Checksheet for Sustain

Sr. Points
Check Point
No. Alloted

Working Conditions in Suppl

1 Occupational Health and Safety centre , Visiting Doctor

2 First Aid Box (with valid medicines)

2

3 Fire Fighting equipment is operated and maintained

Employees enjoy rights to join and form independent trade

4 unions and freedom of association

5 Child labour (below 14 years age)

Employee grievance documentation process

6 (Applicable for Forced Labour or discrimination against any
employee on grounds of religion, race, caste, creed or gender.)
2

Welfare benefits like Provident fund, Gratuity, Insurance,

7 Maternity leave, Medical facilities ( reimbursement /
Hospitalisation)
2

Welfare benefits in Health, Education and Environment to

8 community .
 Welfare benefits in Health, Education and Environment to
8 community .
2

9 Labour law license available

Environment friendlly Supply chain management in Material,

10 Process, Output E.g . Avoiding Lead , lithium in Material , and
Cynide Zinc plating in process. Waste reduction in output.
3

Dismantling of Supplier Product for end of life of the product

11 to recycle easily again
1

Subtotal 18

Good Employ

12 Employee Satisfaction surveys/feed backs are taken regularly

13 Action plan on Employee Satisfaction Surveys.

2

14 Employee Training periodically on Functional , behavioral.

15 Employee Training periodically on sustainablility Issues

2
 Pay each employee at least a minimum wage or a fair
16 representation, as per Legislation applicable to the State in
which supplier has Operations.
2

17 Adherence to all statutory legislations

Consent to Operate from State Pollution Board ad other

18 authorties
2

19 Electrical Power Sanction Available

Subtotal 15
 Gover

Integration of Sustainability initiatives into Business Strategy -

20 All functions should have sustainability goals/MOP in their
respective domain.

21 Safety , Health & Environment protection policy

22 Sustainability Road Map.

Subtotal 5

Health an

Supplier has certified for the OSHAS 18001 OHS management

23 Standard

Basic safety data like no: of Accidents, Reportable and Non

24 Reportable etc , near Miss incidents, is recorded and action
plan to improve injury reduction.

2
 Supplier is checking health and well being of employees
25 through regular health checkups and corrective actions on the
same.

Whether Statutory testing of lifting Machines, Tools, Tackles &

26 Pressure vessels, Fire protection equipments done regularly?
2

Subtotal 8

Hazardous Substa

27 Separate Storage of Hazardous Chemicals

Safety Training to all the employees handling the Hazardous

28 Substances .

29 Prominent signages in and around the Hazardous area

All the statutory legislation pertaining to the storage and

30 handling of the Hazardous substances

3
 Subtotal 10

Environmental
• ISO 14001 – ENVIRON
•E
•
•
• Eco Efficiency –

31 Certified as per ISO 14001 EMS standard

32 Energy Consumption data for last three years .

33 Energy Monitoring, Analysis and initiatives to reduce

Energy Management Review for the results of Energy

34 Reduction Initiatives

35 Power factor improvement in electricity bill

2
36 Water Consumption data for last three years.

37 Water reduce, Reuse, Recycle

Water Management Review for the results of Water Reduction

38 Initiatives

39 Waste Generation data for last three years.

40 Waste initiatives to reduce, Reuse, Recycle

Waste Management Review for the results of Waste

41 Generation Reduction Initiatives

Waste and Packaging material waste sent to authorised

42 recyclers

2
 Packaging Imrpovement initiatives to reduce packaging waste
43 like Wood, Corrugated box, plastics

44 Logistic Optimisation

Subtotal 29

Total Points 85

Overall Actual Score < 20 points : Supplier rated as Level 1

Overall Actual Score < 40 points : Supplier rated as Level 2

Overall Actual Score < 60 points : Supplier rated as Level 3

Overall Actual Score < 80 points : Supplier rated as Level 4

Overall Actual Score > 80 points : Supplier rated as Level 5

Please mention Supplier Profile as covering page to

understand the Turnover, Product, Process.
 for Sustainability Assessment Criteria

Distribution of Scoring Points

Conditions in Suppliers Factories / Facilities - 21 points

OHC/ Medical Centre Evidence for Visiting Doctor No facility

2 1 0

First Aid Box with valid medicines

First Aid box with valid medicines with labeling No First Aid Box
partially fulfilled

2 1 0

Fire Fighting extinguisher are in place with refilled Fire Fighting extinguisher are in place Fire Fighting extinguishers
dates with partially refilled dates are not in place

2 1 0

Independent trade unions

Evidence for Independent trade unions and Evidence for Independent trade unions and freedom of association is
freedom of association and freedom of association in process not considered

2 1 0

Support document showing prohibation on Child Evidence showing Child labour ( below Employment of Child labours
labour ( below 14 years) completely 18 years) below 14 years

2 1 0

Evidence showing
Evidence showing partial
Evidence showing no discrimination/favoritism discrimination/favoritism
discrimination/favoritism against any
against any employee on mentioned grounds against any employee on
employee on mentioned grounds mentioned grounds

2 1 0

Support document for mentioned Welfare Support document for mentioned No welfare benefits
benefits Welfare benefits partially provided as mentioned

2 1 0

Evidence for mentioned welfare benefits to Evidence for mentioned welfare Mentioned welfare benefits
Community benefits partially to Community not initiated
2 1 0

Labour law Licence not

Proof for Labour law Licence Labour law Licence in process evident

1 0.5 0

Environment friendly SCM in Material, Process, Environment friendly SCM in Process, Environment friendly SCM in
output Material Process.

3 2 1

100 % dismantable of product for sending it to Partially dismantable of product for The product is not designed
recyclers sending it to recyclers to dismantle at End of its life

1 0.5 0

Good Employer Practices - 15 points

Support documents for Employee Satisfaction Irregularity in Conducting Employee Employee Satisfaction Survey
Survey and feedback Anually Satisfaction Survey and feedback and feedback not initiated

2 1 0

Results on action plan on ESS Evidence for partial action plan on ESS Action plan not initiated

2 1 0

Records for the training delivered for both Records for the training delivered for The training not intiated
Functional & Behavioral Functional

2 1 0

Records for the training delivered

Records for the training delivered periodically The training not initiated
irregularly

2 1 0
Evidence of Minimum wages are paid to Evidence of Minimum wages are paid No Evidance of Minimum
employees including contract labours to employees wages are paid to employees

2 1 0

Partially comply with all Statutory Fines against non compliance

Fully comply with all Statutory legislation legislation with Statutory legislation

2 1 0

Fully comply with Consent to operate from State Partially comply with Consent to Non compliance with
Pollution Board operate from State Pollution Board Consent to operate

2 1 0

Evidence for Power Sanction from State Electricity Evidence of Processing the document No evidence observed for
Board to State Electricity Board Power Sanction

1 0.5 0
 Governance - 9 points
Sustainability Strategy not in place
but goals are Sustainability Strategy in
included in MOP (Measure of place with Goals but
Performance) not included in MOP
Sustainability Strategy in place with Goals. (Measure of Performance)
The goals are included in MOP (Measure of
Performance) for all Functional Heads

3 2 1

Evidence for Released Safety, Health &
Environment Protection Policy covering
Sustainability Aspects and displayed at prominent
locations
Evidence for Released Safety, Health &
Environment Protection Policy Safety, Health &
Environment Protection
covering Sustainability Aspects. But Policy is initiated
not displayed at prominent locations

3 2 1

Sustainability Initiatives
Sustainabiity Road Map with Targets released Sustainabiity Road Map released initiated

3 2 1

Health and Safety - 8 points

Evidence for OSHAS 18001 Certificate and Audit Evidence for OSHAS 18001 Certificate . Evidence for processing
Conducted But Audit not Conducted OSHAS 18001

2 1.5 1

Evidence for all records with action plan and Evidence for all records with partial Increasing trend in accident
indicates improving trend since last three fiscal improvement in injuries and non but action plan to reduce.
years . No Reportable Major Accident reportable accidents

2 1.5 1
 Evidence for employee Health records with Increasing trend in Critical
Evidence for all records with partial
action plan and indicates improving trend since Diseases. but action plan to
improvement in Illness.
last three fiscal years reduce.

2 1.5 1

Evidence for all test Certificates Evidence for partial test Certificates No test Certificates

2 1 0

Hazardous Substances / Chemicals - 10 points

Earmarked Separate Storage of

Earmarked Separate Storage of Hazardous Partially Earmarked Storage
Hazardous Chemicals and Non
Chemicals and Non Hazardous Material with of Hazardous Chemicals and
Hazardous Material However, display
display of Material Safety Data Sheet at all Non Hazardous Material
of Material Safety Data Sheet at all
locations initiated
locations not observed

3 2 1

Evidence for Safety Training module No action initiated towards

Records for Safety Training module covers covering Hazardous Substances Handling of Hazardous
handling of Hazardous Substances Handling. But no records observed. Material

2 1 0

Display of prominent signages in and around the Partial Display of prominent signages Evidence for processing for
Hazardous area in and around the Hazardous area the signages

2 1 0.5

Complied with Complied with

Complied with 1. Pollution Control Board Approval 1. Pollution Control Board
1. Pollution Control Board Approval 2. Storage License available Approval
2. Storage License available 3. Statutory Checks & Records not
3. Statutory Checks & Records maintained. maintained.

3 2 1
 Environmental Responsibility
O 14001 – ENVIRONMENT MANAGEMENT SYSTEM }
• Energy Mgt.
• Water Mgt } 37 points
• Waste Mgt
• Eco Efficiency – Packaging Improvements }

Evidence for ISO 14001 Certificate and Audits Evidence for ISO 14001Certificate . Evidence for processing ISO
Conducted But Audits not Conducted 14001

3 2 1

1. Energy Policy in place 1. Energy Policy in place

2. Energy consumption data monitoring system in 2. Energy consumption data
place. monitoring system in place. Partial data available
3. Records of energy consumption data since last 3. But Records of energy consumption
three years. data since last 3 years, not available

3 2 1

1. Energy Monitoring is done

1. Energy Monitoring is done on on continual basis
1. Energy Monitoring is done on continual basis continual basis 2. Analysis not done
2. Analysis done 2. Analysis done 3. But Initiatives not
3. Implemented Initiatives to reduce 3. But Initiatives not implemented or implemented or trend is not
trend is not reducing reducing

3 2 1

Minutes for Regular Energy Management Management Review happens. But No Management Review and
Review and result of Energy Reduction results are not reducing No Results

2 1 0

Power Factor not

Power Factor maintained as per State Electricity Power Factor maintained.as per State maintained.as per State
Board requirement ( between 0.95 to 1) and Electricity Board requirement But no Electricity Board
incentive reflected in the bill . incentive reflected in the bill . requirement and penelty
imposed.

2 1 0
1 Water consumption data monitoring system in
place.
2. Records of Water Consumption data since last
three years ;
3. Consumption trend is reducing
1 Water consumption data monitoring
system in place. Partial data available
2. Records of Water consumption data
since last three years
3. Consumption trend is not reducing

3 2 1

1. Water Reduction Initiative 1. Water Reduction Initiative 1. Water Reduction Initiative

2. Water Recycling with ETP ,STP 2. Water Recycling with ETP ,STP
3. Rain Water Harvesting

3 2 1

Minutes for Regular Water Management Management Review happens. But No Management Review and
Review and result of Water Reduction results are not reducing No Results

3 2 1

Evidence for Waste consumption data for last Evidence for Partial Waste No data recorded
three years consumption data for last three years

2 1 0

Any one initiatives from the

Any two intiatives from the following following
1. Initiatives to Reduce 1. Initiatives to Reduce 1. Initiatives to Reduce
2. Initiatives to Reuse 2. Initiatives to Reuse 2. Initiatives to Reuse
3. Initiatives to Recycle 3. Initiatives to Recycle 3. Initiatives to Recycle

3 2 1

Minutes for Regular Waste Management Management Review happens. But No Management Review and
Review and result of Waste Reduction results are not reducing No Results

2 1 0

Not initiated the action for

100 % Waste and Packaging Material waste sent Partial Packaging Material sent to sending to authorised
to authorised recyclers authorised recyclers recyclers

2 1 0
 Innovative initiatives - any one from
Innovative initiatives the below
1. Retunable Pallet 1. Retunable Pallet
2. Returnable Bin No initiatives
2. Returnable Bin

2 1 0
Initiatives to reduce transportation fuel /co2 - At least 2 Initiatives from the following to At least 1 Initiatives from the
1. Pallet design to accommodate more parts, reduce transportation fuel /co2 - following to reduce
2.Truck size design to accommodate more pallets, 1. Pallet design to accommodate more transportation fuel /co2 -
3. Moving the location of mfg proximity to end parts, 1. Pallet design to
customer/ M & M 2.Truck size design to accommodate more accommodate more parts,
pallets, 2.Truck size design to
3. Moving the location of mfg proximity accommodate more pallets,
to end customer/ M & M 3. Moving the location of mfg
proximity to end customer/ M &
M

4 2 1

Actual Score
Actual Remarks, if any
Score

2
2

18

2
2

15
1

2
2

3
 10

nts
0

54