To assist you with your application, please carefully read this document and then use the following checklist to ensure you have included all the information required. CHECKLIST Please tick the tick box ☒, as each point is checked off. Have you submitted your application/s using the appropriate generic application form/s from the HMA website at http://www.hma.org.au/nominations/.aspx, with all selection criteria being addressed as specified on the form/s? ☐ Have you completed the Manufacturer of the Year Section 2, Questions 711? ☐ Have you completed the company details on the front page? ☐ Have you supplied your current company logo in high resolution colour in JPEG or TIFF and EPS file format and copied it onto your USB? ☐ Have you supplied your company profile and copied it onto your USB? (5 dot points) ☐ Have you supplied your information about the product/concept and copied it onto your USB? (5 dot points) – If a product/concept is pertinent to the category you are submitting. ☐ Have you supplied a minimum of 2 photographs of the product/concept in high resolution TIFF or JPEG format, and copied them onto your USB? ☐ HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 1 of 20 When you have completed ALL the categories you are submitting, save them ALL onto 1 USB in their separate respective folders as outlined in the Guidelines on the HMA website – www.hma.org.au – Nominate for an Award - then post the USB to the HMA, as per the details below: CAROL McEWAN ADMINISTRATION MANAGER HUNTER MANUFACTURING AWARDS INC. C/- McEWAN AND PARTNERS, PO BOX 332 THE JUNCTION NSW 2295 OR DELIVER TO CAROL McEWAN ADMINISTRATION MANAGER HUNTER MANUFACTURING AWARDS INC. C/- McEWAN AND PARTNERS, SUITE 1, 91 FREDERICK STREET, MEREWETHER NSW 2291 NOTE You may also wish to enter a submission into the Hunter Business Chamber Awards. Please visit the Hunter Business Chamber website at http://www.nswbusinesschamber.com.au/Hunter/Events/Hunter-Business-Awards for more details. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 2 of 20 Proudly Sponsored by Major Sponsor SPONSOR EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE PRACTICES Company Details Company Name: Address: Suburb: Postcode: Website: Contact Person Details Contact Name: Email: Phone Number: Mobile Number: The contact person may be contacted in the case of a company/plant site visit by a judge. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 3 of 20 PLEASE NOTE – 1. If selected as a Finalist in the 2015 HMA, you could be contacted by NBN Television who may showcase your company / product in the week leading up to the Awards event, which is to be held on Friday, 16th October 2015. You have the opportunity to decline this opportunity if you wish. Please ensure you indicate your preference, as below, by BOLDING one of the options. In the event I am chosen as a Finalist in the 2015 HMA I would be happy for NBN to showcase my company if the opportunity arises In the event I am chosen as a Finalist in the 2015 HMA I would prefer it if I was not contacted by NBN to showcase my company As part of the Awards’ support and promotion of its applicants, HMA could include your company as part of their social media content – Twitter, Facebook, Linkedin, Vimeo, You Tube, Pinterest. The process may include sharing text and images from your company website and / or social media pages. You have the opportunity to decline this opportunity if you wish. Please ensure you indicate your preference, as below, by BOLDING one of the options. I am happy to be promoted via the HMA’s social media to further promote my company I do not wish to be included in any of HMA’s social media to further promote my company. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 4 of 20 EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Nominations are open to manufacturing companies for consideration of the EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Award at the annual Hunter Manufacturing Awards. PLEASE READ THE FOLLOWING DEFINITION BEFORE COMPLETING YOUR APPLICATION FORM TO ENSURE YOU ARE SUBMITTING IN THE CORRECT CATEGORY. EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Nominations are open to any manufacturing company that can demonstrate environmentally responsible manufacturing practices that have recognised and reduced their overall impact on the environment. The judges will be looking for evidence to confirm the company's knowledge of its environmental impact, controls that have been implemented to reduce their impact, involvement and commitment of all levels within the business towards environmental awareness and control, recognition of their environmental commitment and performance and evidence of systematic commitment to systems supporting ongoing environmental performance and improvement. Note - Applicants may find that their application into the Excellence in Environmentally Responsible Manufacturing Practices category may also be a 'fit' for another category, such as, innovation, manufacturing process, etc. By adapting the information to fit the criteria of other categories you give yourself the opportunity for your product, process etc to be profiled in more than one sector. EACH OF THE LISTED CRITERIA MUST BE ADDRESSED AND WHERE POSSIBLE, EVIDENCE PROVIDED Photographs, drawings, etc. may be included as an ATTACHMENT to this Application Form and labelled clearly and then copied onto the USB with your Application Form, e.g. Question 3 – evidence provided/ Please address the following criteria and restrict the content of each criteria response to 200 words or less. For example; Question 1 can only have a maximum of 200 words. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 5 of 20 EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Please address the following criteria and restrict the content of each criteria response to 100 words or less. For example; Question 1 can only have a maximum of 200 words. NOTE – Questions 1 – 6 relate to the EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES and Questions 7 – 11 relate to the Manufacturer of the Year Award. Please complete all criteria to be eligible for both Awards. Any accompanying documentation provided 'as evidence', may either be inserted as part of this form, or, as an attachment to this application. Attachments must be labelled according to the question number – e.g. question 3 - evidence provided then copied onto the USB along with a copy of this form. Please restrict the content of each criteria response to 200 words or less. JUDGE'S USE ONLY Actual Score Criteria Value SECTION 1 – QUESTIONS 1 – 6 – EXCELLENCE IN ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES. Judges are looking for evidence demonstrating environmentally responsible practices but not limited to the following aspects. Note – Evidence to support claims must be provided. 1. Manufacturing Process environmental impact analysis 10 2. Controls implemental to reduce environmental impacts 10 3. Actual environmental improvement (% reduction, efficiency %, mass reduced, etc.) 10 4. Management and workforce involvement in environment performance and improvement 10 5. Recognition of business environmental performance plus willingness to share improvement process 5 6. Environmental Improvement Systems 5 TOTAL 50 HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 6 of 20 Any accompanying documentation provided 'as evidence', may either be inserted as part of this form, or, as an attachment to this application. Attachments must be labelled according to the question number – e.g. question 3 - evidence provided then copied onto the USB along with a copy of this form. Please restrict the content of each criteria response to 200 words or less. JUDGE'S USE ONLY Actual Score Criteria Value SECTI0N 2 –QUESTIONS 7 – 11 - MANUFACTURER OF THE YEAR AWARD 7. What bench marks do you employ to conclude that your organisation continues to demonstrate "world class performance" in manufacturing? 10 8. Demonstrate the sustainability of your products and services 10 9. Demonstrate a commitment to continuous improvement process 10 10. What is your management Philosophy and Employee Commitment 10 11. Can your company demonstrate Community Support and Involvement 10 Total 50 HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 7 of 20 Question 1: Describe your manufacturing process/facility together with the potential environmental impacts associated with the process/facility (use as broad a definition of 'environment' as you consider necessary) HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 8 of 20 Question 2: Describe the controls that the facility has implemented to control/reduce the environmental impact of the facility HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 9 of 20 Question 3: Detail the actual environmental improvements achieved for the controls detailed in Question 2. Be prepared to validate all claims made. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 10 of 20 Question 4: Detail the involvement of management and the workforce (i.e. the whole team) in the improved environmental performance of the facility HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 11 of 20 Question 5: List any environmental awards and recognitions achieved for the facility. Also, list evidence of information sharing the facility has been involved in. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 12 of 20 Question 6: Detail the environmental systems utilised at the facility, i.e. ISO, EMS's, etc. HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 13 of 20 SECTION 2 MANUFACTURER OF THE YEAR CRITERIA The following questions 7 – 11 relate to the Manufacturer of the Year Award and are required to be addressed HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 14 of 20 Question 7: What benchmarks do you employ to ensure that your organisation continues to demonstrate "world class performance" in manufacturing? HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 15 of 20 Question 8: Demonstrate the sustainability of your products and services HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 16 of 20 Question 9: Demonstrate a commitment to continuous improvement process HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 17 of 20 Question 10: What is your management Philosophy and Employee Commitment? HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 18 of 20 Question 11: Can your company demonstrate Community Support and Involvement? HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 19 of 20 Judge's Use only JUDGE'S FEEDBACK COMMENTS: (Judge to type his/her comments below - please include any 'suggested improvements' as well as the positives) Excellence in Environmentally Responsible Practices Manufacturer of the Year Award HMA 2015 ENVIRONMENTALLY RESPONSIBLE MANUFACTURING PRACTICES Page 20 of 20