Organisation name / site name (required)

Site address

Phone

Your Email (required)

Website

Legally accountable person for the organisation (owner, CEO, managing director)

Legally accountable person for the site (site director, general manager, operations director, …)

Year when the site was established/acquired by the present owner(s)

Former use of the property

NACE Code(s) of the organisation/site

Function
Functiontesttest2test3

Responsible person (Name, e-mail)

Legally mandated (Y/N)
Legally mandated (Y/N)YesNo

Documentation (Y/N)
Documentation (Y/N)YesNo

Activity
Activitytesttest2test3

Location(Y/N)
Location (Y/N)YesNo

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Activity/Operations related function/department (Y/N)
Activity/Operations related function/department (Y/N)YesNo

Responsible person (Y/N)
Responsible person (Y/N)YesNo

Documented delegation of environmental responsibilities (Y/N)
Documented delegation of environmental responsibilities (Y/N)YesNo

Environmental contact person (Name, e-mail)