Date:




Business Name
:




Business Address:




Name of Person Reporting
Plastic Bag Audit:



 


 Step 1: Designate the time period for which
you are reporting the plastic bag usage for your establishment. Must be of a minimum of 
6-month period. Please keep the selected
time period consistent throughout, meaning
if you choose a 6-month timeperiod for the
current audit, every audit preceding shall be
for a 6-month time period.




Audit Start Date:


 

Audit End Date:


 

 

 

Step 2: Provide information
from most recent completed audit.




# of plastic bags purchased (before you began the Plastic-Free CB Program):






# of plastic bags distributed  (before you began the Plastic-Free CB Program):



 

 

 

Step 3: Provide current plastic
bag usage data.




# of plastic bags purchased (most recent purchase):
 






# of plastic bags distributed (as of Audit End Date):



 

 

 

Step 4:  Calculate the difference. 




# of plastic bags purchased (previously) -­ # of plastic bags purchased (presently)=






# of plastic bags distributed (previously) -­ # of plastic bags distributed (presently)=