HAZARDOUS WASTE
SURVIVAL GUIDE
Forms & Worksheets
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.
Economic Feasibility Worksheet (WS-5)Refer to Your Waste Minimization Program: Conducting A Waste Reduction Assessment
Option: _______________________________ Date: __________
Wastestream(s) Affected: ___________________________________Use this worksheet and the Hazardous Waste Management Cost Worksheet (WS-1) to determine the net savings or costs of alternative waste reduction options. Copy the form as many times as needed.
Determining Estimated Annual Savings
Itemization of Costs/Savings System -
($/Year)System* =
($/Year)Savings**
($/Year)Waste Management Costs (use WS-1)
(for all wastes affected and any new wastes created)________ ________ ________ Raw Materials,Utilities, Labor Costs, etc.
(related to general operations, not waste
management, which were accounted for on WS-1)________ ________ ________ Other Costs/Savings*** ________ ________ ________ Total Annual Amounts ________ ________ 1.________
**(a negative "-" result in this column indicates a net cost****)
- Reduced employee injury/illness and related workers compensation insurance premiums
- Reduced requirements and costs for worker health and safety protection and emergency preparation
- Reduced pollution liability insurance premiums
- Avoided legal fines and cleanup costs
Determining Payback Period
Capital Costs
- Estimated one-time capital expenses for additional land, construction, or equipment:
(e.g. training, lost production time, building permits, project engineering, construction, equipment installation, forgone interest rates, etc.)2. $_________- If applicable, adjust for revenue from the sale of equipment and/or supplies no longer needed, depreciation, tax rebates, etc.:
- 3. $_________
Payback Period = Net Capital Costs
-------------------------------
Estimated Annual Savings****
= Line 4
-------
Line 1 5.= ________ years
| Waste Profile: Form A |
| Walkthrough Report: Form B |
| Waste Reduction Option Summary: Form C |
| Hazardous Waste Management Cost Worksheet: WS-1 |
| Wastestream Priority Worksheet: WS-2 |
| General Potential Worksheet: WS-3 |
| Technical Feasibility Worksheet: WS-4 |
| Economic Feasibility Worksheet: WS-5 |
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