Supplier Evaluation Form Supplier Evaluation Form Company Name* Company Contact Name* Company Contact Email Address* Company Contact Phone Number* Number of Employees* What year was the company founded?*Please provide the year only. Business Type*Sole ProprietorshipPartnershipCorporationS CorporationsLimited Liability Company (LLC)Other Please describe your business type.* Which of the following certifications does your company currently hold?*ISO 9001:2015ISO 14001:2015ISO 45001:2018NoneOtherSelect all that apply. Please describe your certifications.* Select from the following what best describes your company's relationship with Webco Industries.*Raw Material SupplierChemical SupplierParts or Equipment SupplierMaintenance or Repair ServicesEnvironmental Remediation or CleaningWaste Management or TreatmentDistributionOther Please describe your relationship with Webco.*Quality Performance What were your high level quality goals for the previous fiscal year?* Did you meet these quality goals? If not, what is your action plan?* What was your overall on-time delivery rate for the previous fiscal year?*Safety Performance What was your overall DART rate for the previous fiscal year?* What was your frequency for the previous fiscal year?*Environmental Performance Does your company have an Environmental Policy?*YesNo Does your company employ a full time EHS or Environmental Manager?*YesNo Does your company provide environmental training to all employees?*YesNo Does your company keep inventory of all chemical substances used, stored, processed, and manufactured at each facility?*YesNo Does your company have a purchasing or procurement policy to review all materials and chemicals for EHS risks prior to purchase?*YesNo Select all of the external parties that your company communicates its environmental policies and objectives to.*CustomersInvestorsPublicNone of the aboveOther Please describe your external parties.* Has your company received a Notice of Violation (NOV) from any Federal or State Agency within the past 5 years?*YesNo Please provide the facility location, date of occurrence, and a description for each NOV.* Within the past 5 years, has your company had any motor vehicle accidents or any other incident that resulted in a chemical, fuel, or waste being released to the environment?*YesNo Please provide the location, date of occurrence, and a description for each motor vehicle accident that resulted in a release.* Please select all the following Clean Air Act permits that are managed by your company.*Title VSynthetic MinorMinor SourcePermit by RuleNoneOther Please describe your Clean Air Act permits.* Please select all of the following Clean Water Act permits that are managed by your company.*Industrial Pretreatment (POTW Discharge)National Pollutant Discharge Elimination System (NPDES)Industrial StormwaterOther Please describe your Clean Water Act permits.* Please select all of the following RCRA hazardous waste classifications that are managed by your company.*Very Small Quantity Generator (VSQG)Small Quantity Generator (SQG)Large Quantity Generator (LQG)Hazardous Waste Management (Subtitle C)Solid Waste Management (Subtitle D)Other Please list your classifications.*Energy Efficiency Does your company have an official policy or environmental objective to reduce the use of energy?*YesNo Does your company monitor and track energy consumption or conduct energy audits?*YesNoESG and Sustainability Does your company have an ESG or sustainability program in place?*YesNo Have ESG or Sustainability metrics been collected within the past 5 years?*YesNo Has your company publicly released ESG targets and goals?*YesNo Word VerificationSubmitReset
