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Overview
Chief Executive Officer/Owner
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Identity Document (ID) number
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Type of Identity Document (ID)
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Issuing country of the Identity Document (ID)
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Full Name
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Other names, nicknames, and pseudonyms
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Sex
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Birth date
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Age
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Residence address, including city, municipality, province, region, and country
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Citizenships
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Phone number, including the country calling code
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Email adress
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Spoken languages
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Position in the entity
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Current executive's tenure
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Exhaustive list of previous executives of the entity, including their tenure
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Have there been any past and/or actual Chief Executive Officer/Owner of the entity that has worked or is working with any Politically Exposed Person?
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Have there been or are there any regulation violations, fines, citations, corrective measures, significant media coverage, or repairs against the Chief Executive Officer/Owner of the entity? If any, disclose it
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Have there been or are there any judgments for fraud, corruption, participation in criminal organizations, or any other illegal activity regarding the Chief Executive Officer/Owner of the entity? If any, disclose it
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CEO and Owner no criminal record (Not more than one year old)
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Entity
Legal Name
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Trade Name
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Founding year
Legal form/Type of entity
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Registered office address, including postal code, city, and country
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Business address, including postal code, city, and country
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Trading address, including postal code, city, and country
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Tax Identification Number
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Type of Tax Identification
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Bank account number
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Bank account confirmation issued by the bank
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Name of the entity's owner and/or parent company
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Names of subsidiary/associated companies and representations abroad
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Is there any individual previously and currently employed in the entity, either internal, external, or relative, that has worked or is working with any Politically Exposed Person?
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Have there been or are there any regulation violations, fines, citations, corrective measures, significant media coverage, or repairs against the entity? If any, disclose it
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Have there been or are there any judgments for fraud, corruption, participation in criminal organizations, or any other illegal activity regarding the entity? If any, disclose it
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Entity certificate of registration (Issued by the government)
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Shareholders structure
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Description
Type of activity of the entity
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Recovery
Recycling
Prevent leakage
Other
What are the differents types of waste that the entity collects?
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Indicate the mission, vision and values of the entity
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Description of the general activity of the entity and the primary area of expertise
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Indicate which are the main goods and/or services the entity provides
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Geographical scope of the entity's activity, indicating, to which countries it has exported or managed projects in the last three years
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Description of the public and private suppliers, partners, organizations and its relationship with which the entity interacts
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What is the additionality and impact of the entity on plastic recovery and/or recycling? What procedures, processes, and mechanisms does the entity have to demonstrate it?
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How is the decision-making process in the entity? How are disputes resolved?
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Which stakeholders are involved in and affected by your entity? Do they participate in the entity in any way?
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Description of the Marketing and Communication activities. Does the entity communicate regularly on Social Media? Detail the usernames and the number of followers on each channel
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Has the entity organized or participated in environmental education programs? If any, explain them
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Has the entity organized or participated in any programs which enhanced the local community's health and livelihood? If any, explain them
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Which of the 17 Sustainable Development Goals does your Plastic Recovery Entity contribute to? Explain the objectives and actions undertaken for each of the indicated Goals
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Languages in which the entity's technical, legal and official documents are written
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Languages in which the entity can communicate and work with other clients and suppliers
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Contact
Entity
Website address
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Primary email address
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Secondary email address
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Primary phone number, including the country calling code
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Secondary phone number, including the country calling code
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Fax number
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Postal Office box
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Contact Person
Full Name
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Email address
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Phone number, including the country calling code
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Position in the entity
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Speaking languages
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Financial
Provide the latest financial statement
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Provide the latest audited financial statement
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Human Resources
Working Conditions
Legally established weekly full-time working hours in the operative country
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Entity's established weekly working hours for the employees
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Number of work shifts conducted per day
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Are there any children under fourteen years working in the entity? If any, provide the number and respective age
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Are the employees hired by the entity? Explain the hiring system
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Provide the employment contracts for all employees
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Are the employees covered by a work medical insurance? If so, explain
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Does the entity or the medical insurance company provide training on occupational risk prevention and on the procedures to perform the tasks to the employees?
Provide the contract between the entity and the medical insurance company. Additionally, provide the training program
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Does the entity have and use any employee time tracking or attendance system? Are there any alternatives or plans to implement it? Provide details
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Provide the employee time tracking or attendance system from the last month
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Does the entity offer paid vacations to its employees? If so, explain the mechanism and indicate how many days are offered
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Are there any subcontracted and external workers? If any, provide the number, remuneration, and area in which they work
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Employee Information
Total number of internal employees
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Number of internal employees working full-time
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Average age of the employees
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Number of internal employees working part-time
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Age of the youngest and oldest employee
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What is the percentage of men to women working in the entity?
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Are there any employee's relatives working with Plastiks? If any, provide the number and its names
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Wages and Salary
Legal minimum wage for workers established in the operative country
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Average wage paid to the entity's internal employees
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What is the payroll and salary payment system for the entity's employees?
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Provide the payroll for all employees from the last month or payment period
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International Labour Compliance
Working Conditions
Does the industrial operations ensure that the maximum working hours do not exceed 8 hours per day and 48 hours per week? If so, provide proof
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Does the entity ensure that industrial workers receive a minimum of 24 consecutive hours of rest within a seven-day period? If so, provide proof
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Protection of Vulnerable Groups
Does the entity ensure that children under the age of 15 are not employed in any work that deprives them of their childhood, harms their health or education? If so, provide proof
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Does the entity operations and practices adhere to the established minimum age requirement of 14 years for employment in the industrial sector? If so, provide proof
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Does the entity operations prohibit night work for young persons under 18 years in the industry between the hours of 9 p.m. to 6 a.m.? If so, provide proof
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Are women in the entity prohibited from engaging in industrial night work? If so, provide proof
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Does the entity refrain from using coercive means to recruit indigenous workers? If so, provide proof
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Does the entity respect the rights and cultural practices of indigenous and tribal peoples, ensuring non-discrimination? If so, provide proof
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Labor Rights and Benefits
Does the entity ensure a minimum of 14 weeks maternity leave for employed women? If so, provide proof
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Does the entity promote equality of opportunity and treatment in respect of employment and occupation, without any discrimination? If so, provide proof
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Does the entity ensure that workers have the right to organize and collectively bargain without any restrictions or interference? If so, provide proof
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Does the entity ensure that there is no discrimination in wages for men and women for work of equal value? If so, provide proof
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Does the entity have a system in place for setting minimum wages? If so, provide proof
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Does the entity ensure timely payment of wages and safeguard against unlawful deductions? If so, provide proof
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Does the entity ensure that part-time workers receive equivalent treatment to full-time workers in terms of labor rights and benefits? If so, provide proof
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Health and Safety
Does the entity provide all workers with adequate protection against employment-related risks including illness, injury, or death? If so, provide proof
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Does the entity take necessary steps to prevent occupational accidents and diseases, ensuring the safety and health of workers? If so, provide proof
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Does the entity ensure that workers do not handle loads which are too heavy and might jeopardize their health or safety? If so, provide proof
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Does the entity provide compensation to workers in the event of employment-related accidents resulting in injury or death? If so, provide proof
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Does the entity provide compensation to workers for diseases contracted as a direct result of their employment? If so, provide proof
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Does the entity ensure equal treatment of national and foreign workers in terms of accident compensation? If so, provide proof
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Does the entity ensure the safeguarding and guarding of machinery to protect workers? If so, provide proof
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Compensation Insurance
Does the entity offer sickness insurance to workers? If so, provide proof
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Does the entity offer invalidity insurance to workers? If so, provide proof
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Ethical Practices
Does the entity have provisions in place to address and support unemployed workers? If so, provide proof
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Does the entity adhere to guidelines ensuring that forced or compulsory labor is not employed? If so, provide proof
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Does the entity have measures to prevent all forms of forced or compulsory labor in its operations and supply chains? If so, provide proof
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Does the entity ensure medical examinations for young persons in industry? If so, provide proof
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Does the entity observe the provisions related to the termination of employment, ensuring just cause and proper procedure? If so, provide proof
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Does the entity have policies and measures in place to prevent violence and harassment in the workplace? If so, provide proof
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Operational
Process
Provide an exhaustive description of the processes, operations and assets used to conduct the entity's activity
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What is the technology used to recover, recycle plastic or prevent leakage?
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Which are the stages plastic goes through? Explain them
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Does the entity use water in its processes, operations and activity? Does it get reused? Explain its function, utility and use.
Submit photos and videos that explain the stages that plastic goes through
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What is the origin of the recovered plastic? Indicate the area and location.
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Provide the evidence that truly verifies that plastic has been recovered from that location
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Provide the evidence that truly verifies that plastic has been recycled
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What is the destination of the plastics that can not and/or could not be recycled?
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Provide the evidence that truly verifes that plastic has not been recycled
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What is the purchase price for each of the recovered plastic?
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What is the sale price for each of the recovered plastic?
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What is the purchase price for each of the recycled plastic?
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What is the sale price for each of the recycled plastic?
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Does the entity provide a waste management system where there is no infrastructure? Provide details
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How do the entity's operations affect and impact wildlife and their ecosystems? Provide details
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Are there any operations subcontracted within the entity's activity? If any, explain them and provide the names of the other parties
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What documents are needed to create a plastic credit? Provide them
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Plastic
Total storage and productive capacity of the entity's facilities
Average amount of plastic recovered in kilograms per month
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Average amount of plastic recycled in kilograms per month
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Total amount of plastic recovered in kilograms last year
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Total amount of plastic recycled in kilograms last year
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Total amount of plastic not recycled in kilograms last year
PET (1)
Total amount of PET (1) plastic recovered in kilograms last year
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Total amount of PET (1) plastic recycled in kilograms last year
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Total amount of PET (1) plastic not recycled in kilograms last year
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HDPE (2)
Total amount of HDPE (2) plastic recovered in kilograms last year
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Total amount of HDPE (2) plastic recycled in kilograms last year
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Total amount of HDPE (2) plastic not recycled in kilograms last year
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PVC (3)
Total amount of PVC (3) plastic recovered in kilograms last year
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Total amount of PVC (3) plastic recycled in kilograms last year
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Total amount of PVC (3) plastic not recycled in kilograms last year
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LDPE (4)
Total amount of LDPE (4)) plastic recovered in kilograms last year
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Total amount of LDPE (4) plastic recycled in kilograms last year
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Total amount of LDPE (4) plastic not recycled in kilograms last year
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PP (5)
Total amount of PP (5) plastic recovered in kilograms last year
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Total amount of PP (5) plastic recycled in kilograms last year
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Total amount of PP (5) plastic not recycled in kilograms last year
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PS (6)
Total amount of PS (6) plastic recovered in kilograms last year
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Total amount of PS (6) plastic recycled in kilograms last year
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Total amount of PS (6) plastic not recycled in kilograms last year
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OTHER (7)
Total amount of OTHER (7) plastic recovered in kilograms last year
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Total amount of OTHER (7) plastic recycled in kilograms last year
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Total amount of OTHER (7) plastic not recycled in kilograms last year
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Operational Compliance
Does the entity have registrations and/or operational and exploitation permits? If so, provide them
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Does the entity have a current and comprehensive insurance that covers all operations? Provide the contract between the entity and the insurance
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Does the entity an its employees have an occupational accident insurance? If so, provide it
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Provide an Occupational Health and Safety Management System (OHSMS), preferably certified by OHSAS 18001 or ANSI/ASSP Z10.0
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Provide the documented procedures to identify and comply with all applicable regulations regarding federal, state, county, city, and industry health and safety
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Does the entity have a provision of annual health and safety training for its employees? If so, provide details
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Does the entity have environmental licenses? If so, provide them
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Does the entity have an atmosphere emissions permits? If so, provide it
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Does the entity comply with the Basel Convention on the Control of Transboundary Movements of Hazardous Wastes and Their Disposal? If so, provide proof
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Does the entity have an Environmental Management System, preferably certified by ISO 14001.2015? If so, provide it
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Does the Entity have a quality assurance certificate? If so, provide it.
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Does the entity have any certification or qualification documents, that demonstrate its qualifications and experience? If so, provide them.
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Does the entity belong to any commercial, professional, national, or international organizations? If any, provide details
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Does the entity have a policy which complies with the EU General Data Protection Regulation or its equivalent? If so, provide it
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Does the entity have an ethical trading policy? If so, provide it
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Does the entity have an anti-terrorism policy? If so, provide it
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Miscellaneous
Why does the entity want to work with Plastiks?
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Does the entity have knowledge about blockchain technology? Provide details and the cryptocurrency wallet address of the entity
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Does the entity have knowledge about plastic credits?
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Does the entity currently work or have worked with any other organizations that issue plastic credits?
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Does the entity currently work or have worked with any other organizations that issue carbon credits?
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Can the entity designate a specific person to manage the relationship with Plastiks? Provide details
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Does the entity accept visits from Plastiks staff and external auditors to its facilities, offices, and production centers?
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I, the undersigned warrant that the information provided in this form is correct, and in the event of changes, details will be provided to PLASTIKS as soon as possible in writing. I also understand that PLASTIKS does not do business with companies, or any affiliates or subsidiaries, which engage in any practices that are in breach of PLASTIKS policies for Child Protection, Conflict of Interest Prevention, Anti-fraud & Anti-Corruption, Anti-terrorism & Anti-Money Laundering, Data Protection, and against Sexual Exploitation.
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