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1. Name:
Product s:
Production
sites:
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Sales:
Number of employees:(man-labour year):
Representative responsible for
environmental issues:
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2. Environmental policy
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3. Health and work environment: |
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Year |
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Injury without absence |
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Injury with absence |
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Absence (%) |
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Type of injuries:
When was work environment last registered:
Completed inspections and
improvements:
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4. Energy consumption |
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Year |
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kWh |
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oil (l) |
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total kWh |
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total kWh/ |
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Comments:
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5. Water consumption |
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Year |
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m3 |
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m3/ |
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Comments:
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6.
Water emmision |
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Year |
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Comments:
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7.
Air emmision |
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Year |
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Comments:
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8. Waste |
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Type of waste |
Amount [ton] |
Costs [NOK] |
NOK/ton |
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Sum |
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Year |
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Total amount(ton) |
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Recycling (%) |
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Comments:
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9. Transport ation |
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Year |
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Fuel/km |
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Comments:
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10.
Results of previous year's strategy
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11.
New plan of action for upcoming year
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Place:
Signature and title:
Date:
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