关于开展供应商温室气体管理水平调研问卷\nNotice on Conducting a Supplier Greenhouse Gas Management Level Survey
此次调研问卷主要目的为评估上游供应商温室气体管理水平，问卷填写人员为贵公司负责温室气体管理部门。如贵司为贸易商，请收集提供给万华产品对应的生产商的数据
The main purpose of this survey questionnaire is to assess the greenhouse gas management level of upstream suppliers. The questionnaire should be filled out by the department responsible for greenhouse gas management in your company.If your company is a trader,please collect data from the manufactures of the products supplied to Wanhua.
（一）企业基本信息( Basic Supplier Information ) 1.供应商名称Supplier
Name
2、供应商性质Supplier Type 生产商Manufacturer 贸易商Trader / Distributor 服务商Service Provider
3. 主要供货产品/服务Main
Supplied Products / Services
4.填写人姓名Name
of Respondent
5. 填写人职务Position
of Respondent
6. 填写人电话Contact
Number of Respondent
7. 填写人邮箱Email
of Respondent
（二）地理位置与运输方式 Geographical Location and Transportation Methods
1. 主要工厂所在地（国家/城市）Location
of Main Factory (City/Country) :
2.原材料及成品的主要运输方式（可多选）：Main :
公路 铁路 海运 航空 管道 其他
3.主要运输距离（可大致估算，工厂→万华 Main
Transportation Distance (can be roughly estimated, e.g. Factory → Main
Customer)
（三）温室气体管理体系 Greenhouse Gas Management System
1. 贵司是否建立温室气体管理体系/制度 Has your company established a greenhouse
gas management system/regulations? 是Yes 否No
2. 如是，请详述贵司管理体系/制度If
yes, please elaborate
2. 如无，请说明未来规划 If
no, please state your future plans
3. 贵司是否建立温室气体管理组织架构 Has your company established an
organizational structure for greenhouse gas management?
是Yes 否No
4. 如是，请详细说明目前温室气体管理组织架构If
yes, please elaborate
4. 如无，请说明未来规划If
no, please state your future plans.
5. 贵司目前温室气体管理开展的主要工作，请详述Main work carried out by your company for
greenhouse gas management Please elaborate.
四、组织温室气体盘查IV. Organizational Greenhouse Gas Inventory
1、贵司是否已开展组织温室气体盘查 Has your company carried out
organizational greenhouse gas inventory?
是Yes 否No
若是，请详述数据If
yes, please provide detailed data (or attach a relevant document)
若否，请说明未来规划If no, please state your future plans.
2. 盘查标准Inventory
Standards GHG Protocol ISO 14064 国家/地方指南National/Local Guidelines 其他Others
3. 盘查范围 Inventory Boundary
针对GHG Protocol For GHG Protocol:
Scope1 Scope2 Scope3
3. 盘查范围Inventory Boundary 针对ISO 14064 For ISO 14064
类别1 Category1 类别2 Category2 类别3 Category3 类别4 Category4 类别5 Category5 类别6 Category6
3. 盘查范围 Inventory Boundary 针对国家/地方指南 For National/Local
Guidelines
燃烧排放Combustion Emissions 工艺制成排放Process Emissions 电力排放Electricity Emissions 热力排放Heat Emissions 其他Others
4. 是否开展第三方核查声明Has a third-party verification statement
been issued?
是Yes 否No
5、若是，请提供最新核查声明/报告If yes, please provide the latest
verification statement/report. （五）、减碳目标与行动 Carbon Emission Reduction Targets and Actions 1、贵司是否 制定温室气体减排/ 碳中和目标
Has your company set greenhouse gas emission reduction/carbon neutrality targets?
是Yes 否No
2、若是，请详述（基准年、目标年、减碳规划）If
yes, please elaborate (base year, target year, emission reduction plan)
2、若否，请说明未来规划If
no, please state your future plans.
3、目标覆盖范围（按照GHG Protocol） Target Coverage (in accordance with GHG Protocol)
Scope1 Scope2 Scope1+2 Scope1+2+3
4、已实施减排措施（可多选） Implemented Emission Reduction Measures
(multiple choices allowed)
节能技改Energy-saving Technological Transformation 绿电替代Green Power Substitution 余热回收Waste Heat Recovery 工艺优化Process Optimization 低碳原料替代Low-carbon Raw Material Substitution 低碳运输Low-carbon Transportation 其他Others
六、产品碳足迹/生命周期评价Product Carbon Footprint / Life Cycle Assessment 1、贵司是否建立产品碳足迹/生命周期评价 Has your company established a process for
product carbon footprint / life cycle assessment?
是Yes 否No
2、若是，请详述业务流程If
yes, please elaborate on the business process
2、若否，请说明未来规划If
no, please state your future plans
3、是否开展供万华产品PCF/LCA评价 Have you carried out PCF/LCA assessment
for the products supplied to Wanhua?
是Yes 否No
4、若是，请提供核查声明If
yes, please provide the report 4、若否，请说明未来规划 If no, please state your
future plans.
5、是否开展供万华产品PCF/LCA第三方核查 Have you conducted third-party
verification of the PCF/LCA for the products supplied to Wanhua?
是Yes 否No
6、若是，请提供核查声明If
yes, please provide the verification statement 6、若否，请说明未来规划If
no, please state your future plans.
41. 七、能源结构Energy Structure
1、贵司电力消耗总量Total ___ MWh ， 电力类型包括(火电、风电、光伏、核电、水电、其他)Types ___，分别占比 respective proportion ___Proportion ：___%；是否可以提供清洁电力使用证明Can you provide a certificate of clean electricity usage___；直连绿电Proportion ___%（电力属性（风电、光伏、水电、其他)electricity ___）;外购绿电Proportion ___%（电力属性（风电、光伏、水电、其他)electricity ___）;3、若无绿电使用，请说明未来规划If
___ 八、绿色低碳供应链合作意愿Willingness for Green and Low-Carbon Supply
Chain Cooperation 1、是否愿意配合万华提供温室气体相关数据
Are you willing to cooperate with Wanhua
to provide greenhouse gas related data?
非常愿意Very willing 愿意Willing 不确定Uncertain 不愿意Unwilling
2、是否可以提供生产过程数据，如产品能耗、原料使用量等 Can you provide production process data,
such as product energy consumption, raw material usage, etc.?
是Yes 否No