JCM_GE_F_SDIP_ver01.0
JCM Sustainable Development Implementation Plan Form
A. Project description
A.1. Title of the JCM project

A.2. Contact information
Name of the focal point entity(ies):
Name of authorized signatory
Last name:First name:Title:

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B. Possible Contribution to Sustainable Development
B.1 Plan for possible contribution to SD
No.

Items

1EIA

2
345Pollution
Control(No answer isnecessary if
EIA isrequired)

67

Safety andHealth891011NaturalEnvironmentandBiodiversity

Questions

Yes/NoDoes the proposed project require official/legalprocess of EIA?
Does the proposed project emit air pollutants?

NoYes
No
Yes
No
Yes

Does the proposed project discharge waterpollutants or substances which influence BOD,
COD or pH, etc.?
Does the proposed project generate waste?
Does the proposed project increase noise,vibration and/or odor beyond the levels requiredby laws or regulations?

No
Yes
No
Yes

Does the proposed project cause groundsubsidence?
Does the proposed project pose a dangerous
condition for local communities as well as
individuals involved in the project during either
its construction or its operation?
Is the proposed project site located in protectedareas designated by national laws or international
treaties and conventions?

No
Yes
No
Yes

Does the proposed project change land use of thecommunity and protected habitats for endangered
species designated by national laws orinternational treaties and conventions?

No
Yes

Does the proposed project introduce foreign
species?
Does the proposed project involve construction

No
Yes
NoNo
Yes

2If the selected answer is “Yes” in the left-hand column. please describe
the action plans in a blank cell in this column.

JCM_GE_F_SDIP_ver01.0

1213
Economy1415

16
Social andLocalCommunity
Participation
17181920

Technology

activities considered to affect natural environmentand biodiversity (e.g., noise, vibrations, turbidwater, dust, exhaust gases, and wastes)?

Yes

Does the proposed project use surface water,ground water and/or deep ground water?
Does the proposed project have negative impact
on local workforce capacity?
Does the proposed project have negative impact
on local community’s welfare?

No
Yes
No
Yes
No
Yes

Please describe what best possible measures theproject participants of the proposed project take toensure human rights through the supply chain andthe implementation of the proposed project, anddemonstrate that there is no violation of humanrights.
Please describe, if possible, how the project
participants of the proposed project respect,promote and consider their respective right tohealth, the rights of indigenous peoples, localcommunities, migrants, children, persons withdisabilities and people in vulnerable situations
and the right to development, as well as genderequality, empowerment of women andintergenerational equity.
Does the proposed project cause any resettlement
or other types of conflict?
Does the proposed project include activities torespond to, and follow up, comments andcomplaints that have been received from local
communities, particularly from the publicconsultation?
Do the project participants comply any laws
and/or ordinances associated with the working
conditions of local communities which the project
participants should observe in the project?
Does the proposed project include activities to--No
Yes
No
Yes

No
Yes

No3

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build capacity of human resources throughtechnology transfer and technical assistance?

Yes

References4