Final User WEEE Collection Audit Form Please complete all fields below to proceed Company/Logistics details: Final User’s Company Name Site opening times (i.e. Mon to Fri, 9am-5pm only) Final User Company Address Is there easy access to the pick-up area Y/N for a collection vehicle e.g. heavy goods If No please give details: vehicle? Is the company address the Y/N If No, please provide full site address: If the WEEE is palletised are the following Forklift Truck Y/N location for the WEEE available on-site? Pallet Truck Y/N collection? Y/N On-site Contact Name, Email & Is the WEEE located on the ground floor Phone Number in a back door/loading bay location? Please give details of location: Second on-site Contact Name, Due to B2B Compliance not having full knowledge of any Final User’s sites, for H&S reasons we are unable Email & Phone Number to collect WEEE from any other area WEEE details: WEEE item(s) name & Dimensions (cm) Weight How is the WEEE Does the WEEE have a If Yes, what is the If No, who is the Is a description including brand (kg) containerised? crossed out Producer Logo/Brand Producer decontamination H L W (i.e. loose/on symbol with a on the WEEE? (manufacturer) of form required for wheels/palletised) black bar or date (skip next Question) the replacement this product? underneath? product? Y/N Y/N Y/N Y/N Please continue onto next page Y/N Y/N if required
Final User WEEE Collection Audit Form Company/Logistics details: Please complete all fields below to proceed Final User’s Company Name Site opening times (i.e. Mon to Fri, 9am-5pm only) Final User Company Address Is there easy access to the pick-up area for a collection vehicle e.g. heavy goods vehicle? Y/N If No please give details: Is the company address the location for the WEEE collection? Y/N If No, please provide full site address: If the WEEE is palletised are the following available on-site? Forklift Truck Y/N Pallet Truck Y/N On-site Contact Name, Email & Phone Number Is the WEEE located on the ground floor in a back door/loading bay location? Due to B2B Compliance not having full knowledge of any Final User’s sites, for H&S reasons we are unable to collect WEEE from any other area Y/N Please give details of location: Second on-site Contact Name, Email & Phone Number WEEE details: WEEE item(s) name & description including brand Dimensions (cm) Weight (kg) How is the WEEE containerised? (i.e. loose/on wheels/palletised) Does the WEEE have a crossed out symbol with a black bar or date underneath? If Yes, what is the Producer Logo/Brand on the WEEE? (skip next Question) If No, who is the Producer (manufacturer) of the replacement product? Is a decontamination form required for this product? H L W Y/N Y/N Y/N Y/N Please continue onto next page if required Y/N Y/N
FM0755-B2B-Compliance-Final-User-WEEE-Collection-Audit-Form.docx