Supplier self questionnaire
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- Diana West
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1 A. Company data Name: Your Industry: Product types delivered to ADVA: Contact details of person, who answered this questionnaire Name: Position: Date: s' address Name: Manufacturing site #1 address if applicable if applicable if applicable if applicable if applicable Name: if applicable if applicable Type of products produced: if applicable if applicable if applicable if applicable
2 Manufacturing site #2 address if applicable if applicable if applicable if applicable if applicable Name: if applicable if applicable Type of products produced: Manufacturing site #3 address if applicable if applicable if applicable if applicable if applicable if applicable if applicable if applicable if applicable Name: if applicable if applicable Type of products produced: if applicable if applicable if applicable if applicable
3 B General Company Name: Manufacturing site 1 if applicable Manufacturing site 2 if applicable Manufacturing site 3 if applicable Which management system certifications are you running? ISO 9001 ISO OHSAS SA 8000 EICC self questionnaire EICC 3rd party audit EICC member member since please other describe During the last 12 months, has your company received any company-wide awards or recognition for your accomplishments in corporate social responsibility? Personnel Total number of employees Number of women Number of men Number of local people Number of home workers Number of people between 15 years and 18 years (young workers) Number of people younger than 15 years Working time Total hours your average person works per day Total hours worked per day in high season Total days your average person works per week How many shifts per day in this site Duration of one shift in this site Total amount of holiday days per year at site If yes, please describe or attach information:
4 Wages Please enter your lowest site wage in USD ($) per hour What is the legal minimum wage in USD ($) per hour in this region? Law Are all legal regulations for working time, wages, health and safety required by law known and in compliance? Are all required environmental permits (e.g. discharge monitoring), approvals and registrations are obtained, maintained and kept current including their operational and reporting requirements. Management system Are corporate social and environmental responsibility statements part of your policy? Are there explicit statements about Freely Chosen Employment Child Labor Avoidance Working Hours Wages and Benefits Humane Treatment Non-Discrimination Freedom of Association Business Integrity No Improper Advantage Disclosure of Information Intellectual Property Fair Business Practices Protection of Identity
5 C. Specific Company Name: Manufacturing site 1 Manufacturing site 2 Manufacturing site 3 if applicable if applicable if applicable Labor Employment Is all work voluntary? Are workers required to hand over governmentissued identificaton, passports or work permits as a condition of employment? Child labor Are people younger than 15 employed? Do workers younger than 18 perform work which jeopardizes their health or safety? Working hours Does a work week last 60 hrs per week maximum? Is there at least one day off per seven days? Wages and Benefits Are deductions from wages as a disciplinary measurement in place? Humane Treatment Are workers treated in a humane way? No sexual harassment, sexual abuse, corporal punishment, mental or physical coercion or verbal abuse. Are disciplinary policies and procedures clearly defined and communicated to workers? Non-Discrimination Is there a commitment to a workforce free of harassment and unlawful discrimination in place? Are workers or potential workers subjected to medical tests that could be used in a discriminatory way?
6 Freedom of Association Are the rights of workers to associate freely, join or not join labor unions, seek representation, join workers councils in accordance with local laws respected? Have workers the possibility to communicate openly with management regarding working conditions without fear of reprisal, intimidation or harassment? Health and safety Occupational Safety Are there health and safety instructions, including on-site instructions regulary provided? Is there appropriate personal protective equipment for the workers available for free? Emergency Preparedness Are there emergency plans and response procedures, including emergency reporting, employee notification and evacuation procedures, worker training and drills, appropriate fire detection and suppression equipment, adequate exit facilities and recovery plans in place? Occupational Injury and Illness Are there procedures and systems to prevent, manage, track and report occupational injury and illness in place? Industrial Hygiene Is workers exposure to chemical, biological and physical agents identified, evaluated, and controlled? Are overexposures controlled? Physically Demanding Work Is a worker's exposure to the hazards of physically demanding tasks identified, evaluated and controlled? Machine Safeguarding Are production and other machinery evaluated for safety hazards? Sanitation, Food, and Housing Is there ready access to clean toilet facilities, potable water and sanitary food preparation, storage, and eating facilities? Environmental Pollution Prevention and Resource Reduction Is there a waste reduction program in place? Hazardous Substances Are chemical and other materials posing a hazard if released to the environment identified and managed to ensure their safe handling?
7 Wastewater and Solid Waste Is wastewater and solid waste generated from operations, industrial processes and sanitation facilities characterized, monitored, controlled and treated as required prior to discharge or disposal? Air Emissions Are air emissions of volatile organic chemicals, aerosols, corrosives, particulates, ozone depleting chemicals and combustion by-products generated from operations characterized, monitored, controlled and treated as required prior to discharge? Product Content Restrictions Are specific substances labeled for recycling and disposal as required by law? Managementsystem Is there a risk assessment focused on environmental, health and safety, labor practice and ethics risks in place? Besides training of the workers on health and safety issues, is there a training schedule in place for corporate social and environmental responsibility for all employees? Is there a clear communication about corporate social and environmental responsibility to employees, customers and suppliers in place? Are there corporate social and environmental responsibility issues in your continual improvement process considered? Ethics Are there internal audits about corporate social and environmental responsibility issues in place? Are there procedures to prohibit all forms of corruption, extortion and embezzlement in place? Are intellectual property rights respected? Is transfer of technology and know-how done in a manner that protects intellectual property rights? Are customer data and information safeguarded? Is there a program to protect whistleblowers?
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