Dear IPC Members:

The IPC Environmental, Health, and Safety (EHS) Benchmarking Survey for Printed Circuit Board (PCB) manufacturers was designed by IPC's EHS Steering Committee to provide member companies a way to assess their environmental performance vis-à-vis their peers. IPC hopes members can use the results to improve their environmental performance and save money.

Participating facilities will receive free customized evaluations comparing them to other facilities of the same type (i.e., prototype, medium, and large) and normalized based upon production factors. You will be able to easily compare your results to "Best in Class" metrics that represents the best environmental performance achieved by your peer facilities.

All data will be kept confidential. Only normalized, non-facility specific data will be reported.

Instructions: Please complete the attached form utilizing data for calendar year 2004 (or most recent 12-month period) for each facility. Do not report corporate-wide data. Please do not leave any questions blank. If a question does not apply, enter "N/A." If you are unsure of exact numbers, please provide estimates.  Please do not use commas when entering numbers.

ALL SURVEYS MUST BE RETURNED NO LATER THAN February 9, 2005.

Completed surveys should be sent by fax (202-962-0464) or email (SBreehey@ipc.org) to Sonya Breehey, IPC’s Environmental, Health, and Safety Programs Coordinator by February 9, 2005.

If you have any questions, please contact Sonya Breehey at (202) 962-0460 or by e-mail at SonyaBreehey@ipc.org

Thank you for your participation.

Company ___________________________________________________________________________

Mailing Address _____________________________________________________________________

Please provide contact information for the person completing the survey. This information is only used if survey clarification is necessary.

Contact Name _______________________________________Title ____________________________

Phone __________________ Fax __________________ E-Mail _______________________________

Did you submit a survey last year? (Please Circle) Yes No

NORMALIZING DATAThis data will normalize all facility-specific data.

N1. Is your facility (Check the appropriate category):____ Small (Revenue less than $10M/year or less than 100 employees)____ Medium (Revenue between $10M and $50M/year or between 100 and 500 employees) ____ Large (Revenue greater than $50M/year or greater than 500 employees)

N2. Net sales: (N2) $________ million

N3. Number of full and part-time employees expressed as full time equivalents (2000 hrs/year worked): (N3) _______________

N4. For data normalizing purposes, we need to know the total layer square feet processed (LSFP) by your facility.  Enter LSF put into the process, not LSF shipped. For example, if you made 1000 10-layer 24” x 18” panels last year, your layer per square feet would be:

1000 panels x 10 layers x [24 inches x 18 inches x square feet/ 144 square inches] = 30,000 LSFP

What was your LSFP for last year? _______________________

WATER USAGEPlease use data from facility water/sewer bills and circle unit of measurement. Please do not leave any questions blank. If a question does not apply, enter "N/A."

U1: Amount of municipal water used: (U1) _____________ gallons Kgal Cf Ccf

U2: Amount of well water used: (U2) ____________ gallons Kgal Cf Ccf

U3: Per unit cost for municipal water: (U3) $____________ / gallons Kgal Cf Ccf

U4: Amount of water discharged: (U4) ____________ gallons Kgal Cf Ccf

U5: Per unit cost for water discharge (e.g. sewer costs & per gallon surcharges): (U5) $____________ / gallons Kgal Cf Ccf

U6: Fixed discharge costs (e.g. annual permits if any): (U6) $____________

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WATER RECYCLING Water recycling involves technologies that purify wastewater streams so water can be reused (e.g., ion exchange and reverse osmosis). It does not include water conservation techniques (e.g., counterflow rinses, flow controllers, spray rinses, and flow meters). Please check procurement records to determine costs and circle unit of measurement. Please do not leave any questions blank. Enter “N/A” if it doesn’t apply.

R1: Amount of water recycled on-site: (R1)_________ gallons Kgal Cf Ccf

R2: Cost for water recycling chemicals (acids, bases, etc.) (R2A) $___________________ And supplies (e.g., resins, filter cartridges): (R2B) $___________________

WASTEWATER (WWT) TREATMENTPlease check procurement records to determine costs and circle unit of measurement. Please do not leave any questions blank. Provide your best estimate and if unknown, enter “N/A.” T1: Indicate WWT methods used: _____ Precipitation Aluminum Displacement Ion Exchange _____ Electrodialysis Membrane Filtration _______ Electrowinning _____ Other (specify)

T2: Do you treat spent photoresist developer and/or stripper solutions (not rinses)? (T2A) Yes ____ No ____ If so, which ones do you treat? (T2B) Developers ____ Strippers ____ Both ____

T3: Cost for WWT chemicals (precipitants, coagulants, Ph adjust) (T3A) $___________And supplies (press cloths, plates, pH probes, sludge bags): (T3B) $___________

T4: Is the cost of spent photoresist developer or stripper treatment included in the above (T3) costs? (T4A) Yes ____ No ____

Total estimated cost of spent developer and stripper treatment (chemicals & supplies)? (T4B) $ ______________

T5: Number of employees responsible for WWT System (Whole number or fraction)Example: A facility that employs two full-time employees to operate WWT, one employee who dedicates one-half of his 8-hour workday to WWT, and an environmental manager who works 1/3 on WWT would have 2.83 FTE employees responsible for WWT (2+0.5+0.33=2.83)

(T5)

T6: Cost for WWT employees (salaries, wages, and indirect costs): (T6) $______________

T7: Amount of metal-bearing sludge or solids generated on-site from WWT methods: (T7A) _________ Kilograms

Pounds TonsAre spent alkaline (developer and stripper) solids included in the above sludge totals? (T7B) Yes ____ No ____If so, what is the estimated weight of these spent alkaline sludges. (T7A) _________ Kilograms Pounds Tons

T8: Amount of metal-bearing sludge or solids (T7) recycled: (T8) __________ Kilograms Pounds Tons

T9: Net Cost (minus revenue) for Sludge Recycling/Disposal A. Variable (e.g. transport, disposal, analytical fees): (T9A) ______________

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B. Fixed (e.g. annual permits): (T9B)

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T10: For the sludge/solids noted in T7 (exclude photoresist treatment sludges), indicate: A. Average copper content (T10A) __________% B. Whether Copper content is measured on Dry or Wet basis: (T10B) Dry ____ Wet ____

C. Moisture content: (T10C) _________%

T11: Amount of all hazardous waste generated on-site other than those noted in T7 (e.g., materials that were manifested and shipped by a hazardous waste hauler). Please breakout individual hazardous waste material quantities, disposal costs, and

indicate whether it was manifested as a hazardous waste. If the data is unavailable, please provide a TOTAL hazardous waste quantity and disposal cost in Row T11J.

Types of Materials Quantity

(Circle Measurement Unit)

Cost of Disposal

(If Known)

√ if Manifestedas Hazardous

WasteT11A Contaminated Filters: Kilograms Pounds Tons T11B Caustic Materials with pH >12..5: Kilograms Pounds Tons T11C Acidic Materials with pH <2.0: Kilograms Pounds Tons T11D Solderstrip Liquids: Kilograms Pounds Tons T11E Labpacks: Kilograms Pounds Tons T11F Flammable Materials: Kilograms Pounds Tons T11G Spent Etchants: Kilograms Pounds Tons T11H Toxic Materials Kilograms Pounds Tons T11I Other (Please list materials): Kilograms Pounds Tons

T11J TOTAL amount of hazardous waste generated on-site other than those noted in T7:

Kilograms Pounds Tons

ENERGY USECircle unit of measurement. Please do not leave questions blank. If a question does not apply, enter "N/A."

E1: Amount of energy used at your facility? (E1A) Electricity ________ KWH(E1B) Natural Gas ________ Therms mcf (E1C) Fuel Oil ________ Gallons

SAFETY & HEALTHPlease submit numbers from OSHA 300 Report for 2004 (Be sure to include temporary employee data):

S1: Number of Injuries/Illnesses Resulting in Days Away From Work (total from column H on the OSHA 300 Report for 2004) (S1) _______________

S2: Number of Injuries/Illnesses Resulting in “Job Transfer or Restriction”(Total from column I on the OSHA 300 Report for 2004) (S2) _______________

S3: Number of “Other Recordable Cases” of Injuries/Illnesses Without Lost Workdays (Total from column J on the OSHA 300 Report for 2004) (S3) _______________

S4: Total Number of OSHA Recordable Injuries/Illnesses (Sum of totals from columns H + I +J from OSHA 300 Report for 2004) (S4) _______________

S5: Total Employee Hours Worked - if known (S5) _______________

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