S upplier
Company Information
*
Company Name :
DBA Name :
*
Mailing Street Address :
Mailing Location or Suite :
*
City :
*
State :
*
Postal Code :
*
Country :
Website :
*
Phone :
( ) -
*
Person Completing form :
Person's Title :
*
Person's eMail :
Product Information
We will need
you to complete this section and the following Questionnaire on
a per product basis. If you intend to carry five (5)
unique products as an example, we will need this section and the
Standards Questionnaire completed five times. There is NO
need to complete a questionnaire for every version of a single
product type - for example: shirts in different colors and sizes
for the same shirt type. However, if you have two types of
shirts, t-shirt and polo shirt as an example, you will need to
complete a questionnaire for each of those shirt types.
Please call or email us for any questions or clarification.
*
Product Name :
*
Product Description :
*
What is your ID for this product ?
*
Do you manufacture this product ?
Yes
No
*
Current distribution for this
product ?
check all that apply
your
website
other
websites
brick & mortar
*
Annual unit production capability
?
this product only
*
What does the product weigh ?
lbs
ounces
- provide exact weight
*
Do you provide a warranty ?
Yes
No
this product only
BuyGreen.com Standards
Questionnaire
2
2
** From this point on, all fields
should be completed **
Source Material
What is the product made from ?
General Overview :
In general, this standard looks at the material(s) in the
product in three distinct areas and quantifies the amount of the
overall product.
1).
Toxins
Are there any Toxicants?
Yes
No
Please see
list of prohibited toxicants .
This
is a minimum standard. If there is a prohibited toxicant that is
present or exceeds our allowable dosages, then the product will
not be sold on BuyGreen.com For a list of our prohibited
Toxicants, please click here.
Please disclose any Toxicants found on our Prohibited List here
and provide dosage for each listed.
2). Raw material
What is the product made from?
We look at three potential types of materials that make up each
product and assign a percentage (%) to each area.
a ).
Natural and Organic content?
Is the
content Natural?
This is
intended to be broadly interpreted. If it is, please indicate
the amount (if any) of the natural material. Assuming that it
meets this first "natural" requirement, to receive any credit
for this sub-category, it must also have organic content.
We look to the USDA and the Organic Consumer Association,
amongst a number of organizations, as benchmarks to determine
the definition of "organic" .
i). Natural?
Yes
No
If Yes, what
%
ii). Organic?
Yes
No
If Yes, what
%
Accredited as Organic by another organization(s) ?
b ).
Sustainable content?
Yes
No
If Yes, what
%
Accredited as Sustainable by another organization(s) ?
c ).
Recycled content?
Yes
No
If Yes, what
%
i). Post Consumer?
Yes
No
If Yes, what
%
Manufacturing
How is the product manufactured ?
General Overview :
In general, this standard looks at the manufacturing and delivery of the product
and makes a comparison to a general or product/manufacturing type specific
benchmark. We rate the comparison to the benchmark as either
Average no difference,
or
Good - better than the benchmark, or
B elow worse than the benchmark. A numeric
value gets assigned accordingly. We rely on the manufacturer to supply us
with a description so that we may make our comparative judgments
for each of the following elements.
1). Animal
Testing
Is there any testing on animals?
Yes
No
Please consider
suppliers when answering
This
is a minimum standard. If the answers is Yes, then the product
will Not be sold on BuyGreen.com
2 ).
Resource Consumption
does the manufacturing process have an adverse impact on
resources other than those used in the source material?
Good
Average
Below
An example of a
manufacturing process that uses other resources as a part of
their process would be paper that uses a great deal of water.
Describe your answer here.
3 ).
Energy Consumption
what is the energy impact to manufacturer and deliver the
product?
a ).
Product Production?
Good
Average
Below
as compared to your
industry or previous practices
Do you do anything that either improves or
reduces the amount of energy consumed as a part of the
manufacturing process?
Describe your answer
here.
b ).
Transportation and Shipping?
Good
Average
Below
as compared to your
industry or previous practices
Do you do anything that either improves or
reduces the amount of energy consumed as a part of the
transportation and shipping of the product?
Describe your answer
here.
4 ).
Pollu tion
what is the impact of manufacturing as it relates to polluting
our environment?
a ).
Air?
Good
Average
Below
as compared to your
industry or previous practices
Do you do anything that either improves or
reduces the amount of air pollution as a part of the
manufacturing process?
Describe your answer
here.
b ).
Water?
Good
Average
Below
as compared to your
industry or previous practices
Do you do anything that either improves or
reduces the amount of water pollution as a part of the
manufacturing process?
Describe your answer
here.
5 ).
P ackaging
how much packaging is used and what is the packaging made
from?
Good
Average
Below
Do you do anything that either improves or
reduces the amount of packaging?
Describe your answer
here.
6 ).
Company Evaluation
does your company address its four major stakeholders in
positive ways?
a ).
Your customers ?
Yes
No
Support your answer
here.
b ).
Your employees - including workers in your supply chain ?
Yes
No
Support your answer
here.
c ).
The environment - in general ?
Yes
No
Support your answer
here.
d ).
The communities in which you do businesses ?
Yes
No
Support your answer
here.
Additionally, ar e
you approved or accredited by any organizations?
List
here.
7 ).
Country of Origin
where is the product made ?
Albania
Algeria
American Samoa
Angola
Anguilla
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire
Bosnia Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Chad
Chile
China
Colombia
Congo
Cook Islands
Costa Rica
Croatia
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kosrae Island
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Macau
Macedonia (FYROM)
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mexico
Moldova
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Ponape
Portugal
Puerto Rico
Qatar
Reunion
Romania
Rota
Russia
Rwanda
Saba (N.A.)
Saipan
Saudi Arabia
Senegal
Serbia
Seychelles
Singapore
Slovakia
Slovenia
Solomon Islands
South Africa
South Korea
Spain
Sri Lanka
St. Barthelemy
St. Croix
St. Eustatius (N.A.)
St. John
St. Kitts and Nevis
St. Lucia
St. Maarten
St. Thomas
St. Vincent and the Grenadines
Suriname
Swaziland
Sweden
Switzerland
Syria
Tadjikistan
Taiwan
Tanzania
Thailand
Tinian
Togo
Tonga
Tortola
Trinidad and Tobago
Truk
Tunisia
Turkey
Turkmenistan
Turks and Caicos
Tuvalu
US Virgin Islands
Uganda
Ukraine
Union Island
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Gorda
Wallis and Futuna
Western Samoa
Yap
Yemen
Zambia
Zimbabwe
If more than one, select the country where the majority of the
product is made.
U sage
How is the product used and what is its contribution to the
environment ?
General Overview :
In general, this Basic Lifecycle Standard looks at the product from a usage
perspective and whether it has a positive impact on the environment. We look at
four key areas.
1). Reduce or eliminate
material consumption
does the usage of this product reduce or eliminate consumption
of other materials?
Yes
No
If Yes --->
High
Medium
Low
Describe your answer
here.
2 ).
Reduce or eliminate
trash production
does the usage of this product reduce or eliminate trash?
Yes
No
If Yes --->
High
Medium
Low
Describe your answer
here.
3 ).
Reduce or eliminate
toxicants
in the environment
does the usage of this product reduce or eliminate toxicants?
Yes
No
If Yes --->
High
Medium
Low
Describe your answer
here.
4 ).
Reduce or eliminate
energy consumption
does the usage of this product reduce or eliminate energy
consumption?
Yes
No
If Yes --->
High
Medium
Low
Describe your answer
here.
Disposal
How is the product disposed of and what is the impact ?
General Overview :
In general, this Basic Lifecycle Standard looks at the product at the end of its
usage and how it is disposed. The sub-elements are pretty straight forward.
1 ).
Bio-degradable
does the product bio-degrade after it is disposed?
Yes
No
If Yes, what
%
Accredited as bio-degradable by another organization(s) ?
2 ).
Recyclable
can this product be recycled?
Yes
No
If Yes, what
%
Accredited as recyclable by another organization(s) ?
Please describe any details
in respect to either the Bio-Degradable or Recyclable aspects of
your product and packaging.