Name and Address of the consumer/Department/Place of survey

Electronic Items↓
Air Conditioners (household installed and portable)
Battery backup system
Cathode Ray Tube Monitors

Central Heating (household installed) /Professional Heating & Ventilation

Clocks
Compact Fluorescent Lamps (incl. retrofit & non-retrofit)
Cooking system
Cooled Dispensers (for vending, cold drinks)
Desktop
Desktop PCs (excl. monitors, accessories)
Dish washer
Electronic toys
Flat Display Panel TVs (LCD, LED, Plasma)
Food (toaster, grills, food processing, frying pans)
Game Consoles
Geyser
Health electronic gadgets
Hot Water (coffee, tea, water cookers)
Household Luminaires (incl. household incandescent fittings)
Household Medical (thermometers, blood pressure meters)
Household Monitoring & Control (alarm, heat, smoke, excl. screens)
Household Tools (drills, saws, high pressure cleaners, lawn mowers)
Kitchen (large furnaces, ovens, cooking equipment)
Kitchen (ovens)
Kitchen (cooking equipment)
Lamps
Laptops (incl. tablets)
LED Lamps (incl. retrofit LED lamps & household LED luminaires)
Leisure (large exercise, sports equipment)
Microwaves (incl. combined, excl. grills)
Mixer/ Grinder/food processor/juicer
Mobile Phones (pagers)
Mobile/s (A. Android or others)
Mobile/s (B. smart phone)
Non Cooled Dispensers (for vending, hot drinks, tickets, money)
Other Cooling (dehumidifiers, heat pump dryers)
Other Small Household (small ventilators, irons, clocks, adapters)
Personal Care (tooth brushes, hair dryers, razors)
Printers (scanners, multifunctionals, faxes)
Professional Cooling (large air conditioners, cooling displays)
Professional IT (servers, routers, data storage, copiers)
Professional Luminaires (offices, public space, industry)
Professional Medical ( hospital, dentist, diagnostics)
Professional Monitoring & Control (laboratory, control panels)
Professional Tools (for welding, soldering, milling)
Refrigerator/ Freezers
Small IT (routers, mouse, keyboards, external drives & accessories)
Solar panels/ Photovoltaic Panels (incl. converters)
Special Lamps ( professional mercury, high & low pressure sodium)
Straight Tube Fluorescent Lamps
Telecom (cordless) phones, answering machines)
Toys (car racing sets, electric trains, music toys, biking computers)
Vacuum Cleaners (excl. professional)
Washing machine /dryers
Other electronic gadgets in kitchen
Present/Absent (Tick √ if present) No of Units Present
Obsolete electronic items (no of units since last 10yrs)
Other information (approx. time stored or disposed)
Second hand item information (Borrowed or lent)