The elsAi ESG Pharmaceutical Checklist Framework is a comprehensive tool designed to help pharmaceutical and life sciences organizations evaluate and strengthen their Environmental, Social, and Governance (ESG) performance. Aligned with leading global standards such as SASB Healthcare Standards, GRI, ICH, WHO guidelines, and the Science Based Targets initiative (SBTi), this framework addresses critical areas including carbon and energy management, waste and water efficiency, equitable access to healthcare, clinical trial ethics, workforce development, regulatory compliance, and responsible R&D governance. With its structured scoring methodology, the checklist enables companies to benchmark performance, identify gaps, and advance from basic compliance to industry-leading ESG practices, enhancing sustainability, transparency, and stakeholder trust.