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Waste Management
Waste Management industry entities collect, store, dispose of, recycle or treat various forms of waste from residential, commercial and industrial clients. Types of waste include municipal solid waste, hazardous waste, recyclable materials, and compostable or organic materials. Major entities commonly are integrated vertically, providing a range of services from waste collection to landfilling and recycling, while others provide specialised services such as treating medical and industrial waste. Waste-to-energy operations are a distinct industry segment. Some industry players also provide environmental engineering and consulting services, mostly to large industrial clients.
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Medical Equipment & Supplies
The Medical Equipment & Supplies industry researches, develops and produces medical, surgical, dental, ophthalmic and veterinary instruments and devices. Hospitals, clinics and laboratories use these products, which range from disposable items to highly specialised equipment. The increased prevalence of diseases associated with unhealthy lifestyles and an ageing population are important factors that may encourage growth in this industry. Emerging markets and the expansion of health insurance may contribute to further growth. However, the extension of government insurance programmes, provider and payer consolidation, and regulatory emphasis on reduced costs in all markets may result in downward pricing pressure.
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Relevant Issues for both Industries (12 of 26)

Why are some issues greyed out?

The SASB Standards vary by industry based on the different sustainability-related risks and opportunities within an industry. The issues in grey were not identified during the standard-setting process as the most likely to be useful to investors, so they are not included in the Standard. Over time, as the ISSB continues to receive market feedback, some issues may be added or removed from the Standard. Each company determines which sustainability-related risks and opportunities are relevant to its business. The Standard is designed for the typical company in an industry, but individual companies may choose to report on different sustainability-related risks and opportunities based on their unique business model.

Environment
- GHG Emissions
  The category addresses direct (Scope 1) greenhouse gas (GHG) emissions that a company generates through its operations. This includes GHG emissions from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes), whether a result of combustion of fuel or non-combusted direct releases during activities such as natural resource extraction, power generation, land use, or biogenic processes. The category further includes management of regulatory risks, environmental compliance, and reputational risks and opportunities, as they related to direct GHG emissions. The seven GHGs covered under the Kyoto Protocol are included within the category—carbon dioxide (CO2), methane (CH4), nitrous oxide (N2O), hydrofluorocarbons (HFCs), perfluorocarbons (PFCs), sulfur hexafluoride (SF6), and nitrogen trifluoride (NF3).
- Air Quality
  The category addresses management of air quality impacts resulting from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes) as well as industrial emissions. Relevant airborne pollutants include, but are not limited to, oxides of nitrogen (NOx), oxides of sulfur (SOx), volatile organic compounds (VOCs), heavy metals, particulate matter, and chlorofluorocarbons. The category does not include GHG emissions, which are addressed in a separate category.
- Energy Management
- Water & Wastewater Management
- Waste & Hazardous Materials Management
  The category addresses environmental issues associated with hazardous and non-hazardous waste generated by companies. It addresses a company’s management of solid wastes in manufacturing, agriculture, and other industrial processes. It covers treatment, handling, storage, disposal, and regulatory compliance. The category does not cover emissions to air or wastewater nor does it cover waste from end-of-life of products, which are addressed in separate categories.
- Ecological Impacts
Social Capital
- Human Rights & Community Relations
- Customer Privacy
- Data Security
- Access & Affordability
  The category addresses a company’s ability to ensure broad access to its products and services, specifically in the context of underserved markets and/or population groups. It includes the management of issues related to universal needs, such as the accessibility and affordability of health care, financial services, utilities, education, and telecommunications.
- Product Quality & Safety
  The category addresses issues involving unintended characteristics of products sold or services provided that may create health or safety risks to end-users. It addresses a company’s ability to offer manufactured products and/or services that meet customer expectations with respect to their health and safety characteristics. It includes, but is not limited to, issues involving liability, management of recalls and market withdrawals, product testing, and chemicals/content/ingredient management in products.
- Customer Welfare
- Selling Practices & Product Labeling
  The category addresses social issues that may arise from a failure to manage the transparency, accuracy, and comprehensibility of marketing statements, advertising, and labeling of products and services. It includes, but is not limited to, advertising standards and regulations, ethical and responsible marketing practices, misleading or deceptive labeling, as well as discriminatory or predatory selling and lending practices. This may include deceptive or aggressive selling practices in which incentive structures for employees could encourage the sale of products or services that are not in the best interest of customers or clients.
Human Capital
- Labour Practices
  The category addresses the company’s ability to uphold commonly accepted labour standards in the workplace, including compliance with labour laws and internationally accepted norms and standards. This includes, but is not limited to, ensuring basic human rights related to child labour, forced or bonded labour, exploitative labour, fair wages and overtime pay, and other basic workers’ rights. It also includes minimum wage policies and provision of benefits, which may influence how a workforce is attracted, retained, and motivated. The category further addresses a company’s relationship with organized labour and freedom of association.
- Employee Health & Safety
  The category addresses a company’s ability to create and maintain a safe and healthy workplace environment that is free of injuries, fatalities, and illness (both chronic and acute). It is traditionally accomplished through implementing safety management plans, developing training requirements for employees and contractors, and conducting regular audits of their own practices as well as those of their subcontractors. The category further captures how companies ensure physical and mental health of workforce through technology, training, corporate culture, regulatory compliance, monitoring and testing, and personal protective equipment.
- Employee Engagement, Diversity & Inclusion
Business Model and Innovation
- Product Design & Lifecycle Management
  The category addresses incorporation of environmental, social, and governance (ESG) considerations in characteristics of products and services provided or sold by the company. It includes, but is not limited to, managing the lifecycle impacts of products and services, such as those related to packaging, distribution, use-phase resource intensity, and other environmental and social externalities that may occur during their use-phase or at the end of life. The category captures a company’s ability to address customer and societal demand for more sustainable products and services as well as to meet evolving environmental and social regulation. It does not address direct environmental or social impacts of the company’s operations nor does it address health and safety risks to consumers from product use, which are covered in other categories.
- Business Model Resilience
  The category addresses an industry’s capacity to manage risks and opportunities associated with incorporating social, environmental, and political transitions into long-term business model planning. This includes responsiveness to the transition to a low-carbon and climate-constrained economy, as well as growth and creation of new markets among unserved and underserved socio-economic populations. The category highlights industries in which evolving environmental and social realities may challenge companies to fundamentally adapt or may put their business models at risk.
- Supply Chain Management
  The category addresses management of environmental, social, and governance (ESG) risks within a company’s supply chain. It addresses issues associated with environmental and social externalities created by suppliers through their operational activities. Such issues include, but are not limited to, environmental responsibility, human rights, labour practices, and ethics and corruption. Management may involve screening, selection, monitoring, and engagement with suppliers on their environmental and social impacts. The category does not address the impacts of external factors – such as climate change and other environmental and social factors – on suppliers’ operations and/or on the availability and pricing of key resources, which is covered in a separate category.
- Materials Sourcing & Efficiency
- Physical Impacts of Climate Change
Leadership and Governance
- Business Ethics
  The category addresses the company’s approach to managing risks and opportunities surrounding ethical conduct of business, including fraud, corruption, bribery and facilitation payments, fiduciary responsibilities, and other behaviour that may have an ethical component. This includes sensitivity to business norms and standards as they shift over time, jurisdiction, and culture. It addresses the company’s ability to provide services that satisfy the highest professional and ethical standards of the industry, which means to avoid conflicts of interest, misrepresentation, bias, and negligence through training employees adequately and implementing policies and procedures to ensure employees provide services free from bias and error.
- Competitive Behaviour
- Management of the Legal & Regulatory Environment
- Critical Incident Risk Management
- Systemic Risk Management

Disclosure Topics

What is the relationship between General Issue Category and Disclosure Topics?

The General Issue Category is an industry-agnostic version of the Disclosure Topics that appear in each SASB Standard. Disclosure topics represent the industry-specific impacts of General Issue Categories. The industry-specific Disclosure Topics ensure each SASB Standard is tailored to the industry, while the General Issue Categories enable comparability across industries. For example, Health & Nutrition is a disclosure topic in the Non-Alcoholic Beverages industry, representing an industry-specific measure of the general issue of Customer Welfare. The issue of Customer Welfare, however, manifests as the Counterfeit Drugs disclosure topic in the Biotechnology & Pharmaceuticals industry.

Waste Management Remove
Access Standard
- GHG Emissions
  The category addresses direct (Scope 1) greenhouse gas (GHG) emissions that a company generates through its operations. This includes GHG emissions from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes), whether a result of combustion of fuel or non-combusted direct releases during activities such as natural resource extraction, power generation, land use, or biogenic processes. The category further includes management of regulatory risks, environmental compliance, and reputational risks and opportunities, as they related to direct GHG emissions. The seven GHGs covered under the Kyoto Protocol are included within the category—carbon dioxide (CO2), methane (CH4), nitrous oxide (N2O), hydrofluorocarbons (HFCs), perfluorocarbons (PFCs), sulfur hexafluoride (SF6), and nitrogen trifluoride (NF3).
  - Greenhouse Gas Emissions
    Landfills are a significant anthropogenic contributor to global greenhouse gas (GHG) emissions because they generate methane. As a result, regulators frequently require entities to limit landfill gas emissions. Entities can reduce these emissions through a variety of control technologies that require significant capital investments such as landfill gas collection efficiency improvements, control devices and increased methane oxidisation. Entities can capture and combust methane using a flare, an engine or a turbine to reduce the overall toxicity and potency of raw emissions dramatically. Landfill gas capture is particularly important for owners and operators of large landfills that have been the focus of regulation. Entities that operate in the waste-to-energy industry segment may reduce waste lifecycle emissions through decreased future emissions from landfills and displaced energy generation, but they face increased Scope 1 emissions from waste-to-energy facilities operations. Overall, GHG emissions pose regulatory risks for the industry, with potential effects on operational costs and capital expenditures. Entities also may generate revenue through the sale of natural gas and energy from waste-to-energy facilities, as well as reduce fuel purchases by using processed landfill gas to power operations. Performance on this issue may affect an entity’s ability to secure new permits or renew existing ones, which can affect revenue.
  - Fleet Fuel Management
    Many entities in the Waste Management industry own and operate large vehicle fleets for waste collection and transfer. The fuel consumption of vehicle fleets is a significant industry cost, both in terms of operating expenses and associated capital expenditures. Fossil fuel consumption can contribute to environmental impacts, including climate change and pollution. These environmental impacts may affect waste management entities through increased regulatory exposure and reduced competitiveness of new contract proposals. Hedging fuel purchases is a common tool used to manage fleet-fuel risks; however, increasingly, waste management entities are upgrading to more fuel-efficient fleets or switching to natural gas vehicles. A cleaner-burning fleet also may be perceived favourably by communities living near waste management facilities with heavy traffic.
- Air Quality
  The category addresses management of air quality impacts resulting from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes) as well as industrial emissions. Relevant airborne pollutants include, but are not limited to, oxides of nitrogen (NOx), oxides of sulfur (SOx), volatile organic compounds (VOCs), heavy metals, particulate matter, and chlorofluorocarbons. The category does not include GHG emissions, which are addressed in a separate category.
  - Air Quality
    Air pollution is the presence of air contaminants in such quantities and duration that they may be injurious to humans, animals, plants or property. It also includes contaminants that interfere with enjoyment of life or property. Therefore, odours and toxic gases, such as those emitted from landfills, landfill fires, waste incinerators and waste treatment plants, are considered air pollution. The financial consequences from excessive air emissions vary depending on the specific location of operations and the prevailing air emissions regulations, but they may include capital expenditures, increased operating costs, fines, and lawsuits from affected communities. Human health impacts and financial consequences of poor air quality management may be exacerbated by the proximity of waste management facilities to communities. Active management of air pollutants and odours—through technological and process improvements—therefore may mitigate regulatory exposure and associated future compliance costs from increasingly stringent air quality regulations, help entities secure and maintain permits, and protect their licence to operate.
- Waste & Hazardous Materials Management
  The category addresses environmental issues associated with hazardous and non-hazardous waste generated by companies. It addresses a company’s management of solid wastes in manufacturing, agriculture, and other industrial processes. It covers treatment, handling, storage, disposal, and regulatory compliance. The category does not cover emissions to air or wastewater nor does it cover waste from end-of-life of products, which are addressed in separate categories.
  - Management of Leachate & Hazardous Waste
    Entities operating landfills must manage and reduce the risks of potential ecological impacts, including those caused by leachate and hazardous waste. Poor management of landfills and other disposal sites may contaminate soil, groundwater and nearby water bodies. To mitigate environmental and health risks to local communities, entities must effectively contain and manage leachate, as well as hazardous waste. Entities unable to manage these risks may suffer regulatory penalties, lose brand value, impair future business prospects and face lawsuits.
- Access & Affordability
  The category addresses a company’s ability to ensure broad access to its products and services, specifically in the context of underserved markets and/or population groups. It includes the management of issues related to universal needs, such as the accessibility and affordability of health care, financial services, utilities, education, and telecommunications.
  
  None
- Product Quality & Safety
  The category addresses issues involving unintended characteristics of products sold or services provided that may create health or safety risks to end-users. It addresses a company’s ability to offer manufactured products and/or services that meet customer expectations with respect to their health and safety characteristics. It includes, but is not limited to, issues involving liability, management of recalls and market withdrawals, product testing, and chemicals/content/ingredient management in products.
  
  None
- Selling Practices & Product Labeling
  The category addresses social issues that may arise from a failure to manage the transparency, accuracy, and comprehensibility of marketing statements, advertising, and labeling of products and services. It includes, but is not limited to, advertising standards and regulations, ethical and responsible marketing practices, misleading or deceptive labeling, as well as discriminatory or predatory selling and lending practices. This may include deceptive or aggressive selling practices in which incentive structures for employees could encourage the sale of products or services that are not in the best interest of customers or clients.
  
  None
- Labour Practices
  The category addresses the company’s ability to uphold commonly accepted labour standards in the workplace, including compliance with labour laws and internationally accepted norms and standards. This includes, but is not limited to, ensuring basic human rights related to child labour, forced or bonded labour, exploitative labour, fair wages and overtime pay, and other basic workers’ rights. It also includes minimum wage policies and provision of benefits, which may influence how a workforce is attracted, retained, and motivated. The category further addresses a company’s relationship with organized labour and freedom of association.
  - Labour Practices
    Organised labour is important in the Waste Management industry. Covering many workers, collective bargaining agreements protect workers’ rights and establish wages. Waste management entities may be vulnerable to strikes, shutdowns and delays if labour concerns are managed ineffectively. Proper management of, and communication around, labour issues such as worker pay and working conditions may prevent conflicts with workers that may result in extended strikes, which can slow or stop operations and create reputational risk. Waste management entities need a long-term perspective on managing workers—including their pay and benefits—in a way that protects workers’ rights and enhances productivity while ensuring the financial sustainability of an entity’s operations.
- Employee Health & Safety
  The category addresses a company’s ability to create and maintain a safe and healthy workplace environment that is free of injuries, fatalities, and illness (both chronic and acute). It is traditionally accomplished through implementing safety management plans, developing training requirements for employees and contractors, and conducting regular audits of their own practices as well as those of their subcontractors. The category further captures how companies ensure physical and mental health of workforce through technology, training, corporate culture, regulatory compliance, monitoring and testing, and personal protective equipment.
  - Workforce Health & Safety
    The industry’s hazardous working conditions make safety a critical issue for waste management operations, and accidents can have a significant impact on workers. The Waste Management industry has higher fatality rates than most industries. Fatalities and other injuries are caused primarily by transportation incidents, contact with hazardous objects and equipment, and exposure to harmful substances. Additionally, temporary workers may be at increased risk because of a lack of training or industry experience. Poor health and safety records may result in fines and penalties, increased regulatory compliance costs and more stringent oversight. Waste management entities must ensure facilities and vehicles are operated with the highest safety standards and that the number of injuries and accidents is minimised through a strong safety culture. Entities that develop proactive safety management plans and training requirements for employees and contractors, including conducting regular audits, may improve workforce safety and minimise the chance of safety-related financial repercussions.
- Product Design & Lifecycle Management
  The category addresses incorporation of environmental, social, and governance (ESG) considerations in characteristics of products and services provided or sold by the company. It includes, but is not limited to, managing the lifecycle impacts of products and services, such as those related to packaging, distribution, use-phase resource intensity, and other environmental and social externalities that may occur during their use-phase or at the end of life. The category captures a company’s ability to address customer and societal demand for more sustainable products and services as well as to meet evolving environmental and social regulation. It does not address direct environmental or social impacts of the company’s operations nor does it address health and safety risks to consumers from product use, which are covered in other categories.
  
  None
- Business Model Resilience
  The category addresses an industry’s capacity to manage risks and opportunities associated with incorporating social, environmental, and political transitions into long-term business model planning. This includes responsiveness to the transition to a low-carbon and climate-constrained economy, as well as growth and creation of new markets among unserved and underserved socio-economic populations. The category highlights industries in which evolving environmental and social realities may challenge companies to fundamentally adapt or may put their business models at risk.
  - Recycling & Resource Recovery
    Recycling, reuse, composting and incineration are general methods of diverting waste from landfills. Landfill diversion can mitigate some of the environmental impacts of landfills and reduce the need for landfill expansion. Additionally, waste management entities play a critical role in the circular economy by separating and recovering reusable materials such as paper, glass, metal, organic materials and electronic waste. New regulations, customer demand and the increasing costs of extracting virgin materials are encouraging the development of a circular economy. As a result, waste management entities are facing a decrease in landfilled waste and an expanding recycling market. Cradle-to-cradle approaches initiated by other industries may fail if the recovery and recycling infrastructure or technologies do not exist. Entities that provide recycling and other resource recovery services will address changing consumer needs better, thereby positioning themselves for revenue growth while playing a critical role in reducing the environmental impact of the wider economy.
- Supply Chain Management
  The category addresses management of environmental, social, and governance (ESG) risks within a company’s supply chain. It addresses issues associated with environmental and social externalities created by suppliers through their operational activities. Such issues include, but are not limited to, environmental responsibility, human rights, labour practices, and ethics and corruption. Management may involve screening, selection, monitoring, and engagement with suppliers on their environmental and social impacts. The category does not address the impacts of external factors – such as climate change and other environmental and social factors – on suppliers’ operations and/or on the availability and pricing of key resources, which is covered in a separate category.
  
  None
- Business Ethics
  The category addresses the company’s approach to managing risks and opportunities surrounding ethical conduct of business, including fraud, corruption, bribery and facilitation payments, fiduciary responsibilities, and other behaviour that may have an ethical component. This includes sensitivity to business norms and standards as they shift over time, jurisdiction, and culture. It addresses the company’s ability to provide services that satisfy the highest professional and ethical standards of the industry, which means to avoid conflicts of interest, misrepresentation, bias, and negligence through training employees adequately and implementing policies and procedures to ensure employees provide services free from bias and error.
  
  None
Medical Equipment & Supplies Remove
Access Standard
- GHG Emissions
  The category addresses direct (Scope 1) greenhouse gas (GHG) emissions that a company generates through its operations. This includes GHG emissions from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes), whether a result of combustion of fuel or non-combusted direct releases during activities such as natural resource extraction, power generation, land use, or biogenic processes. The category further includes management of regulatory risks, environmental compliance, and reputational risks and opportunities, as they related to direct GHG emissions. The seven GHGs covered under the Kyoto Protocol are included within the category—carbon dioxide (CO2), methane (CH4), nitrous oxide (N2O), hydrofluorocarbons (HFCs), perfluorocarbons (PFCs), sulfur hexafluoride (SF6), and nitrogen trifluoride (NF3).
  
  None
- Air Quality
  The category addresses management of air quality impacts resulting from stationary (e.g., factories, power plants) and mobile sources (e.g., trucks, delivery vehicles, planes) as well as industrial emissions. Relevant airborne pollutants include, but are not limited to, oxides of nitrogen (NOx), oxides of sulfur (SOx), volatile organic compounds (VOCs), heavy metals, particulate matter, and chlorofluorocarbons. The category does not include GHG emissions, which are addressed in a separate category.
  
  None
- Waste & Hazardous Materials Management
  The category addresses environmental issues associated with hazardous and non-hazardous waste generated by companies. It addresses a company’s management of solid wastes in manufacturing, agriculture, and other industrial processes. It covers treatment, handling, storage, disposal, and regulatory compliance. The category does not cover emissions to air or wastewater nor does it cover waste from end-of-life of products, which are addressed in separate categories.
  
  None
- Access & Affordability
  The category addresses a company’s ability to ensure broad access to its products and services, specifically in the context of underserved markets and/or population groups. It includes the management of issues related to universal needs, such as the accessibility and affordability of health care, financial services, utilities, education, and telecommunications.
  - Affordability & Pricing
    Health care cost containment and health care access regulatory initiatives may place downward pricing pressures on the Medical Equipment & Supplies industry. This pressure may be increased further by consolidation among health care providers and the role of government-sponsored insurance programmes. Entities that ensure fair pricing may limit the negative effects of cost containment as well as benefitting from the potential revenue opportunities associated with expanded access. Entities that successfully balance the risks and opportunities associated with cost containment and improved access to health care may increase their market share among segments of the population that might ordinarily be less likely to seek health care.
- Product Quality & Safety
  The category addresses issues involving unintended characteristics of products sold or services provided that may create health or safety risks to end-users. It addresses a company’s ability to offer manufactured products and/or services that meet customer expectations with respect to their health and safety characteristics. It includes, but is not limited to, issues involving liability, management of recalls and market withdrawals, product testing, and chemicals/content/ingredient management in products.
  - Product Safety
    Information on product safety and side effects may be discovered after controlled clinical trials and approval. In such cases, entities are exposed to the financial implications of recalls and other adverse events, such as unfavourable media coverage, fines or investigations. Issues related to product safety, such as equipment failures, manufacturing defects, design flaws or inadequate disclosure of product-related risks, may result in significant product liability claims. Entities that limit the incidence of recalls, safety concerns and enforcement actions for manufacturing concerns may better protect shareholder value.
- Selling Practices & Product Labeling
  The category addresses social issues that may arise from a failure to manage the transparency, accuracy, and comprehensibility of marketing statements, advertising, and labeling of products and services. It includes, but is not limited to, advertising standards and regulations, ethical and responsible marketing practices, misleading or deceptive labeling, as well as discriminatory or predatory selling and lending practices. This may include deceptive or aggressive selling practices in which incentive structures for employees could encourage the sale of products or services that are not in the best interest of customers or clients.
  - Ethical Marketing
    Entities in the Medical Equipment & Supplies industry face legal and regulatory challenges associated with product marketing. Direct-to-consumer advertisements for medical devices and outreach to physicians provide opportunities for entities to increase their market share. However, challenges arise from the potential for marketing off-label uses, which may result in significant fines and settlements. Corporate disclosure of legal and regulatory fines and the codes of ethics that govern marketing activities may allow investors to develop a better understanding of performance in this area.
- Labour Practices
  The category addresses the company’s ability to uphold commonly accepted labour standards in the workplace, including compliance with labour laws and internationally accepted norms and standards. This includes, but is not limited to, ensuring basic human rights related to child labour, forced or bonded labour, exploitative labour, fair wages and overtime pay, and other basic workers’ rights. It also includes minimum wage policies and provision of benefits, which may influence how a workforce is attracted, retained, and motivated. The category further addresses a company’s relationship with organized labour and freedom of association.
  
  None
- Employee Health & Safety
  The category addresses a company’s ability to create and maintain a safe and healthy workplace environment that is free of injuries, fatalities, and illness (both chronic and acute). It is traditionally accomplished through implementing safety management plans, developing training requirements for employees and contractors, and conducting regular audits of their own practices as well as those of their subcontractors. The category further captures how companies ensure physical and mental health of workforce through technology, training, corporate culture, regulatory compliance, monitoring and testing, and personal protective equipment.
  
  None
- Product Design & Lifecycle Management
  The category addresses incorporation of environmental, social, and governance (ESG) considerations in characteristics of products and services provided or sold by the company. It includes, but is not limited to, managing the lifecycle impacts of products and services, such as those related to packaging, distribution, use-phase resource intensity, and other environmental and social externalities that may occur during their use-phase or at the end of life. The category captures a company’s ability to address customer and societal demand for more sustainable products and services as well as to meet evolving environmental and social regulation. It does not address direct environmental or social impacts of the company’s operations nor does it address health and safety risks to consumers from product use, which are covered in other categories.
  - Product Design & Lifecycle Management
    Medical equipment and supplies entities face increasing challenges associated with the human and environmental impact of the industry’s products. Entities may face consumer and regulatory pressure to limit the use of material inputs associated with health concerns, while also addressing issues such as the energy efficiency and end-of-life disposal of specific products. Entities that address these concerns while engaging in efforts to enhance product take-back may satisfy consumer demand and reduce future liabilities better.
- Business Model Resilience
  The category addresses an industry’s capacity to manage risks and opportunities associated with incorporating social, environmental, and political transitions into long-term business model planning. This includes responsiveness to the transition to a low-carbon and climate-constrained economy, as well as growth and creation of new markets among unserved and underserved socio-economic populations. The category highlights industries in which evolving environmental and social realities may challenge companies to fundamentally adapt or may put their business models at risk.
  
  None
- Supply Chain Management
  The category addresses management of environmental, social, and governance (ESG) risks within a company’s supply chain. It addresses issues associated with environmental and social externalities created by suppliers through their operational activities. Such issues include, but are not limited to, environmental responsibility, human rights, labour practices, and ethics and corruption. Management may involve screening, selection, monitoring, and engagement with suppliers on their environmental and social impacts. The category does not address the impacts of external factors – such as climate change and other environmental and social factors – on suppliers’ operations and/or on the availability and pricing of key resources, which is covered in a separate category.
  - Supply Chain Management
    Supply chain quality is essential to protecting consumer health and corporate value. Entities that fail to ensure quality and traceability throughout their supply chains may be susceptible to fines, lost revenue and reputational damage. Additionally, entities may need to manage the use of material inputs that are considered scarce. Disclosure of supply chain audit programmes, strategies to ensure traceability and management of critical materials may better inform investors how entities in this industry are protecting shareholder value.
- Business Ethics
  The category addresses the company’s approach to managing risks and opportunities surrounding ethical conduct of business, including fraud, corruption, bribery and facilitation payments, fiduciary responsibilities, and other behaviour that may have an ethical component. This includes sensitivity to business norms and standards as they shift over time, jurisdiction, and culture. It addresses the company’s ability to provide services that satisfy the highest professional and ethical standards of the industry, which means to avoid conflicts of interest, misrepresentation, bias, and negligence through training employees adequately and implementing policies and procedures to ensure employees provide services free from bias and error.
  - Business Ethics
    Entities in the Medical Equipment & Supplies industry are subject to various international, national and local laws pertaining to health care fraud and abuse. An entity’s ability to ensure compliance throughout its global and domestic operational footprint may have notable effects on enterprise viability and reputation. Corporate disclosure of legal and regulatory fines and the codes of ethics that govern interactions with health professionals may better allow investors to monitor performance in this area.

General Issue Category

Remove Waste Management Access Standard

Remove Medical Equipment & Supplies Access Standard

GHG Emissions

Greenhouse Gas Emissions
Landfills are a significant anthropogenic contributor to global greenhouse gas (GHG) emissions because they generate methane. As a result, regulators frequently require entities to limit landfill gas emissions. Entities can reduce these emissions through a variety of control technologies that require significant capital investments such as landfill gas collection efficiency improvements, control devices and increased methane oxidisation. Entities can capture and combust methane using a flare, an engine or a turbine to reduce the overall toxicity and potency of raw emissions dramatically. Landfill gas capture is particularly important for owners and operators of large landfills that have been the focus of regulation. Entities that operate in the waste-to-energy industry segment may reduce waste lifecycle emissions through decreased future emissions from landfills and displaced energy generation, but they face increased Scope 1 emissions from waste-to-energy facilities operations. Overall, GHG emissions pose regulatory risks for the industry, with potential effects on operational costs and capital expenditures. Entities also may generate revenue through the sale of natural gas and energy from waste-to-energy facilities, as well as reduce fuel purchases by using processed landfill gas to power operations. Performance on this issue may affect an entity’s ability to secure new permits or renew existing ones, which can affect revenue.
Fleet Fuel Management
Many entities in the Waste Management industry own and operate large vehicle fleets for waste collection and transfer. The fuel consumption of vehicle fleets is a significant industry cost, both in terms of operating expenses and associated capital expenditures. Fossil fuel consumption can contribute to environmental impacts, including climate change and pollution. These environmental impacts may affect waste management entities through increased regulatory exposure and reduced competitiveness of new contract proposals. Hedging fuel purchases is a common tool used to manage fleet-fuel risks; however, increasingly, waste management entities are upgrading to more fuel-efficient fleets or switching to natural gas vehicles. A cleaner-burning fleet also may be perceived favourably by communities living near waste management facilities with heavy traffic.

Air Quality

Air Quality
Air pollution is the presence of air contaminants in such quantities and duration that they may be injurious to humans, animals, plants or property. It also includes contaminants that interfere with enjoyment of life or property. Therefore, odours and toxic gases, such as those emitted from landfills, landfill fires, waste incinerators and waste treatment plants, are considered air pollution. The financial consequences from excessive air emissions vary depending on the specific location of operations and the prevailing air emissions regulations, but they may include capital expenditures, increased operating costs, fines, and lawsuits from affected communities. Human health impacts and financial consequences of poor air quality management may be exacerbated by the proximity of waste management facilities to communities. Active management of air pollutants and odours—through technological and process improvements—therefore may mitigate regulatory exposure and associated future compliance costs from increasingly stringent air quality regulations, help entities secure and maintain permits, and protect their licence to operate.

Waste & Hazardous Materials Management

Management of Leachate & Hazardous Waste
Entities operating landfills must manage and reduce the risks of potential ecological impacts, including those caused by leachate and hazardous waste. Poor management of landfills and other disposal sites may contaminate soil, groundwater and nearby water bodies. To mitigate environmental and health risks to local communities, entities must effectively contain and manage leachate, as well as hazardous waste. Entities unable to manage these risks may suffer regulatory penalties, lose brand value, impair future business prospects and face lawsuits.

Access & Affordability

Affordability & Pricing
Health care cost containment and health care access regulatory initiatives may place downward pricing pressures on the Medical Equipment & Supplies industry. This pressure may be increased further by consolidation among health care providers and the role of government-sponsored insurance programmes. Entities that ensure fair pricing may limit the negative effects of cost containment as well as benefitting from the potential revenue opportunities associated with expanded access. Entities that successfully balance the risks and opportunities associated with cost containment and improved access to health care may increase their market share among segments of the population that might ordinarily be less likely to seek health care.

Product Quality & Safety

Product Safety
Information on product safety and side effects may be discovered after controlled clinical trials and approval. In such cases, entities are exposed to the financial implications of recalls and other adverse events, such as unfavourable media coverage, fines or investigations. Issues related to product safety, such as equipment failures, manufacturing defects, design flaws or inadequate disclosure of product-related risks, may result in significant product liability claims. Entities that limit the incidence of recalls, safety concerns and enforcement actions for manufacturing concerns may better protect shareholder value.

Selling Practices & Product Labeling

Ethical Marketing
Entities in the Medical Equipment & Supplies industry face legal and regulatory challenges associated with product marketing. Direct-to-consumer advertisements for medical devices and outreach to physicians provide opportunities for entities to increase their market share. However, challenges arise from the potential for marketing off-label uses, which may result in significant fines and settlements. Corporate disclosure of legal and regulatory fines and the codes of ethics that govern marketing activities may allow investors to develop a better understanding of performance in this area.

Labour Practices

Labour Practices
Organised labour is important in the Waste Management industry. Covering many workers, collective bargaining agreements protect workers’ rights and establish wages. Waste management entities may be vulnerable to strikes, shutdowns and delays if labour concerns are managed ineffectively. Proper management of, and communication around, labour issues such as worker pay and working conditions may prevent conflicts with workers that may result in extended strikes, which can slow or stop operations and create reputational risk. Waste management entities need a long-term perspective on managing workers—including their pay and benefits—in a way that protects workers’ rights and enhances productivity while ensuring the financial sustainability of an entity’s operations.

Employee Health & Safety

Workforce Health & Safety
The industry’s hazardous working conditions make safety a critical issue for waste management operations, and accidents can have a significant impact on workers. The Waste Management industry has higher fatality rates than most industries. Fatalities and other injuries are caused primarily by transportation incidents, contact with hazardous objects and equipment, and exposure to harmful substances. Additionally, temporary workers may be at increased risk because of a lack of training or industry experience. Poor health and safety records may result in fines and penalties, increased regulatory compliance costs and more stringent oversight. Waste management entities must ensure facilities and vehicles are operated with the highest safety standards and that the number of injuries and accidents is minimised through a strong safety culture. Entities that develop proactive safety management plans and training requirements for employees and contractors, including conducting regular audits, may improve workforce safety and minimise the chance of safety-related financial repercussions.

Product Design & Lifecycle Management

Product Design & Lifecycle Management
Medical equipment and supplies entities face increasing challenges associated with the human and environmental impact of the industry’s products. Entities may face consumer and regulatory pressure to limit the use of material inputs associated with health concerns, while also addressing issues such as the energy efficiency and end-of-life disposal of specific products. Entities that address these concerns while engaging in efforts to enhance product take-back may satisfy consumer demand and reduce future liabilities better.

Business Model Resilience

Recycling & Resource Recovery
Recycling, reuse, composting and incineration are general methods of diverting waste from landfills. Landfill diversion can mitigate some of the environmental impacts of landfills and reduce the need for landfill expansion. Additionally, waste management entities play a critical role in the circular economy by separating and recovering reusable materials such as paper, glass, metal, organic materials and electronic waste. New regulations, customer demand and the increasing costs of extracting virgin materials are encouraging the development of a circular economy. As a result, waste management entities are facing a decrease in landfilled waste and an expanding recycling market. Cradle-to-cradle approaches initiated by other industries may fail if the recovery and recycling infrastructure or technologies do not exist. Entities that provide recycling and other resource recovery services will address changing consumer needs better, thereby positioning themselves for revenue growth while playing a critical role in reducing the environmental impact of the wider economy.

Supply Chain Management

Supply Chain Management
Supply chain quality is essential to protecting consumer health and corporate value. Entities that fail to ensure quality and traceability throughout their supply chains may be susceptible to fines, lost revenue and reputational damage. Additionally, entities may need to manage the use of material inputs that are considered scarce. Disclosure of supply chain audit programmes, strategies to ensure traceability and management of critical materials may better inform investors how entities in this industry are protecting shareholder value.

Business Ethics

Business Ethics
Entities in the Medical Equipment & Supplies industry are subject to various international, national and local laws pertaining to health care fraud and abuse. An entity’s ability to ensure compliance throughout its global and domestic operational footprint may have notable effects on enterprise viability and reputation. Corporate disclosure of legal and regulatory fines and the codes of ethics that govern interactions with health professionals may better allow investors to monitor performance in this area.

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