Questionnaire to prospect WNY Clean Production Leaders Question Title * PLEASE ANSWER ALL QUESTIONS THAT APPLY TO YOUR ORGANIZATION. (NOTE: ALL ANSWERS ARE CONFIDENTIAL AND WILL ONLY BE SHARED IN AGGREGATE WITH SBR’S USEPA GRANT OFFICER.) Name Company and Job Title Email Address OK Question Title * 1. Does your company have a chemical management policy to reduce the use of hazardous chemicals and replace them with safer alternatives? Yes No Not sure Additional comment (optional): OK Question Title * 2. Does your company maintain a restricted substances list that goes beyond regulatory requirements? Yes No Not sure Additional comment (optional): OK Question Title * 3. Does your company collect information on the identity of chemicals in your components and manufacturing process chemistry from suppliers? Yes No Not sure Additional comment (optional): OK Question Title * 4. Do you have specific hazardous reduction goals that go beyond compliance? Yes No Not sure Additional comment (optional): OK Question Title * 5. Do you have access to resources to help you identify safer alternatives to hazardous chemicals? Yes No Not sure Additional comment (optional): OK Question Title * 6. How familiar is your organization with chemical footprint reduction? Not familiar Somewhat familiar Very familiar OK Question Title * 7. Is your company interested in learning more about how to become a WNYClean Production Leader, and potentially participating in WNYSBR’s Lean Chemical Management Program during 2020-2021? Yes No Maybe OK Question Title * 8. If you answered “yes or maybe” to question 7, what would be the main drivers for engaging in chemical reduction action (check all that apply)? . If you answered no to question 7, what would be the main barriers for engaging in chemical reduction action at this time (check all that apply)? Drivers:To comply with regulations at home and overseas To get more business as chemical transparency is getting increasingly more important throughout our supply chains To protect worker’s health and safety To reduce cost or financial impact Barriers:Concerns about confidentiality Limited resources (time, money, personnel) to take on extra work Not able to see the business case for chemical reduction action Other drivers or barriers, please specify: OK Question Title * 9. How familiar is your company with third party certification programs, suchas EPA’s Safer Choice? Not familiar Somewhat familiar Very familiar 10. What Environmental Management System certifications does your companycurrently hold (ISO 9001, ISO 14001 etc.)(please specify) & any additional comments (optional): OK DONE