These forms & worksheets are included to provide a structure for collecting and organizing the information needed to evaluate waste reduction opportunities. Additionally, they can be a record of your waste minimization efforts for compliance purposes.

Note for Online Version: Print out the forms & the hardcopy versions for your records. Each form and worksheet is hyperlinked to the primary corresponding discussion in Chapter Three: Your Waste Minimization Program.

Waste Reduction Option Summary (Form C)

Refer to Ch. 3 (Your Waste Minimization Program): Conducting a Waste Reduction Assessment

Option: __________________________ Date: __________________
Wastestream(s) Affected: _____________________________________________

Use this form to summarize your findings during evaluation of alternative waste reduction options. A form should be filled out for each specific measure (e.g. if you are considering material substitution for more than one material, fill out a form for each substitution).

PART I - To Be Completed Initially

• Type of Waste Reduction Measure:
  

  o Source Reduction     __ Good "housekeeping"/operating practices     __ Other personnel/procedure -related change     __ Equipment-related change     __ Materials-related change

  o Recycling/Reuse     o Onsite o Offsite     __ Materials reused for original purpose     __ Materials reused for other purpose     __ Material components reclaimed     o Waste Exchange with another company

• Detailed Description of Option:
  _______________________________________________________________
  _______________________________________________________________
  _______________________________________________________________
  _______________________________________________________________

• Objective/Anticipated Benefit(s):
  _______________________________________________________________
  _______________________________________________________________
  

PART II - To Be Completed During Alternatives Evaluation Step

• Initial Screening (check the appropriate box):

• No Further Consideration: This option will not be considered further at this time.
  Reason(s): ____________________________________________________
  

• Initial Priority: This option should be given immediate attention without further evaluation (i.e. It is a good housekeeping/operating practice that can be implemented with little/no cost or difficulty.). Skip to “Priority Rating" and check "Immediate."

• Evaluate Further: Continue to perform evaluation using worksheets 3, 4, and 5.

It may be helpful to determine the following information prior to proceeding with evaluation worksheets 3, 4, and 5.

• Estimate the waste reduction achievable (if more than one type of waste is affected, estimate the reduction for each):
      Wastestream: _______________   Estimated Reduction: _______________
      Wastestream: _______________   Estimated Reduction: _______________
  

• List any new wastes which may be created and estimate the generation rate:
      Wastestream: _______________   Estimated Generation: _______________
      Wastestream: _______________   Estimated Generation: _______________
  

• Evaluation Results: Fill in the results from worksheets 3, 4, and 5.

General Potential (WS-3):   o Good   o Average   o Poor
Continue to next step?   o Yes   o No

Technical Feasibility (WS-4):   o Good   o Average   o Poor
Continue to next step?   o Yes   o No

Economic Feasibility (WS-5):   o Good   o Average   o Poor

Annual Estimated Savings (WS-5, line 1): $ __________ /yr

Payback Period (WS-5, line 5): ____________ yrs

• Project   o Accepted     o Rejected     for implementation.
  Reason(s): ____________________________________________________
  

• Priority Rating:   o Immediate     o Short-term     o Long-term

• Estimated time required to implement: _________________

PART III - To Be Completed After Implementation

• Actual time required to implement: ____________
• Difficulties encountered during implementation
  _______________________________________________________________
  _______________________________________________________________
  _______________________________________________________________
  

• Effectiveness:

  	Capital Costs1	Annual Savings2	Waste Reduction
  Estimated:
  Actual:

  ¹line 4, Economic Feasibility Worksheet (WS-5)
  ²line 1, Economic Feasibility Worksheet (WS-5)

• Other Comments: