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DOCUMENTS CHECKLIST
Instructions: The following documents will need to be reviewed for the Code of Conduct assessment. Depending on your country, some documents may not apply and some additional documents may be required.
For each document listed below, place an X in the appropriate column to indicate whether or not the document will be available for the assessor to review. If the document does not apply to your operations, place an X in the N/A column. For each No response, please indicate the reason why the document will not be made available.
*Complete this checklist electronically and return via email to the assessor at least one week prior to the assessment.
Factory Name:
Completed by (name & title):
Date:
Will each of the following documents be available for review? Yes No N/A Remarks
GENERAL FACILITY INFO
1) Factory / premises map
2) Organizational chart
3) Production Flow Charts
4) Other brands’ audit reports (past 12 months)
HIRING, WAGES, FOREIGN LABOR Yes No N/A Remarks
5) Labor contracts
6) Personnel files
7) Hiring policy
8) Voluntary Employment policy
9) Recruiting agent agreement
10) Recent Employment Ads
11) Overseas training policy and agreement
12) Work permit
13) Identification records; I-9 forms, etc.
14) Residence permit
15) Juvenile workers monitoring policy
16) Juvenile workers health exam records
17) Proof of Age documentation
18) Apprenticeship or job-training policy
19) Work Permit for workers
20) Work Requirement Policy
21) Severance / termination allowance records
WAGES & HOURS Yes No N/A Remarks
22) Working Hour Policy
23) Timecards
24) Attendance / leave records
25) Payroll records
26) Piece work rates & piece work calculations
27) Overtime calculation system
28) Extra benefits system for OT (transportation, meals, etc.)
Will each of the following documents be available for review? Yes No N/A Remarks
29) Production plan/order records
30) Target / actual daily productivity records
31) OT request form & records
32) OT refusal form & records
33) OT payment records
INSURANCE & BENEFITS Yes No N/A Remarks
34) Social insurance & health insurance compensation records (sick leave, maternity leave, pre & post natal check up, family planning, miscarriage, accident leave, disability, etc.)
35) Social insurance payment receipt (employee SI books)
36) Annual leave compensation records
37) Pregnancy follow up records
FAIR AND EQUAL TREATMENT Yes No N/A Remarks
38) Fair and Equal Treatment Policy
39) Disciplinary Policies, Procedures, Notices
40) Punishment / Discipline records (warning letters, termination, suspension, resignation, etc.)
41) Incentive, reward, promotion system
42) Evaluation system & records
43) Harassment Policy
44) Non-retaliation Policy
45) Grievance records (Minutes/Reports/Records from Trade Union; Worker Rep; Counseling office; suggestion boxes, hotline, etc.)
46) Salary & bonus system
47) Pregnancy Policy (job allocation, working hours, etc.)
48) Movement system and monitoring
FREEDOM OF ASSOCIATION Yes No N/A Remarks
49) Collective Bargaining Agreement
50) Freedom of Association Policy
51) Documents regarding the existence of Unions or representation (LU, Workers Rep, Counseling, Suggestion Boxes, Hotlines), including Selection Rules, Organization Chart, Roles & Responsibilities, Job Descriptions, etc.
52) Training, or documents regarding worker representation rights
HEATH & SAFETY Yes No N/A Remarks
53) Safety and Health Policy
54) Employee and Supervisor general safety policy training records
55) Records of inspection by local health & safety, or fire, authority
56) Safety & Health inspection system
57) Safety & Health committee records (policy, minutes, assigned duties, etc.)
58) Fire Safety/Emergency Response Plan & Procedures
59) Fire Safety/Emergency Response training records
60) Evacuation maps
61) Annual fire drill plan and records
62) Extinguisher periodic inspection records
63) Extinguisher annual service records
Will each of the following documents be available for review? Yes No N/A Remarks
64) Electrical safety records (wiring inspections, training, regular monitoring, etc.)
65) First aid training records
66) Records of regular inspection/maintenance of first aid kits
67) Document of local law regarding medical care
68) Documented plan & policy for addressing severe injuries (transportation, local hospital arrangements, etc.)
69) Onsite medical services system (medical personnel, licenses, service procedures, etc.)
70) Accident / injury records
71) Personal Protective Equipment (PPE) needs assessment & determination (what type is needed, why, where, when, etc.)
72) PPE Policy & Training records (what and how to use, store, replace, etc.)
73) PPE enforcement records
74) PPE regular inspection/maintenance records
75) Noise level monitoring records
76) Lighting inspection/maintenance records
77) Air quality monitoring records
78) Ventilation inspection/maintenance records
79) Air temp monitoring & heating/cooling system inspection/maintenance records
80) Chemical handling & training records
81) Chemical storage inspection records
82) Chemical safety data information (proper handling, use, storage, disposal, and health risk/PPE info from chemical manufacturer)
83) Hazardous materials minimization plan
84) Equipment, machinery, & guarding inspection/maintenance records
85) Toilets, sinks, drinking fountains inspection/maintenance records
86) Bathroom, showers hygienic management system, cleaning records
87) Drinking water testing & protection records
88) Kitchen & canteen hygienic management system, cleaning records
89) Kitchen personnel hygienic food preparation policy & training records
90) Kitchen, caterer, food provider government licenses, inspections, etc.
91) Dormitory evacuation plan, map, drill records, etc.
92) Dormitory fire safety (alarm, lighting, sprinkler, extinguisher) inspection & maintenance records
ENVIRONMENTAL Yes No N/A Remarks
Asbestos Related Documentation
1.) Asbestos Survey
PCB Related Documentation
1.) Copy PCB inspection log for the last 12 months
2.) Labeling/permits and violation records
Solid Waste Disposal Related Documentation
1.) Copies of permits and violations
Will each of the following documents be available for review? Yes No N/A Remarks
2.) Waste disposal and recycling records for the last 12 months (docs must include name/contact info. for all disposal sites.)
Hazardous Waste Disposal Related Documentation
1.) Hazardous waste disposal records from the last 24 months (docs must include name/contact info. for all disposal sites.)
2.) Warnings/citations/fines from the last 24 months/since last assessment
Domestic and Industrial Process Wastewater
1.) Permits
2.) Violation records
3.) Monitoring/effluent records (for the last 12 months)
Air Emissions
1.) Permits
2.) Violations
3.) Monitoring records (for the last 12 months)
Environmental Scoring
1.) Copy of Company’s Environmental Management System
2.) Total KWh used during the previous year (Jan-Dec)
3.) Total non-recycled waste generated in the previous year (Jan-Dec). If other than Kilograms, specify unit of measure in explanations
4.) Total water consumed in prior year (Jan-Dec). If other than Liters, specify unit of measure in explanations
5. Total Kilograms of all product shipped (not just TBL) in previous year (Jan-Dec). If not tracked in Kilograms, specify unit of measure in explanations
PERMITS Yes No N/A Remarks
Which of the below topics does the facility have a permit? Indicate in the Remarks column if permit is separate from basic operating permit.
• Fire Safety
• Electrical
• Equipment Machinery
• Structural Integrity (Building / Occupancy)
• Air Emissions
• Water Source
• Solid Waste
• External Noise
• Industrial Wastewater Discharge
• Storm Water Discharge
• Hazardous Waste |
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