Confidential 1 of 3
Government of Pakistan
Activity Based Capacity Development Project
Pakistan Environmental Protection Agency
Ministry of Environment
St# 02 House #208, F-10/3, Islamabad
Industrial Survey Questionnaire Form
Pakistan Environmental Protection Agency (Pak-EPA) under an industrial survey programme component of Activity Based
Capacity Development Project has started to collect Basic information regarding Environmental performance and
compliance of all industrial and commercial units to National Environmental Quality Standard (NEQS) under S.R.O. No.
528(1)/2001, Self Monitoring & Reporting by Industries Rule, 2001 , in order to identify Green productivity
organization , which are eligible for issuance of Green Certificate From Pak EPA are requested to submit the
questionnaire to this Agency within 30 days of issuance of this form with the following information:
(All information will be kept strictly confidential)
☑ ( Tick the appropriate box)
Name of Industrial / Commercial Unit
Nature of Business
Industrial
Commercial
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Mailing Address with Post Code
Contact Person’s Name & Designation
Telephone No.
Mobile No.
Fax No.
Email Address
Website
When did the environmental authorities last
time make an inspection?
If no inspections have been done, and there is a legal
requirement to do it, have you sent a request to be
inspected to the authorities?
Are there any legal requirements for waste water, air and
noise pollution standards that you need to follow?
How do you ensure that you comply with the
Legal requirements?
What risk for ground contamination because of
historical/ongoing activities is there?
If ground contamination has been found has this been
reported to the authorities for assessment, review and
corrective action?
Whether there is any emission or liquid discharge other
than municipal sewage?
If yes, what is the nature and composition of the emission
and discharge?
Whether the firm has any wastewater treatment facility
If yes, then give detail about technology , Design
consultant ( local/foreign ) and date of installation and
capacity of facility.(attach extra sheet if needed)
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Whether any pollution abatement/Control equipment has
been installed?
If yes, then please identify the nature of consultantancy
firm, who designed and installed the pollution control
equipment.
Parts of the pollution control equipment are manufactured
Yes
No
National
Whether pollution abatement/Control equipment is
working?
Whether the firm is registered under *SMART (SelfMonitoring & Reporting Tool) Program of Pak EPA?
Whether self-monitoring reports are being submitted to
Pak EPA?
Whether the firm has acquired any *ISO certification?
Multinational
Local
Imported
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
If yes, then give name and category of the certification.
Incase of emission or liquid discharge whether there is
any plan to install pollution abatement equipment?
If yes, give details of the pollution abatement equipment
and expected date of it’s commissioning.
What is the present mode of liquid and solid waste
disposal?
Whether any permission has been acquired from the
authorities to dispose off liquid and solid waste as per the
existing arrangement?
If yes, please attach copy of permission.
Municipal
Sewer
Natural Water
Stream
Open Dump
Any other
option
Yes
No
Local
Imported
Local Market
International Market
Specify Qty of solid or liquid waste generated annually.
Specify anticipated annul demand of raw material
Specify anticipated annul demand of finished goods
What is the source of obtaining Raw material /Products?
Provides Raw material/Products to
Quantity of average Effluent discharge ( m3 / day )
Whether Effluent/ Gaseous Emission tested for
compliance to NEQS Parameters applicable to your
industry?
Yes
* ( BOD)5
If yes , then please specify the average concentration of
the Parameters in (mg/l)
Average Gaseous Emission concentration in (mg/Nm³or
ppm)
*TSS
No
* COD
Cyanide
Chromium
Cadmium
Mercury
Nickel
*PM
* CO
* TDS
* Oil &Grease
Lead
Arsenic
*NOx
*SOx
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Whether the firm uses any hazardous/Toxic chemicals.
If yes, please attach copy of list of hazardous/Toxic
chemical.
What kind of a barriers facing by the firm for successful
implementation of *NEQS/ Environmental Rules/
Regulation.
Any other information
*
Yes
Technical
No
Financial
Institutional
To facilitate industry, a software SMART (Self-Monitoring & Reporting Tool) programme has been devised to
Report effluent and gaseous emission data by industries under National Environmental Quality Standard
(Self Monitoring & Reporting Tool) Rule 2001.For further detail please visit http://www.enviroment.govt.pk
ISO( International Standard Organization
BOD (Biological Oxygen Demand)
NEQS (National Environmental Quality Standard)
COD ( Chemical Oxygen Demand)
TDS (Total Dissolved Solids)
TSS( Total Suspended solids)
PM ( Particulate Matter)
CO (Carbon Monoxoide)
NOx (Oxides of Nitrogen)
SOx ( Sulphar Oxides)
(______________________________)
Name----------------------------------------Official Seal/Stamp:---------------------------------Designation---------------------------------Date:------------------------------------------
The requested information may be sent to Pak EPA through mail or fax within (30 days). .For further details/
clarification/guidance please contact the office of Project Director (ABCD.) during office hours (9:00a.m. to 3.00 p.m.)
except Friday (9:00a.m. to 12:00 noon).
Telephone No. + 92-51-9240243/ 9240239/9240241
Fax No.
+92-51-9266726/2291105
Mailing Address:
Deputy Director
Industrial survey programme
Activity Base Capacity Development Project
St # 02 House # 208, F-10/3, Islamabad.
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Classification Of Industrial Units For Liquid Effluents
* Category “A”
Sr. No. Industry
1
Chlor-Alkali (Mercury Cell)
2
Chlor-Alkali (Diaphram Cell)
3
Metal finishing and electroplating
4
Nitrogenous Fertilizer
5
Phosphate Fertilizer
6
Pulp and paper
7
Pesticides formulation
8
Petroleum refining
9
Steel industry
10
Synthetic fiber
11
Tanning and leather finishing
* Category “B”
Sr. No. Industry
1
Dairy industry
2
Fruits and vegetable processing
3
Glass manufacturing
4
Sugar
5
Detergent
6
Photographic
7
Glue manufacturing
*Category “C”
Sr. No. Industry
1
Pharmaceutical (Formulation) Industry
2
Marble crushing
Sr. No.
12
13
14
15
16
17
18
19
20
21
22
Industry
Textile processing
Pigments and dyes
Thermal power plants (oil fired and coal fired)
Rubber products
Paints, Varnishes and Lacquers
Pesticides
Printing
Industrial chemicals
Oil and Gas production
Petrochemicals
Combined effluent treatment
Sr. No.
8
9
10
11
12
13
Industry
Oil and Gas exploration
Thermal power plants ( gas fired)
Vegetable oil and ghee mills
Woolen mills
Plastic material and products
Wood and cork product
Sr. No.
3
Industry
cement
Classification Of Industrial Units Gaseous Emission
* Category “A”
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Sr. No. Industry
1
Cement
2
Glass Manufacturing
3
Iron and Steel
4
Nitrogenous Fertilizer
5
Phosphate Fertilizer
6
Oil and Gas Production
* Category “B”
Sr. No. Industry
1
Sugar
2
Textile
3
Choloralkali Plants
4
Dairy industry
Sr. No.
7
8
9
10
11
Industry
Petroleum refining
Pulp and paper
Thermal power plants (coal and oil based)
Boiler,ovens, furnnces and kilns) (coal and oil based)
Brick –kilns (Firewood and Bagasse Based)
Sr. No.
5
6
7
Industry
Fruits and vegetables
Metal finishing and Electroplating
Boiler, ovens, Furnnces and kilns) (Gas-fired
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