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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates

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General Info

Do you have sub-contractors?


Yes No N/A

Does your facility have foreign or domestic labor brokers used to source labor?
Yes No N/A

What is the total number of employees at the facility?

What is the percentage of male employees?

What is the percentage of female employees?

What is the percentage of foreign/migrant workers?

What is the number of temporary contract workers employed by the facility?

Environment

Management Systems & Training

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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates

Is there a management system in place to investigate environmental risks associated with product?
Yes No N/A

Are you compliant with environmental laws and regulations?


Yes No N/A

Is your facility ISO 14001, RC 14001 and/or EMAS certified?


Yes No N/A

Do you have necessary license(s) or permit(s) for environmental standards?


Yes No N/A

Are your suppliers and employees aware of environmental policies?


Yes No N/A

Do you have environmental goals?


Yes No N/A

Do you review your environmental policies 1-2x a year?


Yes No N/A

Greenhouse Gas Emissions

Do you check energy consumption?


Yes No N/A

Do you conduct on-site energy audits?


Yes No N/A

Do you have measures in place to reduce waste, greenhouse gas and energy use?
Yes No N/A

Do you track the success of your goals and measures?


Yes No N/A

Do you disclose and release your environmental strategy to the Carbon Disclosure Project or
comparable initiatives?
Yes No N/A

Air/Pollutant Emission

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Do you have a system to manage and test air emission?


Yes No N/A

Do you have goals to reduce emissions?


Yes No N/A

Do you test the levels of SOx, NOx, mercury and other toxic pollutants in your emissions?
Yes No N/A

Do you have equipment to reduce emission of pollutants on chimneys, vents, etc.?


Yes No N/A

Do you frequently check your filters and repair/replace them when necessary?
Yes No N/A

Water Management

Do you monitor your water consumption?


Yes No N/A

Do you have plans to reduce water consumption?


Yes No N/A

Do you assess and check your wastewater generation and management?


Yes No N/A

Do you treat and check your wastewater before discharge?


Yes No N/A

Is your water source clean and safe your the purpose of your use?
Yes No N/A

Waste Management

Do you have goals to reduce your waste generation?


Yes No N/A

Do you recycle part of the waste that you generate?


Yes No N/A

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Do you maintain records of off-site transfer, treatment and disposal of waste?


Yes No N/A

Do you store your waste in accordance to environmetal standards?


Yes No N/A

Raw Materials

Do you keep track of all chemicals used, stored, processed and produced?
Yes No N/A

Do you have measures in place to reduce use of chemicals and other raw materials?
Yes No N/A

Do you store your raw materials in a safe and compliant manner?


Yes No N/A

Social

Workplace Management

Do you have a written corporate responsiblity policy or statemnt of commitment that defines your
approach to heath, labor and safety standards?
Yes No N/A

Do you ensure forced labor and child labor are prohibited?


Yes No N/A

Do you have plans in place to promote and improve health, labor rights and safety risks
Yes No N/A

Are you compliant with local laws and regulations?


Yes No N/A

Are you SA8000 or ETI recognized?


Yes No N/A

Do you have policies in place for disciplinary procedures or contact terminations?


Yes No N/A

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Do you strictly prohibit physical punishment?


Yes No N/A

Are all employees and workers aware of their rights and responsibilities?
Yes No N/A

Facility Health & Safety

Are you OHSAS 18001, ANSI Z10, BSI 8800, CSA Z1000, or OSHA VPP certified?
Yes No N/A

Do you ensure that all machinery used in your facility is safe and well-maintaned?
Yes No N/A

Do you have policies in place that ensure safe storage of toxic and hazardous materials?
Yes No N/A

Do you supply your workers with sufficient Personal Protective Equipment?


Yes No N/A

Do you monitor noise levels?


Yes No N/A

Do you monitor air quality in your facility?


Yes No N/A

Do you have a written emergency plan in place and are your employees aware of it?
Yes No N/A

Do you have a fire evacuation procedure?


Yes No N/A

How often do you conduct fire drills per year?

Facility Emergency Management

Are all employees trained on health and safety matters?


Yes No N/A

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Has your facility had any noteworthy incidents or deaths in the last 5 years?
Yes No N/A

Does your facility have sleeping accomodations?


Yes No N/A

Compensation

Do you have procedures in place to ensure all workers are paid at least the legal minimum wage?
Yes No N/A

Do you ensure that all overtime work is paid?


Yes No N/A

Are all your workers provided all benefits agreed upon at time of hiring?
Yes No N/A

Do you accurately keep track of timesheets?


Yes No N/A

Do your employees have at least one day off per week?


Yes No N/A

Freedom of Association and Collective Bargaining

Are your workers able to form or join trade unions or workers' organizations if permitted by law?
Yes No N/A

Please list all labor organizations and unions present at your facility

Harassment & Abuse

Do you have policies to protect workers from verbal abuse and/or harassment?
Yes No N/A

Do you have policies to protect workers from sexual harassment?


Yes No N/A

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Do you have policies to protect workers rom physical abuse, corporal punishment or disciplinary
measures that cause physical discomfort?
Yes No N/A

Are your workers able to file a complaint or report any events that are in violation of policies?
Yes No N/A

Discrimination

Do you have policies in place that prevent any form of discrimination (sex, gender, race, age, ability,
religion...)?
Yes No N/A

Do you have equal pay for equal work policies?


Yes No N/A

Are employees able to freely perform religious practices?


Yes No N/A

Forced Labor

Do you use prison labor?


Yes No N/A

Are your workers free from bond, debt or other obligation to facility or labor brokers?
Yes No N/A

Are workers free to resign without fear of penalty or


Yes No N/A

Do you prohibit the practice of withholding worker ID cards or passports?


Yes No N/A

Child Labor

Do you verify that your facility does not employ child labor?
Yes No N/A

Are any workers that are underage and legally work for you given special protection?
Yes No N/A

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Do you effectively verify your workers' ages?


Yes No N/A

Governance

Accountability

Do you have a management representative that is responsible for assuring compliance with
environmental laws, regulations and codes?
Yes No N/A

Do you have a management representative that is responsible for assuring compliance with labor,
health, safety laws, regulations and codes?
Yes No N/A

Are corrective actions identified by the environmental, labor, health, and safety audits tracked to
closure?
Yes No N/A

Supplier Management

Do you have procedures in place to ensure that suppliers (including labor brokers) operate in
compliance with all applicable environmental and labor laws and regualations?
Yes No N/A

Please list procedures in place that assess and manage identified risks relating to the labor practices of
suppliers, including labor brokers?

What procedures does the facility have in place to ensure that suppliers, including labor brokers,
operate in compliance with all applicable environmental and labor laws and regulations?

Stakeholder Engagement

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Does your facility regularly engage stakeholders on its sustainability strategies, disclosure, and
performance, including community groups, employees, NGOs, and government?
Yes No N/A

What procedures does the facility have in place to incorporate stakeholder input into its business and
operational strategies?

Does your facility publicly disclose results of its stakeholder engagement?


Yes No N/A

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Please sign

Please note that this checklist template is a hypothetical example and provides only standard information.
The template does not aim to replace,
among other things, workplace, health and safety advice, medical advice,
diagnosis or treatment, or any other applicable law. You should seek
your professional advice to determine whether
the use of such a checklist is appropriate in your workplace or jurisdiction.

https://lumiformapp.com/templates/smeta-audit-checklist-template_33157

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