Business Name: *
Contact Person: *
Phone: *
E-mail: *
Mailing Address: *
Number of Employees: *
Waste Prevention
 Reduce copying: use electronic distribution to avoid unnecessary document printing, and set copier and printer defaults to two-sided (1 point)  
  Regularly update/purge your mailing list (1 point)  
  Contact catalogue senders and others to reduce the amount of bulk mail and duplicate mailings you receive (1 point)  
  Use marketing materials that require no envelope (1 point)  
  Reuse packaging and shipping materials (1 point)  
  Offer reusable shopping bags and/or discounts for those who use them (2 points)  
  Replace individual containers with larger, refillable dispensers (1 point)  
  Use reusable rather than disposable products- dishes, towels, boxes, bags, containers (1 point)  
  Install motion towel dispensers or air dryers near all sinks (2 points)  
  Install motion activated soap dispensers (2 points)  
  Prohibit littering at the workplace or while on duty, including the improper disposal of cigarette butts (1 point) 
Other (describe):
Recycling
 Recycle paper (1 point)  
  Recycle glass (1 point)  
  Recycle aluminum and other metals (1 point)  
  Recycle plastic bottles, utensils, wrappers and other materials (1 point)  
  Recycle boxes and other cardboard materials (1 point)  
  Recycle pallets, pallet wrap, and any other wood debris (1 point)  
  Recycle toner and inkjet cartridges (2 points)  
  Recycle or properly dispose of all used batteries (2 points)  
  Recycle used cooking oil (2 points)  
  Install signs and distribute instructions on recycling to staff (1 point)  
  Compost food and landscape waste (2 points) 
Other (describe):
Purchasing
 Buy office copy paper with at least 30% recycled content (1 point)  
  Print letterhead and business cards on 100% recycled stock (2 points)  
  Purchase and use safer, more eco-friendly alternative(s) to previously used products for janitorial, pest control, and/or facility maintenance (for example, Green Seal products) (2 points)  
  Purchase recycled/re-manufactured toner cartridges (2 points)  
  Purchase biodegradable or compostable to go food containers (2 points)  
  Purchase more materials in bulk (1 point)  
  Use low-emission building materials when remodeling (2 points)  
  Purchase used furniture, equipment, or materials (2 points)  
  Exchange or donate unwanted furniture, equipment, scrap materials, etc. (1 point)  
  Purchase from other green vendors or service providers (1 point)  
  Purchase more materials and supplies locally to reduce transportation emissions (1 point) 
Other (describe):
Energy and Water Conservation
 Perform the online energy profile provided by KUB (free of charge) (1 point)  
  Have a professional perform an on-site audit of your energy use (2 points)  
  Track energy usage and share data with employees (1 point)  
  Replace incandescent bulbs with compact fluorescents (2 points)  
  Replace old T12 fluorescents with energy efficient lighting (2 points)  
  Use motion sensors, timers, or other lighting controls in appropriate rooms (2 points)  
  Unplug chargers when not in use (1 point)  
  Use Energy Star equipment (1 point)  
  Update insulation or windows (includes tinting) (1 point)  
  Use programmable thermostat (1 point)  
  Get an HVAC tune-up or refrigeration tune-up (2 points)  
  Set all computer monitors to turn off after 10 minutes of inactivity (1 point)  
  Turn all computers off at the end of each business day (1 point)  
  Use renewable energy (e.g. solar) or purchase Green Power from local utility (3 points)  
  Use aerators and/or auto shut-off on faucets (1 point)  
  Install commercial ultra low-flow toilets (2 points)  
  Install waterless urinals (3 points)  
  Install pre-rinse spray nozzle in kitchen (2 points)  
  Regularly check for and repair leaks in restroom (1 point)  
  Install low-water or no-water landscaping (2 points)  
  Clean outdoor areas with a broom instead of a hose (1 point)  
  Use recovered wastewater and/or rainwater (3 points) 
Other (describe):
Involving Stakeholders
 Involve employees in developing your green business plan; get their input (1 point)  
  Establish a green committee of employees to make the green business plan and to regularly identify new strategies (2 points)  
  Provide training for employees on implementing green business practices (1 point)  
  Institute a green business policy in the employee handbook, making participation in the practices a condition of employment (3 points)  
  Inform suppliers and/or customers about your green business interests and efforts; solicit their suggestions (1 point)  
  Encourage green practices by your customers (1 point)  
  Participate in a local clean-up event (Great American Cleanup, Adopt-A-Road, etc) (2 points)  
  Attend training/information sessions on green practices (i.e. upcoming audit training from KUB/TVA, US Green Building Council meetings, etc) (2 points) 
Other (describe):
Transportation
 Implement policies/practices to encourage employee walking, biking, carpooling, transit, and/or telecommuting (1 point)  
  Provide an incentive or reimburse employee travel on public transportation (3 points)  
  Provide an incentive to employees that use alternative transportation (3 points)  
  Use teleconferences or web conferences rather than traveling for face-to-face meetings (1 point)  
  Schedule regular tune-ups for business vehicles; check tire pressure regularly; check for ground staining regularly (1 point)  
  Recycle all vehicle fluids, oils, etc (2 points)  
  Use hybrid or alternative fuel vehicle(s) (3 points) 
Other (describe):
Please describe your project:
Powered byEMF Online HTML Form
Report Abuse