Carbon Footprint Baseline Assessment Form
Organization Information
Organization Name
Industry/Type
Location
Assessment Year
Contact Person
Contact Email
Energy Consumption
Electricity Consumption (kWh/year)
Natural Gas Consumption (m
3
/year)
Fuel Oil Consumption (litres/year)
Other Energy Sources
Transportation
Vehicle Type(s)
Total Fuel Consumed (litres/year)
Total Distance Travelled (km/year)
Number of Flights (annual)
Waste Generation
Total Waste Generated (kg/year)
Waste Disposal Methods
Recycling Initiatives
Water Usage
Total Water Usage (m
3
/year)
Additional Comments
Comments or Explanations