ENVIRONMENTAL QUESTIONNAIRE 2006 - Complete form online and submit Print a copy and mail it to us now. Silverthorne Lane, Bristol, BS2 0QJ, England. Tel - +44 (0) 117 971 6316 Fax - +44 (0) 117 972 3119 Supplier: Address: Senior Contact: Position: Tel: Fax: Email: Following detail to be completed by or on behalf of Shipper. Section 1 - Shipper Details Name of Shipper 1) Do you have an Environmental Policy? Yes / No If no, are you committed to any Code of Conduct or equivalent concerning Environmental matters? (please give details): If yes, please enclose copies. 2) Are you aware of the WWF-UK Forest and Trade Network objectives? Yes / No 3) Are certificates available which Independantly Verify that the timber products you supply are derived in accordance with the appropriate national criteria for sustainable forest management. If yes, please enclose copies Yes / No 4) Please indicate the proportion (in %) of timber by volume derived from the following sources:- a) Forests owned and/or managed by your company % b) Third Parties such as private owners, state forests, other timber companies % If you source timber from forests owned and/or managed by your company, please complete Section 2. If you source from third parties, please complete Section 3. If you source from a combination of both the above, please complete Sections 2 and 3. Section 2 - Forests Managed by your Company (Please copy and complete this form for each Forest Management Unit managed by your company). 1) Name of Forest Management Unit______________________________________________ 2) Location of Forest Management Unit ___________________________________________ 3) Size of the Forest Management Unit_____________________________________/Hectares. 4) Has the forest been inspected by an independant body? Yes / No If yes please give details. ______________________________________________________________________ 5) Has the forest been certified to any sustainable forestry standards, for example the Forest Stewardship Council (FSC) or ISO14000? If yes please send details. Yes / No 6) Is the Forest Managment Unit: a) owned by your company? Yes / No b) managed under license or concession agreement by company? Yes / No If yes to (b) please specify who owns the forest ______________________________ how long is the concession/license agreement for?_____________________/years 7) What type of Forest Management Unit?: a) natural forest b) plantation c) other If yes to (b) when was the plantation established _______________________________________ 8) Is there a management plan for the Forest Management Unit? Yes / No If yes: a) What subjects does the management plan cover? __________________________________ b) What period does the management plan cover? __________________________________ c) Has the plan been approved by a government agency or their representative? Yes / No d) if required, is a copy of the plan available. Yes / No 9) What is the species mix of the forest by volume and area? _____________________ 10) What is the commercial volume (by species if possible)? ______________________ 11) What is the volume of commercial timber extracted annually (by species if possible)? _____________m3/ha 12) What is the cutting or rotation cycle? _____________________/years 13) What is the silvicultural system used? : Single tree selection/group selection/shelterwood/seed tree/clearcutting. ___________________ 14) How is forest regeneration accomplished? : replanting/natural regeneration. _________________ 15) Are you involved in any State or Local Sustainable Forestry Initiatives Yes / No If yes please give details ____________________________________________________ ___________________________________________________ ___________________________________________________ (a) Canada Are you aware of the developments of the Canadian Sustainable Forestry Certification Coalition? Yes/No (b) USA Do you support the American Forest and Paper Associations Sustainable Forestry Initiative? Yes/No Section 3 - Where The Timber Is Purchased From A Third Party 1) Please indicate the proportion (in %) of timber by volume that can be traced to a) Country of origin % b) Region of origin % c) Forest of origin % 2) How many forests do you source from? __________________________________________ 3) Where the original forest of origin can be identified, what evidence (e.g. government certificates,management plans) can you provide to show that the forest(s) is/are being managed in an environmentally sound manner. ______________________________________ 4) Where the original forest of origin cannot be identified, what information have you sought from Third Party(ies) to ensure that the timber sold comes from an environmentally sound source? _____________________________________________________ 5) Do you intend to take any further action to check on or improve the environmental integrity of your suppliers? Yes / No If yes, what action do you intend to take? _______________________________________ _______________________________________ _______________________________________ Forms completed by: __________________________________ (signature) _________________________________ (print) On behalf of: ___________________________________ (company) Date: ______________________________ Copyright Clarks Wood Company Ltd. 2004 REF: SQ97/2004 Home Page Index | Environmental Information Sheet /2| Forests Forever | Product Guide Company Profile Page | WWF-UK News FSC Certified Timber
Silverthorne Lane, Bristol, BS2 0QJ, England.
Tel - +44 (0) 117 971 6316
Fax - +44 (0) 117 972 3119
Supplier:
Address:
Senior Contact:
Position:
Tel:
Fax:
Email:
Following detail to be completed by or on behalf of Shipper.
Section 1 - Shipper Details
Name of Shipper
1) Do you have an Environmental Policy? Yes / No
If no, are you committed to any Code of Conduct or equivalent concerning Environmental matters?
(please give details):
If yes, please enclose copies.
2) Are you aware of the WWF-UK Forest and Trade Network objectives? Yes / No
3) Are certificates available which Independantly Verify that the timber products you supply are derived in accordance with the appropriate national criteria for sustainable forest management.
If yes, please enclose copies Yes / No
4) Please indicate the proportion (in %) of timber by volume derived from the following sources:-
a) Forests owned and/or managed by your company
b) Third Parties such as private owners, state forests, other timber companies
If you source timber from forests owned and/or managed by your company, please complete Section 2.
If you source from third parties, please complete Section 3.
If you source from a combination of both the above, please complete Sections 2 and 3.
Section 2 - Forests Managed by your Company
(Please copy and complete this form for each Forest Management Unit managed by your company).
1) Name of Forest Management Unit______________________________________________
2) Location of Forest Management Unit ___________________________________________
3) Size of the Forest Management Unit_____________________________________/Hectares.
4) Has the forest been inspected by an independant body? Yes / No
If yes please give details. ______________________________________________________________________
5) Has the forest been certified to any sustainable forestry standards, for example the Forest Stewardship Council (FSC) or ISO14000? If yes please send details. Yes / No
6) Is the Forest Managment Unit:
a) owned by your company? Yes / No
b) managed under license or concession agreement by company? Yes / No
If yes to (b) please specify who owns the forest ______________________________
how long is the concession/license agreement for?_____________________/years
7) What type of Forest Management Unit?:
a) natural forest b) plantation c) other
If yes to (b) when was the plantation established _______________________________________
8) Is there a management plan for the Forest Management Unit? Yes / No
If yes:
a) What subjects does the management plan cover? __________________________________
b) What period does the management plan cover? __________________________________
c) Has the plan been approved by a government agency or their representative? Yes / No
d) if required, is a copy of the plan available. Yes / No
9) What is the species mix of the forest by volume and area? _____________________
10) What is the commercial volume (by species if possible)? ______________________
11) What is the volume of commercial timber extracted annually (by species if possible)? _____________m3/ha
12) What is the cutting or rotation cycle? _____________________/years
13) What is the silvicultural system used?
: Single tree selection/group selection/shelterwood/seed tree/clearcutting. ___________________
14) How is forest regeneration accomplished?
: replanting/natural regeneration. _________________
15) Are you involved in any State or Local Sustainable Forestry Initiatives Yes / No
If yes please give details ____________________________________________________
___________________________________________________
(a) Canada Are you aware of the developments of the Canadian Sustainable Forestry Certification Coalition? Yes/No
(b) USA Do you support the American Forest and Paper Associations Sustainable Forestry Initiative? Yes/No
Section 3 - Where The Timber Is Purchased From A Third Party
1) Please indicate the proportion (in %) of timber by volume that can be traced to
a) Country of origin
b) Region of origin
c) Forest of origin
2) How many forests do you source from? __________________________________________
3) Where the original forest of origin can be identified, what evidence (e.g. government certificates,management plans) can you provide to show that the forest(s) is/are being managed in an environmentally sound manner. ______________________________________
4) Where the original forest of origin cannot be identified, what information have you sought from Third Party(ies) to ensure that the timber sold comes from an environmentally sound source?
_____________________________________________________
5) Do you intend to take any further action to check on or improve the environmental integrity of your suppliers? Yes / No
If yes, what action do you intend to take? _______________________________________
_______________________________________
Forms completed by: __________________________________
(signature)
_________________________________
(print)
On behalf of: ___________________________________
(company)
Date: ______________________________
Copyright Clarks Wood Company Ltd. 2004 REF: SQ97/2004
