**Environmental Management System (EMS) Metrics\
Fiscal Year 2009**

# (Note: These metrics will be used for Years 2009 through 2011.)

These metrics are provided to allow agencies, organization and
facilities that are implementing an Environmental Management System to
plan for reporting fiscal year 2009 progress, performance and successes.
Each agency will be requested to provide a summary of this information.
These metrics will be used until 2011 and may be amended by the E.O.
Interagency Environmental Leadership Workgroup or the Office of the
Federal Environmental Executive to reflect new information.

**Part I: Facility/Organization-level Information**

Please provide the following facility/organizational background
information.

  -------------------- --------------------------------------------------
  Agency / Department: Identify the facility/organization's Department or
                       Agency

  Sub-Agency:          Identify the sub-agency, department, bureau,
                       office, service or command

  Facility Name:       Identify the facility/organization's name as
                       identified for EMS reporting

  Description:         Describe the scope of the EMS

  Inception Date:      Indicate either: On or before January 24, 2007
                       -or- After January 24, 2007. This is the date the
                       facility/organization was first identified as
                       appropriate for EMS implementation and committed
                       to implement an EMS and indicates whether the EMS
                       was established before or after the E.O. was
                       signed.

  Full Implementation  Indicate the implementation date for this EMS. For
  Date:                pre January 24 2007 EMS's, the default date is
                       December 31, 2008 (although agencies may
                       re-negotiate this date with OFEE). For post
                       January 24, 2007 EMS's enter the date negotiated
                       with OFEE. If date is not yet negotiated, please
                       enter 01/01/2050 to indicate pending negotiation.
                       Note: EMSs that have not reached their
                       implementation date during the reporting year will
                       not be included in the agency EMS scorecard.

  Point of Contact:    Provide the name of the primary person responsible
                       for implementing the EMS

  POC E-mail:          Provide the E-mail address for the primary POC
                       above

  Performance Track    Indicate YES or NO if the EMS is recognized under
  Recognition:         EPA's Performance Track program

  Other Recognition:   If the EMS is recognized under another local,
                       state or private recognition program, identify the
                       program and provide a brief description of the
                       recognition

  ISO 14001            Indicate YES or NO if the EMS is formally ISO14001
  Registration:        registered

  Comments:            Provide any other relevant comments regarding this
                       EMS
  -------------------- --------------------------------------------------

**Part II: EMS External Audit and Declaration of Conformance**

*Background: The Implementing Instructions for EO 13423 state that for
purpose of determining conformance to the EMS requirements of EO 13423,
an EMS shall be considered [fully implemented and in
conformance]{.underline} when:*

> *(1) The EMS has been the subject of a formal audit by a qualified
> party outside the control or scope of the EMS. **AND***
>
> *(2) The audit findings have been recognized by the appropriate level
> of the agency (facility/organization) implementing the EMS. **AND***
>
> *(3) The appropriate senior manager accountable for implementation of
> the EMS has declared conformance to the EMS requirements of EO 13423.*

*The Federal Environmental Executive issued clarification of these
requirements in a document dated January 15, 2008, available at:
http://www.fedcenter.gov/Documents/index.cfm?id=8864.*

*Note: EMS declarations made under EO 13148 are not valid for the
purposes of declaration under EO 13423.*

*Once conformance of the EMS has been declared, the EMS shall then be
audited at least every three years from the date of the initial
declaration. An EMS audit may be considered completed "within three
years" if the audit was scheduled within the three year deadline and was
ultimately completed, but encountered unanticipated delays of up to
three months. Based on this requirement, in reporting year 2010, these
metrics will make available a response for EMSs that had an initial
audit date of 2007*

In FY 2009:

 **Not Currently In Conformance:** The EMS for the
facility/organization is not "fully implemented," in accordance with the
requirements of the CEQ Implementing Instructions (cited above).

 **Currently In Conformance:** The EMS is "fully implemented" in
accordance with the requirements of the CEQ Implementing Instructions
(cited above).

**Supplementary Data:**

Date of Declaration of Conformance
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Declaration issued by
*[(name)]{.underline}\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

*(Title)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_*

Date of completion of most recent EMS audit by a\
qualified party outside the control or scope of the EMS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Part III: EMS Performance Metrics for EMS Scorecard**

Responses to these questions are scored as part of the agency EMS
scorecard process.

**1. Environmental Aspects**

In FY 2009, within the scope of a facility's/organization's EMS:

A. **Environmental aspects have not been identified** for all of the
facility's/organization's activities, products, and services (including
transportation and energy related activities).

B. **Environmental aspects have been identified** for all of the
facility's/organization's activities, products, and services (including
transportation and energy related activities) but **without using an
established procedure**.

> OR
>
> Using an established procedure, **environmental aspects have been
> identified** for all of the facility's/organization's activities,
> products, and services (including transportation and energy related
> activities). However, ***significant* aspects were not identified**.

C. Using an established procedure, **environmental aspects have been
identified** for all of the facility's/organization's activities,
products, and services (including transportation and energy related
activities) AND ***significant* environmental aspects for those
activities, products, and services have been identified**. However,
previously identified **environmental aspects were not reevaluated** OR
were **not reevaluated** **using an established procedure**.

D. Using an established procedure, both previously and newly identified
**environmental aspects and *significant* environmental aspects were
evaluated and updated** for all of the facility's/organization's
activities, products, and services (including transportation and energy
related activities).

**2. Sustainable Practices**

*Note 1: Executive Order 13423 requires that EMSs address the
environmental aspects of agency transportation and energy related
activities. Section 2 of the EO directs Federal agencies to implement
sustainable practices for:*

> *(a) Improvement in energy efficiency and reduction in greenhouse gas
> emissions,*
>
> *(b) Use of renewable energy,*
>
> *(c) Reduction in water consumption,*
>
> *(d) Sustainable acquisition,*
>
> *(e) Reduction of the use and disposal of toxic and hazardous
> chemicals and materials,*
>
> *(f) Pollution and waste prevention/diversion and recycling programs,*
>
> *(g) High performance and sustainable buildings,*
>
> *(h) Vehicle fleet management, and*
>
> *(i) Electronics stewardship.*

*If a particular sustainable practice is determined to be not currently
applicable to the reporting EMS, that determination should be documented
and available to the parent agency. That sustainable practice can then
be excluded from evaluation for this reporting period.*

*Examples of "not applicable" include a determination that a particular
sustainable practice relates to environmental activities (a) that are
not present at the facility/organization or (b) that are outside the
control of the organization/facility during the reporting period (e.g.,
high performance building or renewable energy use in a leased facility).
Note: If an organization/facility has the potential to influence the
responsible organization with regard to sustainable practices, (e.g., in
a lessee tenant relationship), that organization/facility shall attempt
to influence the other organization to implement sustainable practices,
e.g., through a letter or meeting, before it concludes the practice is
"not applicable."*

*Note 2: If an agency has established agency-level requirements/programs
to address the sustainable practices as required by Executive Order
13423, the facility/organization may adopt the Agency-level
requirements/procedures to demonstrate conformance **provided that the
facility/organization has implemented those requirements/programs**.*

In FY 2009:

A. The facility/organization has **not established programs** through
its EMS to address applicable sustainable practices as required by
Executive Order 13423.

B. The facility/organization has **established some programs** through
its EMS to address applicable sustainable practices as required by
Executive Order 13423.\
AND\
The facility/organization has **implemented at least one** of the
applicable sustainable practices through its EMS.\
AND\
The facility/organization has **established an implementation schedule**
to implement the remainder of the applicable sustainable practices
through its EMS.

C. The facility/organization has **established and implemented
programs** to address all applicable sustainable practices as required
by Executive Order 13423 through its EMS.

D. The facility/organization has **established and implemented
programs** to address all applicable sustainable practices as required
by Executive Order 13423 through its EMS.

> AND
>
> The facility/organization has **reviewed performance** of the EMS
> towards the objectives of the E.O. sustainable practices through their
> EMS monitoring and management review processes.

**3. Objectives, Targets, and Programs**

In FY 2009

A. Measurable environmental **objectives, targets****, and programs were
not established and documented** OR **previously established and
documented objectives, targets, and programs were not reviewed and
updated** as appropriate.

B. Measurable environmental **objectives, targets, and programs were
established** and documented OR **previously established and documented
objectives, targets, and programs were reviewed and updated AND less
than 50% of the established targets were on schedule** to be met.

C.  Measurable environmental **objectives, targets, and programs were
    established** and documented OR **previously established and
    documented objectives, targets, and programs were reviewed and
    updated** **AND** **50-79% of the established targets were on
    schedule** to be met.

D. Measurable environmental **objectives, targets, and programs were
established** and documented OR **previously established and documented
objectives, targets, and programs were reviewed and updated** **AND 80%
or greater of established targets were on schedule** to be met.

**4. Environmental Training**

*Note: These metrics pertain to competence training for those whose
tasks and/or activities have the potential to affect significant
environmental aspects.*

In FY 2009

A. **Training requirements** to ensure individual competence and
responsibility **were not identified or updated.**

B. **Training requirements** to ensure individual competence and
responsibility **were identified or updated** but **training was not
available or was not carried out**.

C. **Training requirements** to ensure individual competence and
responsibility **were identified or updated** and **training was
available, carried out and documented** during this reporting period.

D. **Procedures** to ensure that training requirements for individual
competence and responsibility **were established**; **training
requirements** to ensure individual competence and responsibility **were
identified or updated**; training (including refresher training) was
**available and carried out and documented**; and training requirements
for competence were **monitored and revised**.

**5. Operational Controls**

In FY 2009

A. Documented **operational controls** to address activities associated
with significant aspects and consistent with objectives and targets
**were not established or updated.**

B. Documented **operational controls** to address activities associated
with significant aspects and consistent with objectives and targets
**were established or updated** and **are partially implemented**.

C. Documented **operational controls** to address activities associated
with significant aspects and consistent with objectives and targets
**were established or updated** and are **fully implemented**.

D. Documented **operational controls** to address activities associated
with significant aspects and consistent with objectives and targets
**were established or updated** and **are fully implemented**, AND
previously documented **operational controls were formally reviewed**
**and/or updated** (i.e., supplemented, revised, deleted) as appropriate
to ensure their ongoing effectiveness.

**6. Contracts and Concessionaire Agreements**

*Note 1: The Instructions to Executive Order 13423 establishes "where
contractor and concessionaire activities affect an agency's
environmental, transportation, or energy issues, those activities shall
be addressed in the development, implementation, and maintenance of the
EMS. Requirements shall be included in all appropriate contracts to
ensure that the contractors' roles and responsibilities under the EMS
are properly addressed" (Instructions for Implementing Executive Order
13423, Section II B (2).*

*Note 2: An "appropriate contract" is one whose actions may have
potential impact on the significant environmental aspects identified by
the reporting EMS and entered into, revised, amended or otherwise
modified after the date of Executive Order 13423.*

*Note 3: Appropriate contracts include legal arrangements with
concessionaires.*

*Note 4: A documented determination of no appropriate contracts may be
marked as a "D" provided that the procedure requires an annual review
and a review of new contracts.*

*Note 5: Facilities/organizations are not precluded from modifying a
contract existing prior to the date of Executive Order 13423 to include
EMS considerations.*

In FY 2009

A.  During this reporting period or previously, the
    facility/organization **did not establish a procedure** to identify
    appropriate contracts or identify appropriate contracts in which to
    include EMS requirements.

B. During this reporting period or previously, the facility/organization
**established a procedure** to identify appropriate contracts;
**identified appropriate contracts** and the contractors' roles and
responsibilities under the EMS; and **established a schedule** to modify
appropriate contracts.

> However, the facility/organization **did not modify appropriate
> contracts** to include EMS requirements and defined roles and
> responsibilities.

C. During this reporting period or previously, the facility/organization
**established a procedure** to identify appropriate contracts;
**identified appropriate contracts** and the contractors' roles and
responsibilities under the EMS; **established a schedule** to modify
appropriate contracts; and was **in the process** of modifying contracts
to include EMS requirements and defined roles and responsibilities in
appropriate contracts.

> However, the facility/organization did **not complete modifications**
> to appropriate contracts or did **not review** whether contractors
> fulfilled defined roles and responsibilities.

D. The facility/organization **established a procedure** to identify
appropriate contracts; **identified appropriate contracts** and the
contractors' roles and responsibilities under the EMS; and **EMS
requirements and defined roles and responsibilities were included** in
all appropriate contracts. The facility/organization **reviewed the
contractor activities** and **determined the status of contractors'
fulfillment** of their defined roles and responsibilities during this
reporting period.

**7. Evaluation of Compliance with Regulatory Requirements**

*Note: Executive Order 13423 requires that each agency establish
programs for environmental compliance review and audit. Furthermore, the
Instructions for Implementing Executive Order 13423 establish that the
EMS shall be used to support compliance with environmental regulations.*

In FY 2009

A. During this reporting period or previously, the facility/organization
**did not establish** as part of the facility/organization's EMS, **a
program for an environmental compliance** review and audit.

B. During this reporting period or previously, the facility/organization
**established** as part of the facility/organization's EMS, **a program
for an environmental compliance** review and audit that includes:

> \(a\) Procedures to identify and account for applicable legal and
> other requirements,
>
> \(b\) Protocols to periodically evaluate compliance with those
> applicable legal and other requirements, including the frequency of
> compliance evaluations, and
>
> \(c\) A process or system for implementing corrective action based on
> that evaluation.
>
> AND
>
> The facility/organization has **identified applicable legal and other
> requirements**.
>
> However, the facility/organization **has not implemented** the
> **protocols to evaluate compliance**, or the process or system to
> implement **corrective action** based on compliance evaluations.

C. During this reporting period or previously, facility/organization
**established** as part of the facility/organization's EMS **an
environmental compliance program** that includes:

> \(a\) Procedures to identify and account for applicable legal and
> other requirements,
>
> \(b\) Protocols to periodically evaluate compliance with those
> applicable legal and other requirements, including the frequency of
> compliance evaluations, and
>
> \(c\) A process or system for implementing corrective actions based on
> that evaluation.
>
> AND
>
> The facility/organization has **identified applicable legal and other
> requirements**.
>
> AND
>
> The facility/organization has **conducted evaluations of compliance**
> with applicable legal and other requirements.
>
> However, the facility/organization **has not completed** the
> compliance **evaluation for the entire facility/organization** in
> accordance with the program established frequency, or **has not
> initiated corrective actions** for completed evaluations.

D. During this reporting period or previously, the facility/organization
**established** as part of the facility/organization's EMS **an
environmental compliance program** that includes:

> \(a\) Procedures to identify and account for applicable legal and
> other requirements,
>
> \(b\) Protocols to periodically evaluate compliance with those
> applicable legal and other requirements, including the frequency of
> compliance evaluations, and
>
> \(c\) A process or system for implementing corrective actions based on
> that evaluation.
>
> AND
>
> The facility/organization has **identified applicable legal and other
> requirements**.
>
> AND
>
> The facility/organization has **completed evaluations of compliance**
> with applicable legal and other requirements for the entire
> facility/organization, in accordance with the established frequency.
>
> AND
>
> **Corrective actions have been initiated, scheduled or completed**.

**8. Management Review**

*The Instructions for Implementing Executive Order 13423 require that
"Once implemented, an EMS shall be reviewed and updated annually or more
frequently, as appropriate, by senior leadership accountable for
implementation of that EMS." \[§ II.A.(2), page 7\]*

*The purpose of this review (according to ISO 14001:2004) is to ensure
the continuing suitability, adequacy and effectiveness of the EMS by
presenting the appropriate information to senior management with
authority over policy and resources for their **consideration and
action**. The attention given to the management review process is a
direct reflection of the commitment of the facility/organization to
continual improvement. The review should include "assessing
opportunities for improvement and the need for changes to the
environmental management system, including the environmental policy and
environmental objectives and targets."*

*The review should be documented (for example: agenda, presentations,
action items and actions taken*).

In FY 2009

A. Formal **senior leadership review** of the EMS was **neither
planned/scheduled nor conducted.**

B. Formal **senior leadership review** of the EMS was
**planned/scheduled**, but **was not conducted**.

C. Formal senior leadership review of the EMS **was conducted**.
However, recommendations for continual improvement were neither
**addressed** nor proposed by top management.

D. Formal senior leadership review of the EMS **was conducted**, top
management **responded to recommendations** or gave directions for
continual improvement, and appropriate actions including modifications
to elements of the EMS have been **initiated, scheduled or completed**.

**Part IV: EMS Implementation Information**

E.O. 13243 states, in Section 3, *Duties of Heads of Agencies*,

> (I)n implementing the policy set forth in section 1 of this order, the
> head of each agency shall: ... (b) implement within the agency
> environmental management systems (EMS) at all appropriate
> organizational levels to ensure **(i) use of EMS as the primary
> management approach for addressing environmental aspects of internal
> agency operations and activities, including environmental aspects of
> energy and transportation functions, (ii) establishment of agency
> objectives and targets to ensure implementation of this order,** and
> (iii) collection, analysis, and reporting of information to measure
> performance in the implementation of this order; *\[emphasis added\]*.

Likewise the Instruction for Implementing Executive Order 13423, in part
II (A.), **Environmental Management Systems**, *Use of Environmental
Management Systems,*

states,

> (E)ach agency shall, at all appropriate organizational levels,
> including agency, sub-agency, bureau, service, command, and/or
> facility, develop, **implement, and maintain an EMS to be used to
> identify and address agency environmental, transportation, and energy
> issues. ... The EMS objectives shall include the goals identified in
> Section 2 of the E.O.**

The Instruction goes on to state in (1) *Management framework*,

> **(T)he management system will serve as the management framework under
> which agencies and their facilities or organizations identify, manage,
> and improve the sustainable practices identified in Section 2 of the
> E.O.** and identify and collect performance measurement information to
> address the reporting requirements of Section 3(g) of the E.O. EMS
> also shall be used to support compliance with environmental and energy
> regulations, to enable the prevention of pollution and efficient
> energy management, and to support other objectives identified by the
> organization *\[emphasis added\].*

The questions in this Part reflect the relationship identified in the
Executive Order and Implementing Instruction between an EMS and the
various programs that already respond to, or are being developed to
respond to, the sustainable practices in Section 2 of the E.O. Responses
to these questions **are not** scored as part of the agency EMS
scorecard process.

**1. Energy Use**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     energy use been conducted?     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Is energy use identified as a  |  | Yes   |    | No          |
|     'significant aspect'?          |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established to address    |   |       |     |             |
|     energy use?                    |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address energy  |   |       |     |             |
|     use?                           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**2. Greenhouse Gas Emissions**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     greenhouse gas emissions been  |   |       |     |             |
|     conducted?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Are greenhouse gas emissions   |  | Yes   |    | No          |
|     identified as 'significant     |   |       |     |             |
|     aspects'?                      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established for           |   |       |     |             |
|     greenhouse gas emissions?      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address         |   |       |     |             |
|     greenhouse gas emissions?      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**3. Renewable Energy Use**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     renewable energy use been      |   |       |     |             |
|     conducted?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Is renewable energy use        |  | Yes   |    | No          |
|     identified as a 'significant   |   |       |     |             |
|     aspect'?                       |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established for renewable |   |       |     |             |
|     energy use?                    |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address         |   |       |     |             |
|     renewable energy use?          |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**4. Water Use**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     water use been conducted?      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Is water use identified as a   |  | Yes   |    | No          |
|     'significant aspect'?          |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established for water     |   |       |     |             |
|     use?                           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address water   |   |       |     |             |
|     use?                           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**5. Purchasing**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     purchasing practices been      |   |       |     |             |
|     conducted?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Are environmental aspects      |  | Yes   |    | No          |
|     associated with purchasing     |   |       |     |             |
|     identified as 'significant     |   |       |     |             |
|     aspects'?                      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established for aspects   |   |       |     |             |
|     associated with purchasing     |   |       |     |             |
|     practices?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address         |   |       |     |             |
|     purchasing practices?          |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**6. Solid Waste Generation**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility\'s/organization's     |   |       |     |             |
|     sold waste generation been     |   |       |     |             |
|     conducted?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Is solid waste generation      |  | Yes   |    | No          |
|     identified as a 'significant   |   |       |     |             |
|     aspect'?                       |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established to address    |   |       |     |             |
|     solid waste generation?        |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address solid   |   |       |     |             |
|     waste generation?              |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**7. Purchasing and Using Toxic or Hazardous Chemicals**

+---------------------------------+---+------+----+---+-------------+
| a.  Has an assessment of the    |  | Yes  |   | N |  No        |
|     facility\'s/organization's  |   |      |    | o | purchasing  |
|     practices for purchasing    |   |      |    |   | or use of   |
|     and using toxic or          |   |      |    |   | toxic or    |
|     hazardous chemicals been    |   |      |    |   | hazardous   |
|     conducted?                  |   |      |    |   | chemicals   |
+---------------------------------+---+------+----+---+-------------+
| b.  Is purchasing and using     |  | Yes  |   | N |             |
|     toxic or hazardous          |   |      |    | o |             |
|     chemicals identified as a   |   |      |    |   |             |
|     'significant aspect'?       |   |      |    |   |             |
+---------------------------------+---+------+----+---+-------------+
| c.  Have objectives and targets |  | Yes  |   | N |             |
|     been established for        |   |      |    | o |             |
|     purchasing and using toxic  |   |      |    |   |             |
|     or hazardous chemicals?     |   |      |    |   |             |
+---------------------------------+---+------+----+---+-------------+
| d.  Are these objectives and    |  | Yes  |   | N |             |
|     targets included in the     |   |      |    | o |             |
|     EMS?                        |   |      |    |   |             |
+---------------------------------+---+------+----+---+-------------+
| e.  Have plans and programs     |  | Yes  |   | N |             |
|     been implemented to address |   |      |    | o |             |
|     purchasing and using toxic  |   |      |    |   |             |
|     or hazardous chemicals?     |   |      |    |   |             |
+---------------------------------+---+------+----+---+-------------+
| f.  Are these plans and         |  | Yes  |   | N |             |
|     programs included in the    |   |      |    | o |             |
|     EMS?                        |   |      |    |   |             |
+---------------------------------+---+------+----+---+-------------+

**8. Construction/Lease/Operation/Maintenance of Buildings**

+------------------------------------+---+-------+-----+-------------+
| a.  Has an assessment of the       |  | Yes   |    | No          |
|     facility's/organization's      |   |       |     |             |
|     practices related to           |   |       |     |             |
|     construction/lease/            |   |       |     |             |
|     operation/maintenance of       |   |       |     |             |
|     buildings been conducted?      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| b.  Are the environmental aspects  |  | Yes   |    | No          |
|     associated with                |   |       |     |             |
|     construction/lease/ operation/ |   |       |     |             |
|     maintenance of buildings       |   |       |     |             |
|     identified as 'significant     |   |       |     |             |
|     aspects'?                      |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| c.  Have objectives and targets    |  | Yes   |    | No          |
|     been established for aspects   |   |       |     |             |
|     associated with                |   |       |     |             |
|     construction/lease/            |   |       |     |             |
|     operation/maintenance of       |   |       |     |             |
|     buildings?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| d.  Are these objectives and       |  | Yes   |    | No          |
|     targets included in the EMS?   |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| e.  Have plans and programs been   |  | Yes   |    | No          |
|     implemented to address aspects |   |       |     |             |
|     associated with                |   |       |     |             |
|     construction/lease/            |   |       |     |             |
|     operation/maintenance of       |   |       |     |             |
|     buildings?                     |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+
| f.  Are these plans and programs   |  | Yes   |    | No          |
|     included in the EMS?           |   |       |     |             |
+------------------------------------+---+-------+-----+-------------+

**9. Vehicle Fleet Use/Petroleum Products Use**

+------------------------------------+---+-----+---+---+---+--------+---+
| a.  Has an assessment of the       | > | Yes |  | N |  |        |   |
|     facility\'s/organization's     |   |     |   | o | N |        |   |
|     vehicle fleet use/petroleum    |  |     |   |   | o |        |   |
|     product use been conducted?    |   |     |   |   | f |        |   |
|                                    |   |     |   |   | l |        |   |
|                                    |   |     |   |   | e |        |   |
|                                    |   |     |   |   | e |        |   |
|                                    |   |     |   |   | t |        |   |
|                                    |   |     |   |   | o |        |   |
|                                    |   |     |   |   | r |        |   |
|                                    |   |     |   |   | p |        |   |
|                                    |   |     |   |   | e |        |   |
|                                    |   |     |   |   | t |        |   |
|                                    |   |     |   |   | r |        |   |
|                                    |   |     |   |   | o |        |   |
|                                    |   |     |   |   | l |        |   |
|                                    |   |     |   |   | e |        |   |
|                                    |   |     |   |   | u |        |   |
|                                    |   |     |   |   | m |        |   |
|                                    |   |     |   |   | p |        |   |
|                                    |   |     |   |   | r |        |   |
|                                    |   |     |   |   | o |        |   |
|                                    |   |     |   |   | d |        |   |
|                                    |   |     |   |   | u |        |   |
|                                    |   |     |   |   | c |        |   |
|                                    |   |     |   |   | t |        |   |
|                                    |   |     |   |   | u |        |   |
|                                    |   |     |   |   | s |        |   |
|                                    |   |     |   |   | e |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+
| b.  Are vehicle fleet              | > | Yes |  | N |   |        |   |
|     use/petroleum products use     |   |     |   | o |   |        |   |
|     identified as 'significant     |  |     |   |   |   |        |   |
|     aspects'?                      |   |     |   |   |   |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+
| c.  Have objectives and targets    | > | Yes |  | N |   |        |   |
|     been established for vehicle   |   |     |   | o |   |        |   |
|     fleet use/petroleum product    |  |     |   |   |   |        |   |
|     use?                           |   |     |   |   |   |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+
| d.  Are these objectives and       | > | Yes |  | N |   |        |   |
|     targets included in the EMS?   |   |     |   | o |   |        |   |
|                                    |  |     |   |   |   |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+
| e.  Have plans and programs been   | > | Yes |  | N |   |        |   |
|     implemented to address vehicle |   |     |   | o |   |        |   |
|     fleet use/petroleum product    |  |     |   |   |   |        |   |
|     use?                           |   |     |   |   |   |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+
| f.  Are these plans and programs   | > | Yes |  | N |   |        |   |
|     included in the EMS?           |   |     |   | o |   |        |   |
|                                    |  |     |   |   |   |        |   |
+------------------------------------+---+-----+---+---+---+--------+---+

**10. Purchase/Use/Disposal of Electronic Equipment**

+----------------------------------------+---+-------+---+-----------+---+
| a.  Has an assessment of the           |  | Yes   |  | No        |   |
|     facility\'s/organization's         |   |       |   |           |   |
|     purchase/use/disposal of           |   |       |   |           |   |
|     electronic equipment been          |   |       |   |           |   |
|     conducted?                         |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+
| b.  Are purchase/ use/disposal of      |  | Yes   |  | No        |   |
|     electronic equipment identified as |   |       |   |           |   |
|     'significant aspects'?             |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+
| c.  Have objectives and targets been   |  | Yes   |  | No        |   |
|     established for                    |   |       |   |           |   |
|     purchase/use/disposal of           |   |       |   |           |   |
|     electronic equipment?              |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+
| d.  Are these objectives and targets   |  | Yes   |  | No        |   |
|     included in the EMS?               |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+
| e.  Have plans and programs been       |  | Yes   |  | No        |   |
|     implemented to address             |   |       |   |           |   |
|     purchase/use/disposal of           |   |       |   |           |   |
|     electronic equipment?              |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+
| f.  Are these plans and programs       |  | Yes   |  | No        |   |
|     included in the EMS?               |   |       |   |           |   |
+----------------------------------------+---+-------+---+-----------+---+

**11. Environmental Regulatory Compliance**

+---------------------------------------+---+------+---+-------------+
| a.  Has a compliance assessment of    |  | Yes  |  | > No        |
|     the facility\'s/organization's    |   |      |   |             |
|     regulated products, activities    |   |      |   |             |
|     and services been conducted?      |   |      |   |             |
+---------------------------------------+---+------+---+-------------+
| b.  Is environmental regulatory       |  | Yes  |  | > No        |
|     compliance identified as a factor |   |      |   |             |
|     in determining 'significant       |   |      |   |             |
|     aspects'?                         |   |      |   |             |
+---------------------------------------+---+------+---+-------------+
| c.  Have objectives and targets been  |  | Yes  |  | > No        |
|     established for environmental     |   |      |   |             |
|     regulatory compliance?            |   |      |   |             |
+---------------------------------------+---+------+---+-------------+
| d.  Are these objectives and targets  |  | Yes  |  | > No        |
|     included in the EMS?              |   |      |   |             |
+---------------------------------------+---+------+---+-------------+
| e.  Have plans and programs been      |  | Yes  |  | > No        |
|     implemented to address            |   |      |   |             |
|     environmental regulatory          |   |      |   |             |
|     compliance?                       |   |      |   |             |
+---------------------------------------+---+------+---+-------------+
| f.  Are these plans and programs      |  | Yes  |  | > No        |
|     included in the EMS?              |   |      |   |             |
+---------------------------------------+---+------+---+-------------+

**Part V: EMS Experiences**

1\. **EMS Best Practices / Lessons Learned:**

> Please provide up to 3 bullet statements identifying any EMS best
> practices and/or lessons learned in the past year.

**2. EMS Challenges**:

> Please provide up to 3 bullet statements identifying EMS
> implementation challenges in the past year.

**3. External Communication:**

> Please provide up to 3 bullet statements identifying how your
> facility/organization uses the EMS to facilitate communication between
> your facility/organization, and your stakeholders and your neighbors.

**4. Highest Priority Aspects:**

> Please list up to 3 of your facility/organization's highest priority
> significant environmental aspects. \[Note: These may or may not be
> those identified in the Executive Order; they may include
> environmental aspects associated with local issues or other Agency
> priorities.\]

**5. EMS Benefits to Agency Mission**:

> Please provide up to 3 bullet statements identifying how EMS
> implementation has enabled your organization or agency to operate more
> effectively in accomplishing its missions. \[These could include, for
> example, reduced number of off-normal events that disrupt agency
> schedules or operations; greater interoperability among sites; better
> relations with host communities, states, and their elected
> representatives; greater speed and agility in responding to unexpected
> events; improved ability to write performance based contracts; etc.\]