [insert organization]: _____________________________________________
Location of mill(s) where paper is produced: _____________________________________________
1. What is the composition of the paper you supply to [insert organization]?
Chemical pulp:
____________% (Hardwood: _____% Softwood: _____%)
Semichemical &
Mechanical pulp:
____________% (Hardwood: _____% Softwood: _____%)
Recycled pulp:
____________% (Postconsumer fiber: _____%)
Coatings/fillers/moisture:
____________%
TOTAL:
100%
2. For the paper you supply to [insert organization], how much of the pulp you use is…
Acquired from another source
Produced at your mill
(please specify sources)
Total
Chemical
100%
Semichemical, Mechanical
100%
Recycled
100%
Part II: Pulp Supplier Information
Please answer the remaining questions for each source of pulp used in [insert organization] paper. Where
there are multiple pulp sources, have each source submit a separate response.
Name of pulp mill: _________________________________________________________________
Location of pulp mill: _______________________________________________________________
Contact name and title: ______________________________________________________________
Amount of pulp supplied annually: _____________________________________________________
Type of pulp produced (check):
______
Chemical
______
Semichemical or Mechanical
Please specify type, e.g., TMP, CTMP, BCTMP: _______________________________
______
Recycled
For Chemical Pulp Mills:
1. How many bleach lines are in place at the mill?
2. For each bleach line, what is the pulping and bleaching sequence?
3. At what stage in the bleaching process are the filtrates from the first bleaching and extraction
stages recirculated to the chemical recovery system?
For Mechanical, Semichemical or Recycled Pulp Mills:
4. What bleaching or brightening agents are used, if any?
For All Pulp Mills:
5. What technology upgrades to the pulping and/or bleaching lines have been made in the last five
years, or are planned in the next five years?
6. What other investments have been made in pollution prevention in the last five years, or are
planned in the next five years?
7. What investments have been made in pollution control technologies in the last five years, or are
planned in the next five years?
8. Please describe the major features of your environmental management system (EMS). Provide
examples of how your EM S has improved environmental performance.
9. (a) Indicators of general environmental performance: please complete for all pulp mills for the
last three years.
Values for these indicators reflect
20_____
20_____
20_____
20____
20_____
20_____
manufacturing technology used by mill
Supplier
Supplier
Supplier
Supplier
Supplier
Supplier
and effectiveness of pollution-control
Annual
Process
Process
Annual
Annual
Process
equipment
Monthly
Variability (%)
Variability (%)
Monthly
Monthly
Variability (%)
Average
Average
Average
Biochemical Oxygen Demand (BOD)
(kg/metric ton of final product)
Color
(kg/metric ton of final product)
Fresh Water Use
(gallons/ton of final product)
Sulfur Dioxide (SO
)
2
(pounds/ton of final product)
Nitrogen Oxides (NO
)
X
(pounds/ton of final product)
Total Reduced Sulfur Compounds
(pounds/ton of final product)
Total Energy Consumption
(millions of BTUs/ton of final product)
Purchased Energy Consumption
(millions of BTUs/ton of final product)
Particulates
(pounds/ton of final product)
Carbon Dioxide (CO
) or equivalent
2
(tons/ton of final product)
Hazardous Air Pollutants (HAPs)
(pounds/ton of final product)
Volatile Organic Compounds (VOCs)
(pounds/ton of final product)
Total Suspended Solids (TSS)
(kg/metric ton of final product)
(b) Environmental performance indicators for bleached kraft pulp mills: please complete if applicable
for the last three years.
Values for these indicators reflect:
20_____
20_____
20_____
20_____
20_____
20_____
Performance of pollution
Supplier
Supplier
Supplier
Supplier
Supplier
Supplier Process
prevention technologies
Annual
Process
Annual
Process
Annual
Variability (%)
Monthly
Variability (%)
Monthly
Variability (%)
Monthly
Progress toward minimum
Average
Average
Average
impact mill
Bleach Plant Effluent Flow
(gallons/ton of air-dried pulp)
Adsorbable Organic Halogens
(AOX)
(kg/metric ton of air-dried pulp)
Chemical Oxygen Demand (COD)
(kg/metric ton of air-dried pulp)
Dioxins (in bleach plant filtrates)
(picograms/liter of water)
Notes: (1) All data should be provided on a per ton of product basis. (2) The monthly average provides information about the mill’s level of
performance. As mills implement pollution-prevention technologies, the magnitude of the performance indicators should decrease. (3) The variability
provides information about the mill’s ability to control the manufacturing process. Improved process control, maintenance and housekeeping should
reduce the variability of these indicators over time.
10. Please provide details of any non-compliance incidents in the last three years. Summarize the
degree of non-compliance, enforcement actions taken (if any), fines paid (if any) and steps taken
to correct the problem.
20_____: _____________________________________________________________________
______________________________________________________________________________
20_____: _____________________________________________________________________
______________________________________________________________________________
20_____: _____________________________________________________________________
______________________________________________________________________________

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