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General Info
Does your facility have foreign or domestic labor brokers used to source labor?
Yes No N/A
Environment
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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
Do you have measures in place to reduce waste, greenhouse gas and energy use?
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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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
Do you test the levels of SOx, NOx, mercury and other toxic pollutants in your emissions?
Yes No N/A
Do you frequently check your filters and repair/replace them when necessary?
Yes No N/A
Water Management
Is your water source clean and safe your the purpose of your use?
Yes No N/A
Waste Management
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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
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
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 have plans in place to promote and improve health, labor rights and safety risks
Yes No N/A
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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
Are all employees and workers aware of their rights and responsibilities?
Yes No N/A
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 have a written emergency plan in place and are your employees aware of it?
Yes No N/A
https://lumiformapp.com/templates/smeta-audit-checklist-template_33157
1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
Has your facility had any noteworthy incidents or deaths in the last 5 years?
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
Are all your workers provided all benefits agreed upon at time of hiring?
Yes No N/A
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
Do you have policies to protect workers from verbal abuse and/or harassment?
Yes No N/A
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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
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
Forced Labor
Are your workers free from bond, debt or other obligation to facility or labor brokers?
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
https://lumiformapp.com/templates/smeta-audit-checklist-template_33157
1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
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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1/31/2022 SMETA Audit Checklist Template - Download FREE Template | Lumiform Templates
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?
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