Potential
Environmental
Impacts
Offices / Facilities managed Operational activities Planning & execution of services Other activities
Energy consumption        
Materials/
resources use
       
Water consumption        
Air emissions        
Water discharges        
Noise impact        
Waste management        
Hazardous
waste management
       
Contamination of land        
Accidental releases        
Compliance with
laws and regulations
       
Others        

To complete this checklist, please :
if there is environmental impact
if there is no environmental impact
if you are uncertain and further investigation is required

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