Instructions
for
Completing
the
Annual
Assessment
Form
 
Baseline
Data
Submittal
The
Annual
Assessment
Form
serves
two
purposes,
allowing:
1.
New
partners
to
submit
baseline
data
(
within
6
months
of
registering).
2.
Existing
partners
to
report
their
annual
waste
reduction
efforts.

WasteWise
encourages
you
to
submit
your
Annual
Assessment
Form
electronically
via
the
Member
Services
section
of
the
WasteWise
Web
site,
<
www.
epa.
gov/
wastewise>.
For
those
without
Internet
access,
please
send
a
hard
copy
to
EPA
via
mail
 
WasteWise
Program,
c/
o
ERG,
2200
Wilson
Blvd,
Suite
400,
Arlington,
VA,
22201­
3324
 
or
fax
to
(
703)
841­
1440.

Who
Submits
Baseline
Data?
EPA
asks
new
WasteWise
partners
to
submit
baseline
waste
reduction
data,
allowing
WasteWise
to
more
accurately
track
your
progress
and
facilitate
your
waste
reduction
efforts.
This
baseline
report
is
due
to
WasteWise
six
months
after
you
join
the
program.

Why
Submit
Baseline
Data?
A
systematic
review
of
your
facility
and
operations
(
also
referred
to
as
a
waste
assessment
or
waste
audit)
can
provide
your
organization
with
a
much
greater
understanding
of
the
types
and
amounts
of
waste
generated.
By
establishing
this
baseline
and
reporting
it
to
WasteWise,
you
will
not
only
be
equipped
to
measure
future
progress
of
your
waste
reduction
efforts,
but
also
be
able
to
effectively
focus
on
reduction
areas.

Tools
Available
to
Assist
You.
To
help
you
prepare
your
baseline
data,
WasteWise
developed
a
"
Baseline
Tracking
Sheet"
as
part
of
the
Online
Toolkit
available
in
the
Member
Services
area
of
the
WasteWise
Web
site
at
<
www.
ergweb.
com/
waste/
private/
baseline.
htm>.
This
tool
will
help
track
your
organization's
waste
prevention,
recycling,
and
buy­
recycled
activities,
calculate
an
estimate
of
your
annual
waste
reduction
efforts,
and
estimate
associated
cost
savings.
[
It
includes
instructions
and
five
worksheets,
entitled
"
Waste
Material,"
"
Waste
Prevention,"
"
Recycling,"
"
Buy
Recycled,"
and
"
Summary."]
After
completing
the
various
sections,
the
summary
will
provide
the
information
required
to
complete
the
WasteWise
Annual
Assessment
Form.
Using
this
information,
WasteWise
can
help
you
identify
new
opportunities
for
cost
savings
and
waste
reduction,
as
well
as
assess
your
achievements
resulting
from
your
participation
in
WasteWise.

How
Do
I
Fill
Out
This
Form?
Section
I:
Participant
Information

Please
provide
your
current
contact
information,
including
facilities
contributing
data
and
the
current
number
of
employees.
WasteWise
uses
the
number
of
employees
to
normalize
reported
waste
reduction
data.
The
normalization
process
helps
the
program
understand
changes
in
reported
data
and
the
link
to
your
waste
reduction
efforts.

Section
II:
Current
Waste
Reduction
Activities

Total
Amount
of
Municipal
Solid
Waste
Disposed
During
Reporting
Year
 
This
figure
should
include
only
waste
sent
to
the
landfill/
incinerator;
your
organization's
recycling
figures
will
be
entered
elsewhere.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


This
Annual
Assessment
Covers
One
Year's
Worth
of
Data
 
Please
note,
after
gathering
baseline
data
through
a
waste
assessment
you
will
need
to
extrapolate
this
data
to
encompass
one
full
year.
WasteWise
suggests
measuring
waste
generation
for
one
week
or
month
and
then
multiply
that
data
to
estimate
waste
generation
for
one
full
year.

WASTE
PREVENTION
TABLE
 
Current
Activities
+
Future
Goals
Note:
If
you
submit
a
hard
copy
of
this
form,
you
might
need
to
make
a
photocopy
of
this
section
to
report
all
of
the
waste
prevention
activities
conducted
as
part
of
your
WasteWise­
related
efforts.


Product/
Material
 
Enter
the
product
and/
or
material
that
you
reduced
or
reused
(
e.
g.,
bottles­
PET,
cansaluminum
tires­
rubber).
OMB
Control
No:
2050­
0139
Expiration
Date:
XXXXXXX

Description
of
Waste
Prevention
Activity
 
Describe
how
you
reduced
or
reused
the
product/
material
(
e.
g.,
closed­
loop
toner
cartridge
reuse
program,
manufacturing
process
improvement).


Amount
Prevented
 
Enter
the
weight
of
the
material
prevented.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


Goals
for
Upcoming
Year
 
Every
year,
WasteWise
asks
its
partners
for
their
waste
prevention
goals.
Enter
a
goal
(
related
to
the
material/
product)
that
you
would
like
to
work
towards
in
the
next
year.
If
you
would
like
to
focus
the
upcoming
year's
efforts
on
a
different
material/
product,
just
put
"
N/
A"
on
this
line
and
add
the
goal
to
the
relevant
material's
line.
If
you
would
like
to
set
a
goal
for
a
product/
material
that
you
have
not
previously
focused
on,
enter
the
new
material/
product,
enter
"
N/
A"
in
both
the
Description
of
Waste
Prevention
Activity
and
Amount
Prevented
columns,
and
then
enter
your
goal
in
the
final
column.

RECYCLING
TABLE
 
Current
Activities
+
Future
Goals
Note:
If
you
submit
a
hard
copy
of
this
form,
you
might
need
to
make
a
photocopy
of
this
section
to
report
all
of
your
recycling
activities.


Product/
Material
 
Enter
the
product
and/
or
material
that
you
recycled
(
e.
g.,
magazines­
coated
paper,
boxescorrugated
silverware­
plastic).


Description
of
Recycling
Activity
 
Provide
any
necessary
description
(
e.
g.,
sent
yard
waste
offsite
for
composting,
employee
file
cleanup
day
collection)


Amount
Recycled
 
Enter
the
weight
of
the
material
recycled.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


Goals
for
Upcoming
Year
 
Every
year,
WasteWise
asks
its
partners
for
their
recycling
goals.
Enter
a
goal
(
related
to
the
material/
product)
that
you
would
like
to
work
towards
in
the
next
year.
If
you
would
like
to
focus
the
upcoming
year's
efforts
on
a
different
material/
product,
just
put
"
N/
A"
on
this
line
and
add
the
goal
to
the
relevant
material's
line.
If
you
would
like
to
set
a
new
goal
for
a
product/
material
that
you
have
not
previously
focused
on,
enter
the
new
material/
product,
enter
"
N/
A"
in
both
the
Description
of
Recycling
Activity
and
Amount
Recycled
columns,
and
then
enter
your
goal
in
the
final
column.

Section
III:
Cost
Savings/
Revenue

Total
Waste
Prevention
Revenue
 
If
possible,
provide
data
on
the
revenue
generated
through
waste
prevention
efforts
(
e.
g.,
money
earned
from
selling
old
office
equipment,
computers,
etc.).


Total
Recycling
Revenue
 
If
possible,
provide
data
on
the
revenue
generated
through
recycling
efforts
(
e.
g.,
money
earned
from
selling
recyclables
such
as
cans,
bottles,
etc.).


Total
Avoided
Purchasing
Costs
Due
to
Waste
Prevention
 
If
possible,
provide
data
on
cost
savings
achieved
by
implementing
its
waste
prevention
activities.
[
avoided
purchasing
costs
($)
=
quantity
prevented
(
lbs)
x
disposal
costs
($/
lb)]


Total
Avoided
Disposal
Costs
Due
to
Recycling
and
Waste
Prevention
 
If
possible,
provide
data
on
cost
savings
achieved
by
recycling
materials.
[
avoided
disposal
costs
($)
=
quantity
recycled
(
lbs)
x
disposal
costs
($/
lb)]

Section
IV:
Buy/
Manufacture
Recycled
Products

Product/
Material
 
Enter
the
product
and/
or
material
containing
recycled
content
that
your
organization
purchased
or
manufactured
(
e.
g.,
carpet­
recycled
PET,
grocery
bags­
paper,
shingles­
asphalt).


Current
Recycled
Content
Percent
 
Enter
the
current
recycled
content
percentage
of
the
product.


Previous
Recycled
Content
Percent
 
If
your
company
previously
purchased
or
manufactured
this
same
product,
enter
the
previous
recycled
content
percentage.


Current
Units
Purchased
or
Recycled
 
Enter
the
number
of
units
purchased
or
manufactured
throughout
the
year.

Section
V:
Comments

Provide
WasteWise
with
any
additional
information
that
you
would
like
to
share
(
e.
g.,
awards
received,
other
environmental
activities,
any
changes
in
the
organization
that
would
affect
waste
reduction
efforts,
etc.)

If
you
have
any
comments
or
suggestions
about
the
WasteWise
program,
please
include
them
with
your
Annual
Assessment
Form,
call
the
WasteWise
Helpline
at
(
800)
EPA­
WISE
(
372­
9473),
or
email
<
ww@
erg.
com>.
OMB
Control
No.
2050­
0139
Approval
expires
XX/
XX/
XX
The
public
reporting
and
recordkeeping
burden
for
this
collection
of
information
is
estimated
to
average
40
hours
per
response.
Send
comments
on
the
Agency's
need
for
this
information,
the
accuracy
of
the
provided
burden
estimates,
and
any
suggested
methods
for
minimizing
respondent
burden,
including
through
the
use
of
automated
collection
techniques
to
the
Director,
Collection
Strategies
Division,
U.
S.
Environmental
Protection
Agency
(
2822T),
1200
Pennsylvania
Ave.,
NW,
Washington,
D.
C.
20460.
Include
the
OMB
control
number
in
any
correspondence.
Do
not
send
the
completed
form
to
this
address.
Instructions
for
Completing
the
Annual
Assessment
Form
 
Annual
Reporting
The
Annual
Assessment
Form
serves
two
purposes,
allowing:
1.
New
partners
to
submit
baseline
data
(
within
6
months
of
registering).
2.
Existing
partners
to
report
their
annual
waste
reduction
efforts.

WasteWise
encourages
you
to
submit
your
Annual
Assessment
Form
electronically
via
the
Member
Services
section
of
the
WasteWise
Web
site,
<
www.
epa.
gov/
wastewise>.
For
those
without
Internet
access,
please
send
a
hard
copy
to
EPA
via
mail
 
WasteWise
Program,
c/
o
ERG,
2200
Wilson
Blvd,
Suite
400,
Arlington,
VA,
22201­
3324
 
or
fax
to
(
703)
841­
1440.

Who
Should
Report?
If
your
organization
joined
WasteWise
before
August
1,
2004,
please
complete
the
2004
Annual
Assessment
Form
with
the
results
of
your
WasteWise
activities
and
submit
it
by
March
31,
2005.
If
you
joined
after
August
1,
2004,
you
are
also
welcome
to
share
your
progress,
but
do
not
have
to
officially
submit
data
until
next
year.

Why
Report?
EPA
asks
its
WasteWise
partners
to
annually
report
their
WasteWise­
related
activities
for
several
reasons.
First,
such
information
serves
as
a
useful
example
and
inspiration
for
other
organizations
considering
waste
reduction
initiatives.
Second,
this
information
helps
EPA
and
you
better
understand
your
WasteWise
activities.
Using
this
information,
WasteWise
can
help
you
identify
new
opportunities
for
cost
savings
and
waste
reduction,
as
well
as
assess
how
your
efforts
have
improved
resulting
from
your
participation
in
WasteWise
(
which
can
be
very
useful
when
management
buyin
is
needed
for
new
initiatives).

Tools
Available
to
Assist
You.
To
help
you
track
your
waste
reduction
data,
WasteWise
developed
new
tools
available
in
WasteWise's
Online
Toolkit,
located
in
the
Member
Services
area
of
the
WasteWise
Web
site
at
<
www.
ergweb.
com/
waste/
private/
baseline.
htm>.
The
new
tools
can
help
track
your
organization's
waste
prevention,
recycling,
and
buy­
recycled
activities,
calculate
an
estimate
of
your
annual
waste
reduction
efforts,
and
estimate
associated
cost
savings.
[
The
toolkit
contains
five
new
worksheets
and
instructions,
entitled
"
Waste
Material,"
"
Waste
Prevention,"
"
Recycling,"
"
Buy
Recycled,"
and
"
Summary."]
After
completing
the
various
sections,
the
summary
will
provide
the
information
required
to
complete
the
WasteWise
Annual
Assessment
Form.

How
Do
I
Fill
Out
This
Form?
Section
I:
Participant
Information

Please
provide
your
current
contact
information,
including
which
facilities
you
are
reporting
for
and
the
current
number
of
employees.
WasteWise
uses
the
number
of
employees
to
normalize
reported
waste
reduction
data.
The
normalization
process
helps
the
program
understand
changes
in
reported
data
and
the
link
to
your
waste
reduction
efforts.

Section
II:
Current
Waste
Reduction
Activities

Total
Amount
of
Municipal
Solid
Waste
Disposed
During
Reporting
Year
 
This
figure
should
only
include
waste
sent
to
the
landfill/
incinerator;
your
organization's
recycling
figures
will
be
entered
elsewhere.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


This
Assessment
Form
Covers
One
Year's
Worth
of
Data
 
Most
partners
will
report
January
1
to
December
31,
2004,
but
others
track
their
waste
reduction
based
on
their
fiscal
calendars.
Please
note,
the
reporting
period
should
be
12
months.

WASTE
PREVENTION
TABLE
 
Current
Activities
+
Future
Goals
Note:
If
you
submit
a
hard
copy
of
this
form,
you
might
need
to
make
a
photocopy
of
this
section
to
report
all
the
waste
prevention
activities
conducted
as
part
of
your
WasteWise­
related
efforts.


Product/
Material
 
Enter
the
product
and/
or
material
that
you
reduced
or
reused
(
e.
g.,
bottles­
PET,
cansaluminum
tires­
rubber).


Description
of
Waste
Prevention
Activity
 
Describe
how
you
reduced
or
reused
the
product/
material
(
e.
g.,
closed­
loop
toner
cartridge
reuse
program,
manufacturing
process
improvement).
OMB
Control
No:
2050­
0139
Expiration
Date:
XXXXXXX

Amount
Prevented
 
Enter
the
weight
of
the
material
prevented.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


Goals
for
Upcoming
Year
 
Every
year,
WasteWise
asks
its
partners
for
their
waste
prevention
goals.
If
your
goals
will
remain
the
same
for
the
next
year,
then
simply
enter
"
Unchanged"
in
the
box.
For
a
new
goal
(
related
to
the
same
material/
product)
simply
enter
the
new
activity.
If
you
would
like
to
focus
the
upcoming
year's
efforts
on
a
different
material/
product,
just
put
"
N/
A"
on
this
line
and
add
the
new
goal
to
the
relevant
material's
line.
If
you
would
like
to
set
a
new
goal
for
a
product/
material
that
you
have
not
previously
focused
on,
enter
the
new
material/
product,
enter
"
N/
A"
in
both
the
Description
of
Waste
Prevention
Activity
and
Amount
Prevented
columns,
and
then
enter
your
new
goal
in
the
final
column.

RECYCLING
TABLE
 
Current
Activities
+
Future
Goals
Note:
If
you
submit
a
hard
copy
of
this
form,
you
might
need
to
make
a
photocopy
of
this
section
to
report
all
of
your
recycling
activities.


Product/
Material
 
Enter
the
product
and/
or
material
that
you
recycled
(
e.
g.,
magazines­
coated
paper,
boxescorrugated
silverware­
plastic).


Description
of
Recycling
Activity
 
Provide
any
necessary
description
(
e.
g.,
sent
yard
waste
offsite
for
composting,
employee
file
cleanup
day
collection).


Amount
Recycled
 
Enter
the
weight
of
the
material
recycled.
WasteWise
will
accept
either
tons
or
pounds,
so
please
designate
which
unit
you
use.


Goals
for
Upcoming
Year
 
Every
year,
WasteWise
asks
its
partners
for
their
recycling
goals.
If
your
goals
will
remain
the
same
for
the
next
year,
then
simply
enter
"
Unchanged"
in
the
box.
For
a
new
goal
(
related
to
the
same
material/
product)
simply
enter
the
new
activity.
If
you
would
like
to
focus
the
upcoming
year's
efforts
on
a
different
material/
product,
just
put
"
N/
A"
on
this
line
and
add
the
new
goal
to
the
relevant
material's
line.
If
you
would
like
to
set
a
new
goal
for
a
product/
material
that
you
have
not
previously
focused
on,
enter
the
new
material/
product,
enter
"
N/
A"
in
both
the
Description
of
Recycling
Activity
and
Amount
Recycled
columns,
and
then
enter
your
new
goal
in
the
final
column.

Section
III:
Cost
Savings/
Revenue

Total
Waste
Prevention
Revenue
 
If
possible,
provide
data
on
the
revenue
generated
through
waste
prevention
efforts
(
e.
g.,
money
earned
from
selling
old
office
equipment,
computers,
etc.).


Total
Recycling
Revenue
 
If
possible,
provide
data
on
the
revenue
generated
through
recycling
efforts
(
e.
g.,
money
earned
from
selling
recyclables
such
as
cans,
bottles,
etc.).


Total
Avoided
Purchasing
Costs
Due
to
Waste
Prevention
 
If
possible,
provide
data
on
cost
savings
achieved
by
implementing
waste
prevention
activities.
[
avoided
purchasing
costs
($)
=
quantity
prevented
(
lbs)
x
disposal
costs
($/
lb)]


Total
Avoided
Disposal
Costs
Due
to
Recycling
and
Waste
Prevention
 
If
possible,
provide
data
on
cost
savings
achieved
by
recycling
materials.
[
avoided
disposal
costs
($)
=
quantity
recycled
(
lbs)
x
disposal
costs
($/
lb)]

Section
IV:
Buy/
Manufacture
Recycled
Products

Product/
Material
 
Enter
the
product
and/
or
material
containing
recycled
content
that
your
organization
purchased
or
manufactured
(
e.
g.,
carpet­
recycled
PET,
grocery
bags­
paper,
shingles­
asphalt).


Current
Recycled
Content
Percent
 
Enter
the
current
recycled
content
percentage
of
the
product.


Previous
Recycled
Content
Percent
 
If
your
organization
previously
purchased
or
manufactured
this
same
product,
enter
the
previous
recycled
content
percentage.


Current
Units
Purchased
or
Recycled
 
Enter
the
number
of
units
purchased
or
manufactured
in
the
past
year.

Section
V:
Comments

Provide
WasteWise
with
any
additional
information
that
you
would
like
to
share
(
e.
g.,
awards
received,
other
environmental
activities,
any
changes
in
the
organization
that
would
affect
the
waste
reduction
efforts,
etc.).
As
you
describe
your
WasteWise
activities,
describe
other,
non­
WasteWise
factors,
which
might
affect
the
results.
Influential
factors
could
include
changes
from
the
previous
year's
production
or
purchasing
levels;
facilities
being
closed,
sold
to
another
company,
or
being
temporarily
idle;
or
participation
in
other
internal
or
external
voluntary
waste
reduction
programs.

If
you
have
any
comments
or
suggestions
about
the
WasteWise
program,
please
include
them
with
your
Annual
Assessment
Form,
call
the
WasteWise
Helpline
at
(
800)
EPA­
WISE
(
372­
9473),
or
email
<
ww@
erg.
com>.
OMB
Control
No.
2050­
0139
Approval
expires
XX/
XX/
XX
The
public
reporting
and
recordkeeping
burden
for
this
collection
of
information
is
estimated
to
average
40
hours
per
response.
Send
comments
on
the
Agency's
need
for
this
information,
the
accuracy
of
the
provided
burden
estimates,
and
any
suggested
methods
for
minimizing
respondent
burden,
including
through
the
use
of
automated
collection
techniques
to
the
Director,
Collection
Strategies
Division,
U.
S.
Environmental
Protection
Agency
(
2822T),
1200
Pennsylvania
Ave.,
NW,
Washington,
D.
C.
20460.
Include
the
OMB
control
number
in
any
correspondence.
Do
not
send
the
completed
form
to
this
address.
