SEID IAR Template 3.0

Initial Assessment Report[Period]

Name of the Company

[COMPANY LOGO]

Version: IAR_NP/BT(National code)_Company_verx_Name_date

Submitted by: [Name]

____________________

Signature: Local Consultant)

Submission Date:

Reviewed by:[Name]

_____________________

Signature: Local Technical Expert

Approval Date:

Reviewed by:[Name]

________________________

Signature: International Technical Expert

Approval Date:

Please insert the address and contact details of the local SEID office (Nepal/Bhutan)

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SEID - IA Report: Please insert the company name

Contents1 Basic data and description of the company/hotel 2

1.1 Basic data............................................................................................................................................21.2 Description..........................................................................................................................................2

2 Flow chart 3

3 Input/output analysis 4

3.1 Input....................................................................................................................................................43.1.1 Main raw and process materials 43.1.2 Water consumption 43.1.3 Energy data 53.1.4 Toxic materials 6

3.2 Output.................................................................................................................................................63.2.1 Product and services 63.2.2 Main types of waste and emissions 73.2.3 Water 7

4 Legal compliance 8

5 Evaluation 9

5.1 Emission mapping...............................................................................................................................96 Indicators 10

7 Implemented measures 12

8 Summary of recommendations for continuous improvement 14

8.1 Additional description of the recommendation................................................................................15

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1 Basic data and description of the company/hotel

1.1 Basic data

Company name:

Sector:

Address:

Website:

Contact person:

Telephone/Telefax:

E-Mail:

Number of employees: Female:

Male:

1.2 Description[PICTURE COMPANY]

Please describe briefly the main activities/services/products of the company and insert pictures if available and helpful.

Remark for inserted pictures: The date of recording has to be documented.

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2 Flow chartRemark:

Draw a simple flow chart of main product or process

See Training manual, presentation and exercises in ToT I

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3 Input/output analysis

3.1 Input

3.1.1 Main raw and process materials

No. Material Annual quantity UnitSource of

dataSpecific costs

in Nu.Total costs

in Nu.Purpose/use

1

2

3

4

5

3.1.2 Water consumption

No. Water consumer Quantity Unit Source of data Comments

1

2

3

4

5

For a hotel, make sure to include chemicals for water treatment, pool, waste water, soaps for kitchen, rooms, cleaning, and disinfectants

Source of data: e.g. utility bill, metering, estimation

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3.1.3 Energy data

No. EnergyAnnual amount

UnitSource of

dataSpecific

costsConversion into kWh

Conversion into kg CO2

Consumption [kWh]

Carbon equivalent [kg]

Total costs in ….

Share

[%]

1 Electricity from grid kWh X 1 01

Peak load kW

2 Photovoltaics kWh X 1 0

3 Wind energy kWh X 1 0

4 Fuel oil Kg x 11.4 3.1

5 LPG kg x 13.0 1.8

6 Biogas Sm³ X 72 0

7 Charcoal Kg X 8 0

8 Firewood Kg X 43 0

9 Solar thermal kWh X 1 0

10 Concentrated solar kWh X 1 0

11 Other biomass4: …………

12 Fuel for transport: Diesel Litre x 10.0 3.1

13 Fuel for transport: Petrol Litre x 9.0 2.9

14 Fuel for transport: Ethanol Litre X 7.5 0

15 Fuel for transport: Biodiesel Litre X 10.0 0

16 Fuel for generator: diesel Litre X 10.0 3.1

17 Fuel for generator: petrol Litre X 9.0 2.9

18 Fuel for generator: Biodiesel Litre X 10.0 0

Total: 100% 100 % 100% 100 %


1 For Nepal 0.04 (Source: IEA, 2009)2 At 70% methane contents3 At 25% humidity4 E. g. rice husk, straw, etc.

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3.1.4 Toxic materials

No. Description Hazard

characterisation Annual consumption Units Source of data Hazardous properties

1

2

3

4

5

3.2 Output

3.2.1 Product and services

Product or service/purpose Annual quantity Unit Source of data

For hotels make sure to include room categories, price, and number of overnight stays.


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3.2.2 Main types of waste and emissions

No.Waste, liquid or gaseous emissions

(other than wastewater)Annual quantity Unit Source of data

Specific disposal costs

Purchasing costs Disposal costs Total costs

12345

3.2.3 Water

No. Water output Quantity Unit2 Source of data Notes

1 Wastewater discharge m³ Important materials: Important limit values: Description of on-site wastewater treatment:

2 m³

3 m³

4

5

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4 Legal compliance

No. Plant Legal requirementIndicate permit, law,

regulation:Responsible Checked Next check

1

2

3

4

5

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5 Evaluation

5.1 Emission mappingDraw a simple map of the site and indicate process plants and waste collection points, sources of gaseous emissions (e. g. boiler house) and aqueous emissions. Number them and describe the environmental impact in tabular form.

Explanation:

X Waste collection points (black for industrial waste, red for paper, yellow for plastics, etc.)

O Gaseous emissions (boiler, exhausts, etc.)

• Aqueous emissions (process water, rinsing water, cooling water, sanitary water)

No. Plant/area/operation Identification of environmental impacts

A

B

C

D

E

For a hotel, include different areas like room floors, kitchen, reception, laundry, pool.

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6 IndicatorsRemark: Example for indicators

Relevant basic value5 Amount6 Unit

Billets production MT

Items7 Amount UnitDescription of

indicator8

Value of indicator presently9

UnitTarget value of

indicator10

Electricity Ee kWh Electricity/overnight stay

ee/xx kWh/overnight stay - 10 %

Water Ww m² Water/ produced paper

ww/xy m³/m² - 10 %

Raw materials

Wastage generation

5Reference: quantity of product or service: e.g. produced paper, overnight stays, etc.

6 Data per month

7 Consumption you want to control: e.g. water, electricity, waste, etc.

8 Specific consumption: e.g. water/produced paper, electricity/overnight stay, etc.

9 Numerical value

10 Numerical goal

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7 Implemented measures

No. Goal Measure SavingsOther benefits (compliance,

motivation, …)Investment cost

1

2

3

4

5

Remark: All RE measure conducted by the company so far should be summarized here, but also those (often simple) measures that were started as a result from the initial visits itself, until the preparation of this report.

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8 Summary of recommendations for continuous improvement

Priority11

Description of the present situation and the problem

observed12

Description of possible

improvement/option

Which steps have to be taken to

implement the options

Amount of the savings and

other benefits13

Investment costs14

Calculation of simple

payback period15

Indicator16 Responsible

Due date

Selected for imple-mentatio

n

Remark: the columns marked in grey will be discussed and completed during presentation of IAR and from that moment this table will be used as the workplan.

If necessary please use Table 1 (see chapter 8.1) for a detailed description of the recommendation

11 Red means: high priority a follow up has to be done immediately, yellow means: medium priority a follow up has to be done in the following 4 months12 Technical options, organisational (responsibility, documentation, procedure, measurement, etc.) options13 Materials, energy, time, costs minus additional costs (energy for the new equipment, maintenance, etc.)14Equipment, piping, insulation, preparation of the area, control equipment, etc.15 Investment/savings16Specific consumption which is improved by the measure

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8.1 Additional description of the recommendationPlease copy according to your needs

Table 1: Detailed description of insert the title of the recommendation

Title of recommendation

Description of existing system and its operation

Resource/ Energy Saving Calculation:

Cost Benefits(Payback calculation)

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SEID IAR Template 3.0

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