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SOCIAL & LABOR

CONVERGENCE

IMPORTANT NOTES REGARDING THIS DOCUMENT

This Excel document represents the functional "OFFLINE" SLCP Data Collection Tool.
This document can be used by facilities as an offline method of self or joint-assessment OR for reviewing self-a
If the respondent chooses to complete their self or joint-assessment via the "OFFLINE" SLCP Data Collection To
assessment and start the verification process.

Excel Information: This is a Macros-enabled document. You MUST have Macros enabled for the content to sho
Due to the complex nature of the macros included, please only keep ONE Excel workbook open at a time. Op
Version Compatibility: SLCP recommends that PC users have at least Excel 2016 and Mac users have Excel 201

Access to SLCP Support and Frequently Asked Questions (FAQs)


If you require support, the answer to most questions can be found on our Helpdesk: https://slcp.zendesk.co
Browse the FAQ and resources available or submit a request to our support team: https://slcp.zendesk.com/h
Overview of Program

What do we want to achieve?


We believe that we can improve working conditions by joining forces: one single assessment for all, more reso
efforts to improve working conditions in global supply chains.

This program will help the industry to:


• Eliminate audit fatigue: avoid duplication and reduce the number of social & labor audits, by replacing curre
• Increase the opportunity for greater comparability of social & labor data
• Redeploy resources to improvement actions

www.slconvergence.org

The Converged Assessment Framework (CAF) consists of three elements:


1) Data Collection Tool (Excel and online on the AH platform)
2) Verification Protocol (PDF)
3) Guidance (PDF)
Data Collection Tool (Excel and online on the AH platform)
The ‘Questionnaire’ used to gather data on social and labor conditions in a facility. Contains all the assessment
online on an Accredited Host platform or offline through an Excel file downloadable from an Accredited Host.
For a facility, only the self/joint-assessment part of the Data Collection Tool is visible. For the Verifier, after do
was assigned to, and the blank verification fields for completion by the Verifier. The Verifier version of the Dat

Verification Protocol (PDF)


Document that contains the procedures, rules and process requirements for conducting an SLCP verification.

Guidance (PDF)
Two separate documents, one for the Verifier and one for the Facility. The Verifier Guidance helps Verifiers co
fields in the Data Collection Tool. The Facility Guidance is a step-by-step guidance to teach facilities how to sta

The Data Collection Tool is available in multiple languages. However, the answers in the Data Collection Tool m
Find the CAF documents here: https://slcp.zendesk.com/hc/en-us/sections/360005179434-Converged-Asse

Intended Use of This Data Collection Tool

This SLCP Tool is based on international labor standards, national labor laws, and social and labor aspects com
of conduct, allowing SLCP verified assessment data to inform benchmarks of different social and labor initiativ

Elements of a traditional audit program considered out of scope of the SLCP Tool:
• Conformance with company standards, codes of conduct, or scoring systems
• Recommendation and timeframe for a corrective action process
SLCP 3-step Assessment Process

STEP 1: DATA COLLECTION


Collection can be done by either self-assessment (facility only) or a joint-assessment (facility + external assista

STEP 2: DATA VERIFICATION


The SLCP approved Verifier checks the correctness and completeness of the data gathered through the self/jo
The Verification Oversight Organization (VOO) manages the Verifier selection process and performs quality ch

STEP 3: DATA SHARING


The verified data set is shared through the Gateway and Accredited Hosts.
For detailed information on how to complete the SLCP assessment process go here: https://slcp.zendesk.co
Also reference the Facility Guidance to better understand how to start and complete the SLCP assessment pro

Terms of Use

The most up to date License Agreement and Terms of Use for the SLCP Converged Assessment Framework (C
The License Agreement and Terms of Use may be updated, please go to the link to always find the most up-to-
<LOAD>
S DOCUMENT

onal "OFFLINE" SLCP Data Collection Tool.


an offline method of self or joint-assessment OR for reviewing self-assessment or verification information completed via an
eir self or joint-assessment via the "OFFLINE" SLCP Data Collection Tool, they are required to upload the Tool to an Accredi
ess.

ed document. You MUST have Macros enabled for the content to show up correctly.
included, please only keep ONE Excel workbook open at a time. Opening multiple workbooks may cause user issues.
that PC users have at least Excel 2016 and Mac users have Excel 2016 licenses.

tly Asked Questions (FAQs)


t questions can be found on our Helpdesk: https://slcp.zendesk.com/hc/en-us
r submit a request to our support team: https://slcp.zendesk.com/hc/en-us/requests/new
conditions by joining forces: one single assessment for all, more resources and improvements for everyone. That is why we
lobal supply chains.

n and reduce the number of social & labor audits, by replacing current proprietary assessment tools
mparability of social & labor data
tions

CAF) consists of three elements:


n the AH platform)

the AH platform)
n social and labor conditions in a facility. Contains all the assessment questions that a facility must answer through a self/jo
offline through an Excel file downloadable from an Accredited Host.
nt part of the Data Collection Tool is visible. For the Verifier, after downloading from an Accredited Host, the Data Collection
n fields for completion by the Verifier. The Verifier version of the Data Collection Tool also includes a Verification Summary t

ules and process requirements for conducting an SLCP verification.

ifier and one for the Facility. The Verifier Guidance helps Verifiers complete the verified assessment report by giving guidan
lity Guidance is a step-by-step guidance to teach facilities how to start and complete the SLCP assessment process.

ultiple languages. However, the answers in the Data Collection Tool must always be given in English.
p.zendesk.com/hc/en-us/sections/360005179434-Converged-Assessment-Framework-CAF-

bor standards, national labor laws, and social and labor aspects commonly addressed in social industry and certification sta
ment data to inform benchmarks of different social and labor initiatives.

onsidered out of scope of the SLCP Tool:


codes of conduct, or scoring systems
orrective action process
ssment (facility only) or a joint-assessment (facility + external assistance)

rectness and completeness of the data gathered through the self/joint- assessment. The Verifier will confirm or amend the
OO) manages the Verifier selection process and performs quality checks.

e Gateway and Accredited Hosts.


plete the SLCP assessment process go here: https://slcp.zendesk.com/hc/en-us/articles/360015188993-Step-by-step-guid
tter understand how to start and complete the SLCP assessment process: https://slcp.zendesk.com/hc/en-us/articles/36002

and Terms of Use for the SLCP Converged Assessment Framework (CAF) can be found here: https://slcp.zendesk.com/hc/
may be updated, please go to the link to always find the most up-to-date License Agreement and Terms of Use.
formation completed via an active Accredited Host.
oad the Tool to an Accredited Host on the Accredited Host website to run data quality checks on the self or joint-

may cause user issues.


r everyone. That is why we have created a Converged Assessment Framework that supports stakeholders’

ools

st answer through a self/joint-assessment and that will be verified by an SLCP approved Verifier. Can be filled in
ed Host, the Data Collection Tool includes the self-/joint-assessment data from the specific facility the Verifier
es a Verification Summary that the Verifier generates.

ent report by giving guidance on how to verify a facility’s answers and complete all required verification data
sessment process.

sh.

dustry and certification standards. The Tool is also “standard agnostic” with regard to brand and industry codes
r will confirm or amend the original data, resulting in a verified data set.

5188993-Step-by-step-guidance-How-do-I-start-and-complete-the-SLCP-assessment-process-
om/hc/en-us/articles/360023572013

ps://slcp.zendesk.com/hc/en-us/articles/360013057734
d Terms of Use.
Version: 1.4.1

quality checks on the self or joint-


hat supports stakeholders’

pproved Verifier. Can be filled in


he specific facility the Verifier

all required verification data

ard to brand and industry codes


ment-process-
SOCIAL & LABOR
CONVERGENCE
Note: These instructions are mainly for completion of the facility self/joint-assessment. For information on how
Guidance
Opening the Tool

(1) Remember to only keep ONE Excel workbook open at a time. Opening multiple workbooks may cause use
(2) Remember to have Macros enabled for the content to show up correctly and use at minimum Excel 2016.
(3) Reference the Facility Guidance to better understand how to complete the offline Data Collection Tool. The
ensure you complete the Tool correctly. Go here to access the Facility Guidance: https://slcp.zendesk.com/h

Structure of Tool
The SLCP Data Collection Tool consists of 10 sections in total: one (1) general Facility Profile section and nine (9
​The first 7 ​social and labor sections represent key stage​s​or aspect​s​of the employment lifecycle​. The 8th secti
The navigation menu at the top of the Tool shows all 10 sections along with the individual completion percen
On the far right you can see the total completion index/ completion percentage. To proceed to verification you
You can click on the applicable section name to jump to that section within the Excel sheet.
At the bottom middle of the navigation menu you can also see where you currently are in the Tool (You are he
clicked on.
IMPORTANT NOTE: If you are completing facility responses and you DO NOT SEE the % numbers updating in th
Excel program (e.g. Macros are not enabled). Please restart your computer and try again.

Sections and Sub-Sections

Within each section, questions are further grouped into sub-sections and categories.
For the first 7 social and labor sections, these sub-sections align with common industry Code of Conduct eleme

Section Sub-Section
(0) Facility Profile Step Selection, Basic Information, Building Structures, Worker Demographics, Nationalities

(1) Recruitment and Hiring Child Labor, Apprenticeship / Trainee / Internship Programs, Forced Labor, Recruitment Pra

(2) Working Hours Working Hours, Forced Labor, Overtime, Facility Comments

(3) Wages and Benefits Wages and Benefits, Facility Comments

(4) Worker Treatment Forced Labor, Harassment and Abuse, Discrimination, Discipline, Facility Comments

(5) Worker Involvement Freedom of Association and Collective Bargaining, Workplace Cooperation, Grievance Syste
General Work Environment, Building Safety, Risk Assessment, HS Policy, HS Committee, HS
(6) Health and Safety Storage, Electrical Safety, First Aid and Medical, Contractor Safety, Dormitories, Canteens,
(7) Termination Forced Labor, Employment Practices, Discrimination, Facility Comments

(8) Management Systems Polices and Procedures / Goals and Strategy, Roles and Responsibility / Communication and

(9) Above and Beyond Workplace Well-being, Community Impact, Facility Comments

The Concept of Tool Steps - 3 Modules of the Data Collection Tool

The SLCP Data Collection Tool includes three modules:


• Step 1 Essentials
• Step 2 Progressive
• Step 3 Advanced

Step 1 is the default Step selection. The facility can choose either one of the three Steps.
• Step 1 “Essential” covers key social & labor compliance questions, mostly connected to International Labor S
• Step 2 “Progressive” focuses on management systems and questions that are supportive social & labor comp
• Step 3 “Advanced” covers questions that go above and beyond social responsibility industry standards, are n
questions.

Which Step should I choose?


The Tool has been created with the idea that most relevant and key questions are covered under Step 1. Howe
their Step choice:
• Size: If your facility is of smaller size (e.g. less than 500 workers), it is likely that Step 1 will be the most appro
• Policy & Procedures: If you have written policies and procedures, then choose Step 2. Clarification: Step 2 co
NLL.
• Ambition level: If you have a high ambition level on social performance (e.g. worker well-being and commun
• Buyer relationship: If you are working with your buyers on specific CSR programs/requirements, discuss with

SLCP has also created a simple tool to help you understand the compatibility of the different Steps against the
verified-data. This information can also help you understand the preferences your client/ business partner ma

In the Facility Profile section you will need to choose which Step you would like to complete. The default Step

Applicable Legal Requirements - International Labour Organization (ILO) Conventions, Nationa


This Tool is aligned with international labor standards and national laws.

Any time a question references the law (e.g. "in line with legal requirements", "legally required"), the facility (
what to do if there are no applicable legal requirements.

Applicable legal requirements include the ILO Core Conventions, and other conventions in force in the country
least as favorable for workers as relevant legal requirements).

ILO Core Conventions provide the baseline for determining compliance with the fundamental rights at work: C
Freedom of Association and Collective Bargaining (Conventions 87 and 98).

Applicable legal requirements are set out in the Law Overlay (https://slcp.zendesk.com/hc/en-us/articles/3600
occupational safety and health or working time, other benchmarks based on international standards and good
tripartite constituents.

Relevant Fundamental International Labour Organization Conventions (ILO)


Child Labor: C138 Minimum Age Convention, 1973 and C182 Worst Forms of Child Labour Convention, 1999
Forced Labor - C29 Forced Labour Convention, 1930 and Protocol and C105 Abolition of Forced Labour Conven
Discrimination: C100 Equal Remuneration Convention, 1951 and C111 Discrimination (Employment and Occup
FOA and CB - C87 Freedom of Association and Protection of the Right to Organize Convention, 1948; C98 Right
Scope and Timeframe

Answers provided within this Tool should be based upon two things: scope and timeframe.

SLCP Assessment Step 1 - DATA COLLECTION (self/joint-assessment)


The scope of the initial self-assessment is the entire facility which is based on a specific facility address and n
and address are in scope.
The timeframe of the initial self/joint-assessment is based on the previous 12 months from the date that the
FP-BAS-26 Date of self/ or joint-assessment submission (YYYY-MM-DD). This means that when answering any

SLCP Assessment Step 2 - DATA VERIFICATION


The scope of the verification process is based on a sampling methodology explained within the Verification Pro
and facility address associated with that Gateway Facility Profile). The verification timeframe matches the sel
The Verification Protocol can be found here: https://slcp.zendesk.com/hc/en-us/articles/360013050413-Verifi

Note: Because the verification timeframe matches the self/joint-assessment timeframe, SLCP wants to ensure
onsite verification must happen within 2 months of completion of the self/joint-assessment. This means tha
(YYYY-MM-DD).

Use of the term "worker" or "workers":


The term "worker" or "workers" is used throughout the Tool. "Workers" are persons working on/with the fac
those involved in production of goods, and also those involved in operations related to the product, e.g. distrib
(machine repair persons), and workers who load product onto trucks.
How to Fill out this Tool

All facility (and Verifier) responses - unless otherwise noted - must be completed in ENGLISH LANGUAGE.

IMPORTANT: After you open the Data Collection and Enable Macros, you have to:
1) Choose your Step in the Facility Profile section Step Selection under question FP-STE-1: Please choose which
2) Complete all of the Facility Profile

The Step selection and answers in the Facility Profile determine the scope of your SLCP assessment. If you do n
have to answer more questions in one of the 9 other sections of the Tool. An example is the question about th
Profile, you will not see the questions in Recruitment & Hiring or Termination and other sections about foreign
that apply to your facility operations.

Note: If you choose Step 2 or Step 3 and fill in your responses in the offline Tool and then go back to Step 1, th
back to Step 2 instead. Be sure to make the right selection from the start so you avoid loss of data.

For each question, the respondent should:


1) Read the "Sub-section", the "Category", the "Question" and the "More Info" comment box (if applicable) b

2) Type an answer or select the most appropriate answer in the dropdown box under "Facility Response", hig

Facility has not responded to the question yet


This is my response Facility has provided a response to the question

After an answer is selected, the Facility Response field will turn from DARK GREY to LIGHT GREY to indicate a
of "Select all that Apply" checklists. For these responses, the respondent must choose at least one checklist o
one checklist option is the only option that applies before moving on to the next question.

3) Pay attention to new questions that may appear due to your facility response. Depending on the "Facility R
question not visible before that now applies to the scope of the assessment.
Note: In the offline Tool, if you change the answer of the main question so that the conditional questions are
those conditionals will be deleted. Be sure to make the right selection from the start so you avoid loss of dat

4) Make use of the Facility Comments question at the end of each Tool section. At the end of each section,
SLCP (for Tool improvement purposes) about concerns or difficulties you had in answering a question. If you
circumstances or if a question did not provide the answer choice for you, please make note of this and indica
Leave this facility comments question blank if you did not have any difficulties with answering the questions
questions in that section.
5) Keep answers to the 1000 characters limit. Remember to use English language only (unless prompted oth

Helpful tips:
CARRIAGE RETURN (meaning, to create a new line of text in a cell): When entering text in a facility response
OPTION+ENTER).
If you have entered a long response and you cannot see all your response text in the sheet, you can easily wi

Save Answers and Upload to Accredited Host for Verification to Proceed


Save often. You can save and rename your document freely on your computer. Saving the document pushes the
assessment on to their site.
Remember, the self-assessment has to be uploaded to an Accredited Host site to proceed to the next step of
nt. For information on how to complete the Verifier template, please refer to the Verifier Guidance here: https://slcp.zende

e workbooks may cause user issues.


se at minimum Excel 2016.
ne Data Collection Tool. The Facility Guidance contains more detailed information with screenshots on how to navigate the
ttps://slcp.zendesk.com/hc/en-us/articles/360023572013

y Profile section and nine (9) core social and labor sections.
ment lifecycle​. The 8th section covers management systems. The 9th section covers practices that are "above and beyond".
dividual completion percentage.
proceed to verification you must complete at least 95% of the Tool.
el sheet.
are in the Tool (You are here:). You just have to click on any cell in the sheet and in the "You are here" field you will see wh
e % numbers updating in the specific section you are completing or you do not see the text indicating where you are in "You
again.

s.
stry Code of Conduct elements:
ker Demographics, Nationalities, Languages, Operating Licenses, Certifications, Production / Operation Information, Subcontractors for Productio

s, Forced Labor, Recruitment Practices, Discrimination, Employment Practices, Homeworkers, Facility Comments

pline, Facility Comments

ce Cooperation, Grievance Systems, Worker Feedback, Facility Comments


nt, HS Policy, HS Committee, HS Worker Engagement, Emergency Preparedness, Flammable and Combustible Materials, Chemicals and Hazardou
Safety, Dormitories, Canteens, Childcare, Children, Facilities, Facility Comments
y Comments

ponsibility / Communication and Training, Self Assessment, Continuous Improvement, Facility Comments

nts

e Steps.
ted to International Labor Standards (ILS) and National Labor Law (NLL).
portive social & labor compliance questions but less critical. These questions are often found in social industry and certifica
ty industry standards, are not required by national or international law, and seek to elevate workplace well-being and comm

covered under Step 1. However, facility needs can be different and facilities therefore have options to choose from. Facilitie

ep 1 will be the most appropriate for you.


ep 2. Clarification: Step 2 covers management system questions and questions that are connected to or go beyond key socia
ker well-being and community programs), choose Step 3.
/requirements, discuss with them the most appropriate Step. Clarification: Step 2 covers questions found in social industry s

different Steps against the most commonly used Standards and Codes of Conduct: https://slcp.zendesk.com/hc/en-us/artic
client/ business partner may have regarding Step selection.

complete. The default Step selection is Step 1.

O) Conventions, National Labor Law and Other Legal Requirements


ally required"), the facility (and Verifier) must consult applicable legal requirements to assess the answer (verified answer) t

tions in force in the country in question; laws and regulations that apply in the jurisdiction in question; Collective Bargaining

ndamental rights at work: Child Labour (Conventions 138 and 182); Discrimination (Conventions 100 and 111); Forced Labou

com/hc/en-us/articles/360012929574) for select countries. If applicable legislation does not cover or sufficiently address an
ational standards and good practices may be used, where these are derived from international instruments, or materials de

Labour Convention, 1999


on of Forced Labour Convention, 1957
on (Employment and Occupation) Convention, 1958
onvention, 1948; C98 Right to Organize and Collective Bargaining Convention 1949

eframe.

ecific facility address and name, as associated with an applicable business license, as indicated in the Gateway Facility Pro

nths from the date that the self/joint-assessment was completed by the facility . The Tool completion date is entered by t
that when answering any questions in the Tool, the facility must reference the past 12 months of operation to reflect th

d within the Verification Protocol. Sampling can occur of the entire facility scope, as reported in the self-assessment (based
timeframe matches the self/joint-assessment timeframe, as the goal of the verification is to assess the accuracy and com
ticles/360013050413-Verification-Protocol

ame, SLCP wants to ensure that the verification of the facility data occurs within a tight timeframe. This helps create a verifi
ssessment. This means that the verification cannot happen more than 2 months after the date entered in question FP-BAS-

ns working on/with the facility's product or directly involved in the operations of the facility. They are non-supervisory, w
d to the product, e.g. distribution. Examples of "workers" are cutters, sewers, QC, packers, etc. (all workers who contribute
in ENGLISH LANGUAGE.

STE-1: Please choose which tool "Step" your facility would like to complete: and

LCP assessment. If you do not complete all questions in the Facility Profile, you will be required to complete them after upl
ple is the question about the presence of foreign migrant workers at your facility. If you have foreign migrant workers at yo
other sections about foreign migrant worker employment conditions. You must answer all questions in the Facility Profile to

d then go back to Step 1, the data you entered for Step 2 or Step 3 specific questions that are not in scope of Step 1 will be d
oid loss of data.

mment box (if applicable) before proceeding to answer that question.

nder "Facility Response", highlighted in DARK GREY.

to LIGHT GREY to indicate an answer has been provided. Some responses come in the form
oose at least one checklist option to indicate that a response has been provided. Check if that
question.

Depending on the "Facility Response" selection, the answer may prompt a conditional

e conditional questions are retracted and no longer apply, the data you already entered for
art so you avoid loss of data.

At the end of each section, there is an area for you to provide comments to the Verifier and
nswering a question. If you had difficulties applying a specific question to your facility
make note of this and indicate the specific question number and the details of your concern.
h answering the questions in that section and you do not have any concerns about the

only (unless prompted otherwise within the question).

g text in a facility response field that requires a text answer from you, you may need to enter a carriage return to start a ne

the sheet, you can easily widen the row manually to show all of your text.

d
g the document pushes the facility response data to a hidden tab that can be read and absorbed by the Accredited Host sys

roceed to the next step of verification. Follow the Accredited Host specific instructions to upload the Tool to the online pla
Verifier Guidance here: https://slcp.zendesk.com/hc/en-us/articles/360012929394-Verifier-

with screenshots on how to navigate the questions, understand the different Tool colors and

practices that are "above and beyond".

n the "You are here" field you will see which section, sub-section and category of the Tool you
the text indicating where you are in "You are here:" then something is not right with your
ration Information, Subcontractors for Production / Operation, Facility Comments

lity Comments

Combustible Materials, Chemicals and Hazardous Substances, Worker Protection, Materials Handling and

mments

ften found in social industry and certification standards. Step 2 includes all Step 1 questions.
o elevate workplace well-being and community impact. Step 3 includes all Step 1 and Step 2

ore have options to choose from. Facilities may consider the following points when making

are connected to or go beyond key social & labor compliance issues but are still connected to

overs questions found in social industry standards or Codes of Conduct.

: https://slcp.zendesk.com/hc/en-us/articles/360010438713-List-of-brands-that-accept-SLCP-
s to assess the answer (verified answer) to the question. “More Info” provides instructions on

sdiction in question; Collective Bargaining Agreements (where the provision in question is at

(Conventions 100 and 111); Forced Labour (Conventions 29 (and Protocol), and 105); and

does not cover or sufficiently address an issue regarding compensation, contracts,


nternational instruments, or materials developed within the ILO and in consultation with

e, as indicated in the Gateway Facility Profile. All workers associated with that facility name

The Tool completion date is entered by the facility and is found under Facility Profile question
ast 12 months of operation to reflect the accurate answer in the Tool.

s reported in the self-assessment (based on the facility name in the Gateway Facility Profile,
cation is to assess the accuracy and completeness of the facility self/joint-assessment.

tight timeframe. This helps create a verified assessment report with still recent data. The
fter the date entered in question FP-BAS-26 Date of self/ or joint-assessment submission

the facility. They are non-supervisory, which means no one reports to them. Facilities include
packers, etc. (all workers who contribute to produce the product), boiler workers, mechanics
l be required to complete them after upload to the Accredited Host platform, and you may
f you have foreign migrant workers at your facility but you skip that question in the Facility
swer all questions in the Facility Profile to see the entire scope of questions in all other sections

ns that are not in scope of Step 1 will be deleted. Same goes for if you choose Step 3 and go

ed to enter a carriage return to start a new row of text. Simply press ALT+Enter (for Mac users,
and absorbed by the Accredited Host system when you upload your completed self-

tions to upload the Tool to the online platform.


100.00% : Wages & Benefits You are RECRUITMENT &
here: T&Cs

FACILITY PROFILE

Section Instructions

Section Description: The purpose of the Facility Profile section is to understand the scope of facility operation
Topics within this section include:
• Step Selection
• Basic Information
• Building Structures
• Worker Demographics
• Nationalities
• Languages
• Operating Licenses
• Certifications
• Production / Operation Information
• Subcontractors for Production / Operation

IMPORTANT NOTES:
1) First make your "Step Selection" below.
2) Then complete all questions in the Facility Profile. Certain answers within your Facility Profile (especially w
will see within the Tool.
If a question with free text answer (Response Here) is not applicable to you, type "Not Applicable".
If a question does not have the answer option that best fits your facility circumstances, please choose the m
provide your feedback.
You will have to complete one Facility Profile question after you have finished your entire self/joint-assessme
MM-DD):
Remember that the verification has to occur within two months after this submission date. If scheduling doe
assessment prior to completing it on the Accredited Host platform.

Step Selection

FP-STE-1
Please choose which tool "Step" your facility would like to co

Basic Information
Facility
FP-BAS-1
Facility Name (as per business
FP-BAS-2
Facility Street Address (as per business
FP-BAS-3
Facility City Address (as per business
FP-BAS-4
Facility State/Province Address (as per business
FP-BAS-5
Facility Zip Code/Postal Code Address (as per business
FP-BAS-6
Facility Name (in local language as per business
FP-BAS-7
Facility Address (in local language as per business
FP-BAS-8
Facility C
FP-BAS-9
Facility Geolocation L
FP-BAS-10
Facility Geolocation Lo
FP-BAS-11
Facility Contac
FP-BAS-12
Facility Conta
FP-BAS-13
Facility Contact P
FP-BAS-14
Facility P
FP-BAS-15
Facili

Hours of Operation
FP-BAS-16
Normal Hours of Operation
FP-BAS-17
Number of Shifts and Hours of Operation for each (Normal Ope
FP-BAS-18
Number of Shifts and Hours of Operation for each (Peak Ope

Peak Months
FP-BAS-19
Peak Operation

Assessment Submission
FP-BAS-20
Submissio
FP-BAS-24
Facility Contact Name(s) of who is submitting the self/ or joint-asse
FP-BAS-25
Facility Contact Email(s) of who is submitting the self/ or joint-asse
FP-BAS-26
Date of self/ or joint-assessment submission (YYYY-M

Building Structures
Total
FP-BUI-1
Total number of buildings

Production
FP-BUI-2
Number of production buildings

Warehouse
FP-BUI-3
Number of warehouses
FP-BUI-4
Are warehouses within or separate from production bu

On-site Housing
FP-BUI-5
Number of on-site dorm

Off-site Housing
FP-BUI-6
Do workers stay in off-site housing managed or controlled by the
FP-BUI-7
Do workers stay in off-site housing managed by an entity other than the

On-site Canteen
FP-BUI-8
Is there an on-site canteen/eatin

On-site Childcare
FP-BUI-9
Are there on-site childcare fa

Building Types

FP-BUI-10

Describe any other types of b

Facility Area
FP-BUI-11
Total Facility Area (m2) - only built p

Additional Comments

FP-BUI-12

Please enter any additional building related comments here, including age of each facility b

Facility Ownership
FP-BUI-13
Facility is the legal owner of

Building Floors
FP-BUI-14
Facility is in a multi-floor b

Shared Building
FP-BUI-17
Building is shared with other facilities/ente

Residential
FP-BUI-18
Residential building has been converted into a
FP-BUI-19
Residences are located within any facility b

Worker Demographics
Workers

NOTE: The numbers below should represent the number of workers as of the date of self/joint-assessment c
FP-WOR-1
Total number of w
FP-WOR-2
What percentage of the normal workforce does the Total number of workers
FP-WOR-3
Number of male w
FP-WOR-4
Number of full-time w
FP-WOR-5
Number of male full-time w
FP-WOR-6
Number of part-time w
FP-WOR-8
Number of permanent w
FP-WOR-9
Number of male permanent w
FP-WOR-10
Number of temporary w
FP-WOR-11
Number of male temporary w
FP-WOR-12
Number of agency/contract w
FP-WOR-14
Number of contract workers who are not part of the production
FP-WOR-15
Number of foreign migrant w
FP-WOR-16
Number of male foreign migrant w
FP-WOR-17
Number of domestic migrant w
FP-WOR-19
Number of workers paid
FP-WOR-21
Number of workers under pr
FP-WOR-23
Number of casual w
FP-WOR-25
Number of workers under the ag
FP-WOR-27
Number of workers who are trainees, apprentices or
FP-WOR-29
Number of workers who are pregnant/breastf
FP-WOR-30
Number of workers who are currently on matern
FP-WOR-31
Number of workers who have returned to work from matern
FP-WOR-32
Number of workers with dis
FP-WOR-33
Number of male workers with dis
FP-WOR-34
Number of workers with refugee stat
FP-WOR-36
Number of workers who bring work home or work at home exc

Supervisors
FP-WOR-38
Number of sup
FP-WOR-39
Number of male sup
FP-WOR-40
Number of foreign migrant sup
FP-WOR-41
Number of male foreign migrant sup

Government programs
FP-WOR-42
Does the facility accept workers from government-facilitated or government-sponsored pro

Nationalities

FP-NAT-1
How many nationalities are represented among workers and supervisors at the
FP-NAT-2
Natio
FP-NAT-3
Approximate % of
FP-NAT-4
Approximate % of sup
FP-NAT-5
Natio
FP-NAT-6
Approximate % of
FP-NAT-7
Approximate % of sup

Languages
How many languages must be spoken by supervisors and management in order to effectively communicate w
FP-LAN-1
FP-LAN-2
Primary language spoken at the
FP-LAN-3
Please
Please provide
provide approximate
approximate % of%supervisors
of workers who
who can
can communicate
communicate in
in the
the primary
primary language
language spoken
spoken at
at the
the
FP-LAN-4
FP-LAN-11
Primary language spoken by facility mana

Operating Licenses

FP-OPE-1
Operating license/registration is available and up
FP-OPE-2
Operating License/Regist

Certifications
Social Audits and Certifications
FP-CER-1
How many social / labor audits have take
FP-CER-2
How many still valid independent certification/standard audits has the facility particip

FP-CER-3

FP-CER-3.1
If other, please d
FP-CER-4
First Audit Date (YYYY-M
FP-CER-5
Last Audit Date (YYYY-M
FP-CER-6
Au
FP-CER-7
Audit Result (if ap
FP-CER-8
Certification # (if ap

Production / Operation Information


Industry Sector
FP-PRO-1

FP-PRO-1-1

FP-PRO-1-2
F
FP-PRO-1-3
Home
FP-PRO-1-4
Acc
FP-PRO-1-5
Home Fur
FP-PRO-1-6
Har
FP-PRO-1-7
Food and B
FP-PRO-1-8
Personal Care and Beauty P
FP-PRO-1-9

Facility Type
FP-PRO-2

FP-PRO-2-1
Sewing or Final Product A
FP-PRO-2-2
Footwear / Leathe
FP-PRO-2-3
Printing o
FP-PRO-2-4
Materials
FP-PRO-2-5

FP-PRO-2-6
C
FP-PRO-2-7
Pa
FP-PRO-2-8

Facility Processes
FP-PRO-3
Does the facility include sandblasting in its pro

NOTE: The "Facility Processes" below will conditionally appear depending upon the answer to the "Facility Ty

FP-PRO-4

FP-PRO-5

FP-PRO-5-1

FP-PRO-5-2

FP-PRO-5-3
Em
FP-PRO-5-4

FP-PRO-5-5
Heat Press / Heating and
FP-PRO-5-6

FP-PRO-5-7

FP-PRO-5-8

FP-PRO-5-9

FP-PRO-5-10
Pa
FP-PRO-5-11

FP-PRO-5-12
Seam
FP-PRO-5-13

FP-PRO-5-14
Sundries Ap
FP-PRO-5-15
W
FP-PRO-5-16

FP-PRO-5-17

FP-PRO-5-18
Em

Volume
FP-PRO-12
Facility's monthly volume (unit of measur
FP-PRO-13
Facility's monthly volume (numerical a

Capacity
FP-PRO-14
Facility's monthly capacity (unit of measur
FP-PRO-15
Facility's monthly capacity (numerical a

FP-PRO-15.1
Please describe how the monthly capacity is calculated (e.g. do you base calculation on regular working
include overtime

Planning
FP-PRO-16
What is the facility's form of production/ operations p
FP-PRO-17
What is the facility's definition of lea
FP-PRO-18
What is the facility's maximum lead time (weeks as unit of measur
FP-PRO-19
Has the facility had any rush orders within the last 12 m

Subcontractors Used for Production / Operation


Subcontractors
FP-SUB-1
Are subcontractors utilized by the facility to complete all or part of the production p

Facility Comments
FP-FAC-1
Please describe any concerns or difficulties with questions listed in this

RECRUITMENT & HIRING

Section Instructions

Section Description: The purpose of the Recruitment and Hiring section is to understand the facility's social a
select the most appropriate candidates for employment. The “hiring” process is how new workers are broug

• Child Labor
• Apprenticeship / Trainee / Internship Programs
• Forced Labor
• Recruitment Practices
• Discrimination
• Employment Practices
• Homeworkers
• Facility Comments

Child Labor
Sub-Section Instructions (Select/click on below cell to ensure you see all

Overall International Labor Standards Compliance Guidance: Child labor is work that deprives children of the
development. It refers to work that is mentally, physically, socially or morally dangerous and harmful to child
obliging them to leave school prematurely, or by requiring them to combine school attendance with excessiv
work that exposes them to physical, sexual or psychological abuse. However, not all work done by children is
personal development or interfere with their schooling can be constructive. This includes activities such as h
school time. Whether or not work being carried out by children constitutes child labor depends on the child’
development and access to education. In addition to determining whether there are child laborers working a
performed outside the facility premises, determine whether underage family members are doing it.

Applicable legal standards include: ILO Core Conventions, C138 Minimum Age Convention, 1973 and C182 W
other conventions in force in the country; applicable legislation; Collective Bargaining Agreements and provi

Other relevant ILO documents: R146 Minimum Age Recommendation, 1973; R190 Worst Forms of Child Labo

Age Documentation
RH-CHI-1
Does the facility verify minimum age requirements prior to hiring w
RH-CHI-1.1

If yes, please describe what legal documentation or other proof of age are reviewed to verify minim
requirements and whether copies are mai

Minimum Age
RH-CHI-2
What is the age of the youngest worker in the
RH-CHI-4
Are any workers under the legal minimum age for emplo

Remediation

RH-CHI-7
Does the facility have a remediation system in place for when children (those under the legal minimum
age) are found to be working in the

RH-CHI-7.1

If yes, please describe the child remediation system

Historical Child Labor


RH-CHI-8
Do records indicate that any workers were under the legal minimum working age whe

Workers under 18

Hazardous Work and other Worst Forms


Other Legal Requirements
RH-CHI-23
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Child

Apprenticeship / Trainee / Internship Programs

RH-APP-1
Does the facility offer/ participate in any apprenticeship / trainee / internship pro

Forced Labor
Sub-Section Instructions (Select/click on below cell to ensure you see all
Other relevant ILO documents: C181 Private Employment Agencies Convention, 1997 and C1 Hours of Work

Recruitment Practices
Deposits
RH-REC-1
Are any monetary deposits required of workers up

Recruiters
RH-REC-3
Are labor recruiters / employment agencies responsible for the recruitment of workers to the

Foreign Migrant Workers


RH-REC-4
Is the facility's recruitment process for foreign migrant workers in line with applicable legal require

Recruitment Fees
RH-REC-5
Who is responsible for paying recruitment fees and related costs, the worker or the
RH-REC-8
Are recruitment fees and related costs paid by workers in line with legal require

Forced Labor
Prison Labor
RH-FOR-1
Does the facility use priso

Forced Labor by Governments


RH-FOR-3
Does the facility need to release workers to be available for government-mandated force

Discrimination
Sub-Section Instructions (Select/click on below cell to ensure you see all

Overall International Labor Standard Compliance Guidance: Discrimination includes any distinction based on
unequal treatment. Other grounds of discrimination may be included in national law, such as disability, HIV/A
to be intentional. Indirect discrimination refers to apparently neutral practices, which in fact result in unequa
necessary because of the inherent requirements of the particular job, although this exception is rare. Also, m
international labor Conventions and Recommendations, such as maternity protection. Distinctions also may
example, laws that offer preferential treatment to women in hiring in order to remedy the effects of past dis

Applicable legal standards include: ILO Core Conventions, C100 Equal Remuneration Convention, 1951 and C
standards for discrimination; other conventions in force in the country; applicable legislation; Collective Barg

Other relevant ILO documents: R90 Equal Remuneration Recommendation, 1951; R111 Discrimination (Empl
Convention, 1981; R165 Workers with Family Responsibilities Recommendation, 1981

Recruitment

RH-DIS-1
During the recruitment process, do materials such as job description or job application forms ever refer
applicant's race, skin color, sex (gender), religion, political opinion, national extraction, social origin, d
HIV/AIDS status, sexual orientation, pregnancy/maternity status, marital status, family responsibilitie
nationality/foreign migrant worker

Hiring

RH-DIS-18
Have race, skin color, sex (gender), religion, political opinion, national extraction, social origin, HIV/AID
sexual orientation, pregnancy/maternity status, marital status, family responsibilities, age or nationality
migrant worker status been a factor in decisions regarding

Pregnancy and Maternity

RH-DIS-34

RH-DIS-34-1
Facility requires pregnancy test before or
RH-DIS-35-1
Facility requires virginity test before or
RH-DIS-35-2
Facility requires worker to provide commitments (verbally or in writing) that they will not become p
RH-DIS-35-3
Facility requires the use of contraceptives or other forms of birth control
RH-DIS-35-4
None of th
Disability
RH-DIS-36
Does the facility hire disabled persons in line with legal require

Infection or Illness
RH-DIS-37
Does the facility require HIV / AIDS testing during the hiring p
RH-DIS-39
Does the facility require other infection or illness tests (e.g. Hepatitis B) during the hiring p

Other Legal Requirements

RH-DIS-41
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Discrim
in Recruitment and

Employment Practices
Sub-Section Instructions (Select/click on below cell to ensure you see all

The Employment Practices section seeks to understand additional topics related to general employment term
The sub-section below includes questions on items such as workplace rules, written terms of employment, tr

Workplace Rules
RH-EMP-1
Do workplace rules comply with legal require

RH-EMP-2
Are all new workers provided with a copy of the facility's workplace rules, available in all languages spoke
facility, during orie

RH-EMP-3
Are workplace rules made visible in facility common areas (e.g. canteen, locker rooms, toilets, etc.) in all la
spoken in the

Record-keeping
RH-EMP-4
Does the facility maintain job descriptions for all positions within the
RH-EMP-5
Does the facility keep all worker health information confi
RH-EMP-6
Are personnel files maintained in line with legal require

Contracts / T&Cs
RH-EMP-7
Do all persons who perform work for the facility, both on the premises and offsite, have a co
RH-EMP-8
Are contracts for all persons who perform work for the facility, both on the premises and offsite, in line w
require

RH-EMP-10

RH-EMP-10-1
Signed copies of contracts between the facility and each worker are maintaine
RH-EMP-10-2
Contracts clearly and accurately state the terms and conditions of emp
RH-EMP-10-3
Copies of contracts are provided to workers, in line with applicable legal requi
RH-EMP-10-4
None of th
RH-EMP-11
Do workers understand the terms and conditions included within their written employment co
RH-EMP-14
Does the facility use fixed-term co
RH-EMP-15
Does the facility place limits on the use of fixed-term co
RH-EMP-16
Is the facility's practice around limits on the use of fixed-term contracts in line with legal require
RH-EMP-17
Are the facility's employment contracts for foreign migrants in line with legal require

Foreign Migrant Workers

RH-EMP-18
Does the facility (or recruiting agency) provide foreign migrants with a signed written employment contract
leaving their home c

RH-EMP-19
If yes, does the facility (or recruiting agency) ever request that foreign migrants sign a new contract once the
their host c
RH-EMP-20
If yes, are the terms and conditions th

Probationary Periods

Benefits Avoidance

RH-EMP-22
Has the facility acted against legal requirements by hiring temporary/probationary/trainee/fixed-term
workers to avoid legal obli

Other Legal Requirements


RH-EMP-23
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Contr
Hiring Pr

RH-EMP-24
Is the facility in non-compliance with any legal requirements for Contracts and Hiring Practices pertaining
production workers and/or sub-contracted w

Homeworkers

Facility Comments

RH-FAC-1
Please describe any concerns or difficulties with questions listed in this

WORKING HOURS

Section Instructions

Section Description: The purpose of this section is to understand the facility's social and labor practices with

• Working Hours
• Forced Labor
• Overtime
• Facility Comments

Working Hours
Sub-Section Instructions (Select/click on below cell to ensure you see all

Working hours refers to hours worked in an activity during normal periods of work, plus overtime, time spen
fundamental component to the employment process and limitations (legal or otherwise) should be respecte
hours each day, 48 hours each week, subject to certain exceptions. They also say that workers must have at
records, regular and overtime hours, breaks, and rest days.

Records
WH-WOR-1

WH-WOR-1-1
Manually (i.e. written
WH-WOR-1-2
Mechanically (i.e. pun
WH-WOR-1-3
Electronically (i.e. swi
WH-WOR-1-4
Biometrically (i.e. fingerprint/fa
WH-WOR-1-5
None of th

WH-WOR-2

WH-WOR-2-1
The individua
WH-WOR-2-2
Mana
WH-WOR-2-3

WH-WOR-2-4

WH-WOR-3
Does the facility maintain only one accurate set of working hour records that is in line with legal require

WH-WOR-4

WH-WOR-4-1
Working hour records for each worker are maintained for at least the last 12
WH-WOR-4-2
Working hour records for each worker's regular and overtime hours are ma
WH-WOR-4-3
Start and finish times are recorded for all periods
WH-WOR-4-4
Start and finish times in the payroll system match exact time in/out in time
WH-WOR-4-5
Working hour records are consistent with payroll and other
WH-WOR-4-6
Workers have unrestricted access to verify the accuracy of workin
WH-WOR-4-7
None of th

Regular Hours
WH-WOR-5
Number of regular weekly hours worked at the
WH-WOR-6
Number of regular daily hours worked at the
WH-WOR-7
Do regular working hours exceed legal require
WH-WOR-8
Does the facility calculate regular hours as an a
Overtime Hours
WH-WOR-10
Is overtime worked only for reasons permitted
WH-WOR-11
Are all overtime working hours in line with lega

WH-WOR-12
Did the facility comply with legal requirements to inform and/or get permission from governmental autho
order to work ov
WH-WOR-14
Are work targets for production (e.g. quota or piece work) in line with legal require

Total Working Hours


WH-WOR-15
Did any workers work more than 60 hours in total (regular + overtime) within any give

Breaks
WH-WOR-19
Does the facility provide breaks during the workday in line with legal require
WH-WOR-20
Does the facility provide time off for breastfeeding in line with legal require

Break Payment
WH-WOR-21
Are workers paid during breastfeeding breaks in line with legal require

Rest Days
WH-WOR-22
Number of weekly rest days provided by the
WH-WOR-23
Are the weekly rest days provided by the facility in line with legal require
WH-WOR-24
Are weekly rest days at least 24 consecutive hou

Forced Labor
Sub-Section Instructions (Select/click on below cell to ensure you see all
Other relevant ILO documents: C181 Private Employment Agencies Convention, 1997 and C1 Hours of Work

Forced Overtime
WH-FOR-1
Are workers forced to work overtime under threat of p

Overtime
Voluntary Overtime
WH-OVE-1
Are workers able to refuse overtime for ANY R
WH-OVE-2
Is overtime voluntary, in line with legal require

Exceptional Circumstances

WH-OVE-3
Did the facility experience exceptional circumstances (i.e. large late customer change orders, weather disast
that resulted in significant changes to its production sch

WH-OVE-4
Does the facility consult with workers and/or provide a minimum notice period for overtime work and/or ch
re

WH-OVE-5
Is the facility's practice of consulting with workers and/or notifying them in advance about overtime work
changes in rest days in line with legal require
WH-OVE-6
Does the facility require workers to take paid or unpaid leave when there is less work/production in the

Working Hours
Other Legal Requirements

WH-WOR-25
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding W

WH-WOR-26
Is the facility in non-compliance with any legal requirements for Working Hours pertaining to non-pro
workers and/or sub-contracted w

Facility Comments

WH-FAC-1
Please describe any concerns or difficulties with questions listed in this

WAGES & BENEFITS

Section Instructions

Section Description: The purpose of this section is to understand the facility's social and labor practices with

• Wages and Benefits


• Facility Comments

Wages and Benefits


Sub-Section Instructions (Select/click on below cell to ensure you see all

Wages and Benefits refer to the compensation a worker receives - or should be receiving - as a result of their
cover any other form of compensation the worker receives other than monetary (cash) wages. Minimum wa
agreement. Minimum wage rates may be different across groups of worker, sectors of economic activity, or
overtime wage, wage payment, deductions, in-kind benefits and various forms of worker leave.

Minimum Wage

NOTE: The following types of workers are based on your answers in the Facility Profile. Please ensure that yo

Facility Information
WB-WAG-1
Please select the facility's applicable three letter curren

WB-WAG-2

WB-WAG-2-1

WB-WAG-2-2

WB-WAG-2-3

WB-WAG-2-4
Twice
WB-WAG-2-5

WB-WAG-2-6
U
WB-WAG-2-7

Records
WB-WAG-3
Does the facility maintain only one accurate payroll record that is in line with legal require

WB-WAG-4

WB-WAG-4-1
Payroll records for each worker are maintained for at least the last 12
WB-WAG-4-2
Payroll records are consistent with attendance records and other
WB-WAG-4-3
None of th
Minimum Wage

WB-WAG-5
Do full-time production workers receive AT LEAST the legal minimum wage (and/or wage required by contra
or other agreement) for all regular hours w

WB-WAG-6
Do workers other than full-time production workers receive AT LEAST the legal minimum wage (and/
required by contract, CBA, or other agreement) for all regular hours w

Overtime Wage

WB-WAG-8
Is the facility not paying any workers correctly for any of these types of overtime hours as legally re
• Ordinary overtim
• Overtime hours performed
• Overtime hours performed on weekly r
• Overtime hours performed on public h
WB-WAG-10
Are overtime hours paid at a premium rate of AT LEAST 1.25 times the ba

Other Premium Pay

WB-WAG-11
Is the facility not paying workers correctly for any of these types of regular hours worked at a premium
legally re
• Regular hours worked
• Regular hours worked on weekly r
• Regular hours worked on public h

WB-WAG-13
Is the facility not paying workers premium pay as legally required ba
• worker’s competence (e.g. experience, skills, training
• the nature of the work (e.g. haza

Piece Rate Workers

Work-related Activities
WB-WAG-15
Are workers paid for all work-related activities outside of regular working

Overtime Allowances
WB-WAG-16
Are overtime allowances provided/paid in line with legal require

Wages
WB-WAG-17
How does the facility define wage grades
WB-WAG-18
How many wage grades/ levels does the facili

NOTE: The Tool supports a maximum of 7 wage levels (7 entries for facility data). For selection of "Skill" as w
more wage levels, select "Other" for how the facility defines wage grades/ levels.
WB-WAG-19
Number of workers in wage level
WB-WAG-20
Number of workers in wage level
WB-WAG-21
Number of workers in wage level
WB-WAG-22
Number of workers in wage level
WB-WAG-23
Number of workers in wage level
WB-WAG-24
Number of workers in wage level

WB-WAG-37

WB-WAG-37-1
Legal (or contractual agreement) requi
WB-WAG-37-2
Living Wage E
WB-WAG-37-3

WB-WAG-37-4
Exp
WB-WAG-37-5
Length of Emp
WB-WAG-37-6
Perfo
WB-WAG-37-7

WB-WAG-37-8
None of th

Wage Increase
WB-WAG-40
Describe the most representative department within the

WB-WAG-41
Number of female workers that where promoted with an increase in their basic wage as a result of their pro
WB-WAG-42
Number of male workers that where promoted with an increase in their basic wage as a result of their pro

Bonus
WB-WAG-43
Do workers receive any type of productivity (or "production")

WB-WAG-43.1
If yes, please describe all types of production / productivity b

Wage Payment
WB-WAG-44
Are wage payments made regularly and on time and in line with legal require
WB-WAG-45
Are workers paid their full wages in the legally required m

WB-WAG-46

WB-WAG-46-1

WB-WAG-47-1

WB-WAG-48-1
Direct deposit into a bank
WB-WAG-49
What approximate percentage of workers are paid by direct deposit into bank ac
WB-WAG-49-1
Mobile
WB-WAG-50-1
Card (with a store
WB-WAG-51-1

WB-WAG-53
If workers are paid by direct deposit into a bank account, do they have sole control of the bank accou
o
WB-WAG-54
Are workers paid directly by the facility or through 3rd party

WB-WAG-56
Are workers informed about their individual wages and deductions in line with legal requirements (e.g. thro

WB-WAG-57
Are pay slips in a language all workers can unde
WB-WAG-58
Do pay slips contain accurate information on worker wages in a detailed and comprehensive mann
w
WB-WAG-59
Is the receipt of wage payment confirmed in writing by all w

Legal Withholdings
WB-WAG-65
Does the facility take any deductions from wages that are not in line with legal require
WB-WAG-66
Were withholdings from wages, other than social security, calculated correctly and in line with legal require

Deductions
WB-WAG-67
Did the facility have any other wage deductions (besides legally required withholdings and social se

WB-WAG-69

WB-WAG-69-1
IDs/Badges/Swip
WB-WAG-69-2
U
WB-WAG-69-3

WB-WAG-69-4
None of th

Social Insurance / Social Security

WB-WAG-70

WB-WAG-70-1
Pension/ Provid
WB-WAG-70-2

WB-WAG-70-3
Work-related injury/ illnes
WB-WAG-70-4
Unemp
WB-WAG-70-5
M
WB-WAG-70-6

WB-WAG-70-7
None of th
WB-WAG-71

WB-WAG-71-1
Pension/ Provid
WB-WAG-71-2

WB-WAG-71-3
Work-related injury/ illnes
WB-WAG-71-4
Unemp
WB-WAG-71-5
M
WB-WAG-71-6

WB-WAG-71-7
None of th

WB-WAG-72 Does the facility provide legally required compensation/ benefits related to social protection directly to
(e.g. old age, accident, illness and death be

In-kind Benefits
WB-WAG-73
Does the facility provide in-kind benefits in line with legal require

Leave

WB-WAG-79
Is the facility not correctly providing workers time off for any of these types of leave as legally re
• All public
• Annu
•S
• Matern
• Patern
• Person
• Other types of require
WB-WAG-81
Is the facility not paying workers correctly for any of these types of leave as legally re
• All public
• Annu
•S
• Matern
• Patern
• Person
• Other types of require
WB-WAG-83
Are there any restrictions to workers applying for or takin
WB-WAG-84
Are workers free to take leave once given ap
WB-WAG-85
Does the facility comply with legal restrictions regarding payment instead o

Compensatory Leave
WB-WAG-86
Does the facility provide workers with compensatory time off in line with legal require

Work Stoppages
WB-WAG-87
Does the facility pay workers correctly during work stoppages in line with legal require

Other Benefits
WB-WAG-88
Were all OTHER wage payments in line with legal require

Other Legal Requirements

WB-WAG-89
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Wa
B

WB-WAG-90
Is the facility in non-compliance with any legal requirements for Wages and Benefits pertaining to non-pro
workers and/or sub-contracted w

Facility Comments

WB-FAC-1
Please describe any concerns or difficulties with questions listed in this
WORKER TREATMENT

Section Instructions

Section Description: The purpose of the Worker Treatment section is to understand how the facility treats w
understand if workers are treated in a fair and responsible manner, in line with applicable legal standards. So

• Forced Labor
• Harassment and Abuse
• Discrimination
• Discipline
• Facility Comments

Forced Labor
Sub-Section Instructions (Select/click on below cell to ensure you see all
Other relevant ILO documents: C181 Private Employment Agencies Convention, 1997 and C1 Hours of Work

Coercive Tactics
WT-FOR-1
Does the employer use any other coercive tactics to force workers t

Violence or Threats

WT-FOR-2
Have any cases of violence or threats of violence to intimidate workers and force them to work occurre
wo

WT-FOR-6
Have any cases of threats, such as reporting to authorities, deportation or threats against a worker's fam
associates, or cancelation of visa or other documents (e.g. work permits, residence permits, etc.) occurred
to force migrant workers to stay at

Physical Force
WT-FOR-7
Have workers been forced to work as a disciplinary measure or as punishment for participation in

Freedom of Movement
WT-FOR-9
Are workers restricted from leaving the workplace in order to force them t

WT-FOR-10
Are workers free to come and go from the dormitories and the industrial park or zone in which the f
Withholding
WT-FOR-11
Do workers keep all of their personal documents (such as birth certificates, passports, work permits and ID

WT-FOR-12
Have workers been denied access to their personal documents (such as birth certificates, passports, work
and ID cards) when they nee

Other Legal Requirements

WT-FOR-13
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Force
in Worker Tre

Harassment and Abuse


Sub-Section Instructions (Select/click on below cell to ensure you see all

Harassment or abuse refers to every worker being treated with respect and dignity. No worker shall be subje
The sub-section below includes questions on items such as disciplinary measures, harassment, discriminator

Harassment
WT-HAR-1
Have there been any cases of physical, verbal, psychological harassment or

Discipline
WT-HAR-5
Does the facility have effective remediation processes in place to address cases of harassment or
WT-HAR-5.1
If yes, please describe the pr

Security Personnel
WT-HAR-6
Does the facility employ (or contract services for) security personnel
WT-HAR-7
How many cases of worker harassment by security personnel have oc
WT-HAR-8
Do security personnel carry w

Discrimination

WT-HAR-11
Have there been any cases of harassment based upon race, skin color, religion, political opinion, national ext
social origin, disability, HIV/AIDS status, sexual orientation, gender identity, pregnancy/maternity status
status, family responsibilities, age, nationality/foreign migrant worker
Race / Skin Color

Religion

Political Opinion

National Extraction

Social Origin

Disability

HIV/AIDS Status

Sexual Orientation

Gender Identity

Pregnancy Status

Marital Status

Age

Nationality / Foreign Migrant Worker Status

Other

Other Legal Requirements

WT-HAR-43
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Har
and

Discrimination
Sub-Section Instructions (Select/click on below cell to ensure you see all
Overall International Labor Standard Compliance Guidance: Discrimination includes any distinction based on
unequal treatment. Other grounds of discrimination may be included in national law, such as disability, HIV/A
to be intentional. Indirect discrimination refers to apparently neutral practices, which in fact result in unequa
necessary because of the inherent requirements of the particular job, although this exception is rare. Also, m
international labor Conventions and Recommendations, such as maternity protection. Distinctions also may
example, laws that offer preferential treatment to women in hiring in order to remedy the effects of past dis

Applicable legal standards include the ILO Core Conventions, C100 Equal Remuneration Convention, 1951 an
standards for discrimination; other conventions in force in the country; applicable legislation; Collective Barg

Other relevant ILO documents: R90 Equal Remuneration Recommendation, 1951; R111 Discrimination (Empl
Convention, 1981; R165 Workers with Family Responsibilities Recommendation, 1981

Sexual Harassment
WT-DIS-1
Are workers subject to sexual hara

Promotion and Access to Training

WT-DIS-4
Have race, skin color, sex (gender), religion, political opinion, national extraction, social origin, disability, H
status, sexual orientation, pregnancy/maternity status, marital status, family responsibilitie
nationality/foreign migrant worker status been a factor in decisions regarding promotion or access to t

Compensation

WT-DIS-6
Have race, skin color, sex (gender), religion, political opinion, national extraction, social origin, disability, H
status, sexual orientation, pregnancy/maternity status, marital status, family responsibilitie
nationality/foreign migrant worker status been a factor in decisions regarding compen

Conditions of Work

WT-DIS-8
Have race, skin color, sex (gender), religion, political opinion, national extraction, social origin, disability, H
status, sexual orientation, pregnancy/maternity status, marital status, family responsibilitie
nationality/foreign migrant worker status been a factor in decisions regarding conditions o

Pregnancy and Maternity


WT-DIS-10

WT-DIS-10-1
Employmen
WT-DIS-10-2

WT-DIS-10-3

WT-DIS-10-4

WT-DIS-10-5
Not Ap
WT-DIS-10-6
None of th
WT-DIS-11
Does the facility include all maternity leave in the workers' period of continuous

WT-DIS-12

WT-DIS-12-1
Facility requires pregnancy test at any time during emp
WT-DIS-13-1
Facility requires the use of contraceptives or other forms of birth control at any time during emp
WT-DIS-13-2
None of th

Disability
WT-DIS-14
Has the facility made accommodations/arrangements for physically disabled p

WT-DIS-14.1
Please describe any accommodations/arrangement

WT-DIS-15
Are the facility's practices around making accommodations for physically disabled persons in line w
require
WT-DIS-16
How many workers became disabled (for whatever r

Infection or Illness
WT-DIS-18
Does the facility require HIV / AIDS testing at any time during emplo
WT-DIS-20
Does the facility require other infection or illness tests (e.g. Hepatitis B) at any time during emplo
WT-DIS-22
Has the facility taken steps to enable workers with HIV/AIDS to retain their work if they were medically
WT-DIS-23
Are these steps to help workers with HIV / AIDS in line with legal require

WT-DIS-24
Has the facility taken steps to enable workers with infections or illness (other than HIV/AIDS) to retain thei
they were medically
WT-DIS-25
Are these steps to help workers with infections or illnesses (other than HIV / AIDS) in line with legal require

Other Legal Requirements

WT-DIS-26
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Discrim
in Worker Tre

Discipline
Sub-Section Instructions (Select/click on below cell to ensure you see all

Discipline refers to the actions supervisory personnel take to correct behavior that does not meet establishe
communication methods, record keeping and appeals process.

Measures
WT-DISC-1
Are disciplinary measures for workers in line with legal require

Communication
WT-DISC-2
When a disciplinary action is initiated against a worker, is that worker always inf
WT-DISC-3
Do workers sign all written records of disciplinary actions taken agains

Appeal

WT-DISC-4
Do workers have the right to respond to and/or appeal any disciplinary decisions without any n
reperc

WT-DISC-5
Do workers have the right to consult with and be represented either by a trade union or by worker represe
when evaluating and contesting disciplinary de

Records
WT-DISC-6
Are written records of disciplinary actions maintained in workers' personn
WT-DISC-7
For how many months are records of disciplinary actions maintained in worker personn
Other Legal Requirements
WT-DISC-8
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Dis

Worker Treatment
Other Legal Requirements

WT-WOR-1
Is the facility in non-compliance with any legal requirements for Discipline, Harassment and Abuse perta
non-production workers and/or sub-contracted w

Facility Comments

WT-FAC-1
Please describe any concerns or difficulties with questions listed in this

WORKER INVOLVEMENT

Section Instructions

Section Description: The purpose of the Worker Involvement section is to understand how the facility involve
From participation in Freedom of Association to Grievance systems, this section seeks to understand the faci
Social and Labor topics within this section include:

• Freedom of Association and Collective Bargaining


• Worker Representatives
• Bipartite committee(s)
• Grievance Systems
• Worker Feedback
• Facility Comments

FOA & CB
Sub-Section Instructions (Select/click on below cell to ensure you see all
Overall International Labor Standard Compliance Guidance: Freedom of association means the right of worke
organizations. Collective bargaining is the process of negotiation between unions and employers, usually on
together. Without freedom of association, collective bargaining cannot work because the views of the worke
represented, and employers must not interfere in this process.
Applicable legal standards include the ILO Core Conventions, C87 Freedom of Association and Protection of t
1949, which provide the baseline standards for freedom of association and collective bargaining; other conve
provisions in employment contracts that exceed legal requirements

Other relevant ILO documents: C135 Workers' Representatives Convention, 1971: C154 Collective Bargaining
Bargaining Recommendation, 1981

Freedom to Associate
WI-FOA-1
Are workers free to form a trade union of their ch
WI-FOA-2
Are workers free to join a trade union of their ch

Trade Unions
WI-FOA-3
Does the facility have a registered trade union(s)

Trade Union Operations


WI-FOA-39
Do trade union representatives have access to workers in the wo
WI-FOA-45
Are workers provided with a private meeting space at the workplace in line with legal require

Interference and Discrimination


WI-FOA-47
Are workers and workers' representatives free to meet without the presence of manag

WI-FOA-50
Is a job applicant's current or previous trade union membership or trade union activities a factor during th
p
WI-FOA-52
Were terminations of trade union official(s) (if any) in line with applicable legal require

Collective Bargaining

WI-FOA-53
Does the facility refuse to bargain collectively or refuse to bargain in good faith with the union
representatives, union federations or confede

Non-Union Representative
WI-FOA-54
If the facility has no trade union, are workers free to choose their non-union represen

Workplace Cooperation
Sub-Section Instructions (Select/click on below cell to ensure you see all

Beyond the consultations, dialogue and collective bargaining engaged in between trade unions and employe
employers and workers. For example, workers may elect (non-union) representatives to engage in dialogue w
representatives (union or non-union) and employer representatives. Some jurisdictions legally require these

The questions in this section look at different types of measures to promote workplace cooperation.

Workers' Representatives
WI-WOR-1
Are legally required workers' representatives (if any) elected and functioning in line with legal require

Interference and Discrimination

WI-WOR-2
Has the facility threatened, intimidated, harassed, punished, terminated or not renewed worker contract
their worker representative role or ac

Bipartite Committee(s)
WI-WOR-3
Are there any legally required bipartite committee(s) in place at the
WI-WOR-4
Are bipartite committee(s) established and functioning in line with legal require
WI-WOR-5
How many members are in the bipartite com
WI-WOR-6
How many female members are in the bipartite com
WI-WOR-7
How many foreign migrant workers are in the bipartite com
WI-WOR-8
How many employer members are in the bipartite com
WI-WOR-9
How many worker members are in the bipartite com
WI-WOR-10
How many union representatives are in the bipartite com

WI-WOR-11

WI-WOR-11-1
Bipartite committee meetings are held on a mont
WI-WOR-11-2
Bipartite committee meetings are held at least q
WI-WOR-11-3
Bipartite committee meeting minutes are shared with the w
WI-WOR-11-4
Bipartite committee meeting action items are
WI-WOR-11-5
Bipartite committee communicates complaints and problems shared by workers to upper mana
WI-WOR-11-6
None of th

Other Legal Requirements

WI-WOR-12
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Wo
Cooperation, Grievances and D

FOA & CB
Collective Bargaining Agreement
WI-FOA-55
How many Collective Bargaining Agreements (CBAs) are in effect at the

Industrial Action
WI-FOA-72
Has the facility ever tried to prevent any workers from participating in
WI-FOA-73
How many industrial actions/strikes have oc

Other Legal Requirements

WI-FOA-77
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Free
Association and Collective Bar

Grievance Systems
Sub-Section Instructions (Select/click on below cell to ensure you see all

Grievance systems provide channels for workers to express their concerns, comments, recommendations, re
complaint management system. These systems should be confidential, unbiased, quick, and non-retaliatory.
and confidence.

System
WI-GRI-1
Does the facility have established grievance handling and dispute resolution proc
WI-GRI-1.1
If yes, please describe how workers are able to submit grie
WI-GRI-2

WI-GRI-2-1
Grievance handling and dispute resolution procedures are accessible in all languages spoken at th

WI-GRI-2-2
Grievance handling and dispute resolution procedures are accessible in some languages spoken at the fac

WI-GRI-3
Was the grievance mechanism developed through social dialogue between both male and female workers
and/or worker representative structures and ma
WI-GRI-4
Are workers aware of the processes in place for grievance handling and dispute res

External Assistance

WI-GRI-5
Do workers have access to external contacts outside of management that aid in resolving complaints, grie
harassment or abus

Settlement
WI-GRI-7

WI-GRI-7-1
Settled directly between the worker and their immediate su

WI-GRI-7-2
Settled with the assistance of additional stakeholders/departments (i.e. the Human Resources (HR) depa
Unions, Worker Representati
WI-GRI-7.1
Please describe which stakeholders/departments assist with the sett

WI-GRI-7-3
There are options for senior management review if direct settlement with the supervisor or ad
stakeholders/departments h
WI-GRI-7-4
Workers have the right to respond to and/or appeal the sett
WI-GRI-7-5
None of th
WI-GRI-8
Are grievances and disputes resolved in line with legal require

Retaliation
WI-GRI-9
Are managers and supervisors held accountable for ensuring that there are no negative consequences
workers who report grie

Records

WI-GRI-10
Are written records of complaints and grievances and the management's response maintained for at
m
WI-GRI-11
If yes, how many complaints and grievances were received by female w
WI-GRI-12
If yes, how many complaints and grievances were received by male w

Facility Comments

WI-FAC-1
Please describe any concerns or difficulties with questions listed in this

HEALTH & SAFETY

Section Instructions
Section Description: The purpose of this section is to understand the facility's social and labor practices with
production of goods, and also those involved in operations related to the product, e.g. distribution. The term
operations of the facility. Social and Labor topics within this section include:

• General Work Environment


• Building Safety
• Risk Assessment
• HS Policy
• HS Committee
• HS Worker Engagement
• Emergency Preparedness
• Flammable/Combustible Materials
• Chemicals/Hazardous Substances
• Worker Protection
• Materials Handling and Storage
• Electrical Safety
• First Aid/Medical
• Contractor Safety
• Dormitories
• Canteens
• Childcare
• Children
• Facilities
• Facility Comments

Health & Safety


Sub-Section Instructions (Select/click on below cell to ensure you see all

Overall International Labor Standard Compliance Guidance: Improvements in occupational safety and health
reducing absences, by decreasing the number of accidents and by improving work efficiency. Safety is preven
obligations outlined in the ILO Conventions, Protocols, and Recommendations, employers and workers also h

ILO Conventions and Recommendation on Occupational Health: https://www.ilo.org/global/topics/safety-an


ILO Codes of Practice and Guides on Occupational Health: https://www.ilo.org/global/topics/safety-and-hea

General Work Environment


Temperature and Ventilation
HS-GEN-1
Does the facility have any inhalation (airborne) exposure hazards (particulates/ dust/ fibers/
HS-GEN-2
Are temperature and ventilation systems maintained in line with legal require
HS-GEN-3
Are facility temperature and ventilation in line with applicable legal require
Air Quality
HS-GEN-4
Does the facility monitor indoor air

Lighting
HS-GEN-5
Is facility lighting in line with legal require

Noise Levels
HS-GEN-6
Is noise level testing performed at the
HS-GEN-7
Is the facility's practice to test noise levels in line with legal require
HS-GEN-8
Are noise levels in line with legal require

Cleanliness, Sanitation & Waste


HS-GEN-9
Is the workplace clean a
HS-GEN-10
Are the facility's sanitation practices in line with legal require
HS-GEN-11
Are the facility's waste disposal practices in line with legal require
HS-GEN-12
Are waste disposal/discharge permits available and up
HS-GEN-13
Does the facility have written procedures for classification, collection, and disposal o

HS-GEN-14
Are there cases where trash, debris, or empty containers have accumulated to the point where they pose
hazard or obstru

HS-GEN-15
Does the facility have a current contract with an authorized agency to safely and legally dispose of ha

HS-GEN-16
Did the facility maintain waste disposal records, including documentation of the final desti
HS-GEN-17
Is burning of waste done

Toilet / Restroom
HS-GEN-18
Are toilets in line with legal require
HS-GEN-19
Are toilets clean, and sanitized on a regula
HS-GEN-20
Are separate restrooms provided for males and f
HS-GEN-21
Does the facility provide hand washing facilities equipped with clean water and soap, along with a sanitary
drying hands after washin
HS-GEN-22
Does the facility have a sufficient number of toilets for the number of w
HS-GEN-23
Are restrooms regularly stocked with necessary s

Toilet / Restroom Access


HS-GEN-24
Are workers allowed access to toilets/restrooms at an

Drinking Water
HS-GEN-25
Does the facility provide workers with free, potable drinking
HS-GEN-26
Does the facility provide workers with potable drinking water in line with legal require

Drinking Water Access


HS-GEN-27
Are workers allowed access to drinking water at an

Building Safety
Permits and Certificates
HS-BUI-1
Are building/construction, structural safety and fire permits and certificates in line with legal require

Structure
HS-BUI-2
Do approved building plans reflect the current building's structure a

HS-BUI-3
Have there been and/or are there currently cases of concern about the physical integrity and stability of the
HS-BUI-4
Are facility doors, exits and stairs in line with legal require

Floors

HS-BUI-5

HS-BUI-5-1
Measures are in place to prevent workers from slipping on floors due to poor construction or lack of main
HS-BUI-5-2
Measures are in place to prevent standing water due to inadequate d
HS-BUI-5-3
Measures are in place to prevent floor openings and/or holes missing covers/suitable
HS-BUI-5-4
None of th

Stairs and Raised Platforms

HS-BUI-6

HS-BUI-6-1
Exposed overhead working surfaces (such as working docks, mezzanine floors, exposed platforms) have a
guardrails and
HS-BUI-6-2
All stairways are equipped with hand railings in good c
HS-BUI-6-3
All facility stairway steps a

HS-BUI-6-4
All facility step surfaces are made from slip resistant materials or have anti-slip protection (i.e. anti-slip sti
embossed/rough s
HS-BUI-6-5
Protection from falling objects underneath graded
HS-BUI-6-6
None of th

Fall Protection
HS-BUI-7
Has the facility taken legally required measures to protect workers from falls from h

HS-BUI-8

HS-BUI-8-1
Workers use fall protection when
HS-BUI-8-2
Fall protection equipment is in good c
HS-BUI-8-3
Fall protection equipment is stored properly in a designated
HS-BUI-8-4
Workers are trained on the proper use of fall protection eq

HS-BUI-8-5
High working areas have walls, fences, or other barriers (or workers wear fall protection at all times when
in thes
HS-BUI-8-6
Not Ap
HS-BUI-8-7
None of th
Elevators
HS-BUI-9
Does the facility have elevator

HS-BUI-10

HS-BUI-10-1
Elevators (lifts) are inspected r
HS-BUI-10-2
Elevator's load capacity (i.e. number of people/kg/lbs.) is clearly displayed in all e

HS-BUI-10-3
All elevators have a sign warning against their use in cases of emergency (i.e. "Do not use elevator in
eme
HS-BUI-10-4
Safety devices have been fitted on elevator doors to prevent them from opening unless the elevator is
HS-BUI-10-5
Elevators are wired to be inoperable when elevator doors a
HS-BUI-10-6
None of th
HS-BUI-11
Are elevators (lifts) in line with legal require

Confined Spaces
HS-BUI-12
Does the facility have confined

PCB
HS-BUI-15
Has the facility conducted an assessment to identify if equipment conta

HS-BUI-16
If equipment contains PCB, does the facility have all of the following safety measures i
• Equipment containing PCB is inspected and labeled acc
• Workers who work with or around equipment containing PCB understand the hazards o

Asbestos

HS-BUI-17

HS-BUI-17-1
Facility has performed an asbestos exposure ass
HS-BUI-17-2
Facility has taken the proper steps to ensure that workers are not exposed to a
HS-BUI-17-3
Materials containing asbestos/asbestos exposure areas are labeled
HS-BUI-17-4
None of th

On-site Vehicles
HS-BUI-18
Is there on-site vehicle traffic at the

Risk Assessment

HS-RIS-1
Has the facility conducted a health and safety risk asse
HS-RIS-2
Has the facility conducted a health and safety risk assessment in line with legal require
HS-RIS-3
When was the last risk assessment con

HS-RIS-4
Is the risk assessment updated if new machinery, processes, chemicals or construction are introduce

HS Policy

HS-HSP-1
Is there a written occupational health and safety policy in line with legal require

Qualified HS Staff

HS-QUA-1
Does the facility comply with legal requirements regarding qualified OS

HS Committee

HS-HSC-1
Does the facility have an occupational safety and health (OSH) com
HS-HSC-2
Is the OSH Committee formed and functioning in line with legal require
HS-HSC-3
How many members are in the OSH com
HS-HSC-4
How many female members are in the OSH com
HS-HSC-5
How many foreign migrant worker members are in the OSH com
HS-HSC-6
How many employer members are in the OSH com
HS-HSC-7
How many worker members are in the OSH com
HS-HSC-8
How many union representatives are in the OSH com

HS-HSC-9

HS-HSC-9-1
Safety committee meetings are held on a mont
HS-HSC-9-2
Safety committee meetings are held at least q
HS-HSC-9-3
Safety committee meeting minutes are shared with the w
HS-HSC-9-4
Safety committee meeting action items are
HS-HSC-9-5
Safety committee communicates complaints and problems shared by workers about OHS to upper mana
HS-HSC-9-6
Upper management recognizes/ accepts the safety co

HS-HSC-9-7
Safety committee meets to review safety issues, track corrective actions and identify opportunities for
improvement of safety co
HS-HSC-9-8
None of th

HS Worker Engagement
HS Cooperation Mechanisms

HS-HSW-1
Are mechanisms to ensure cooperation between workers and management on occupational safety an
matters formed and functioning in line with legal require

Emergency Preparedness
Emergency Response Plan
HS-EME-1
Does the facility have a written Emergency Respon

HS-EME-2
Is an annual review of the Emergency Response Plan conducted to ensure accurate capture and handli
possible emergency sit

Fire Detection and Alarm


HS-EME-3
Does the facility have a fire detection (e.g., smoke/heat detector) system i
HS-EME-4
Is the fire detection system in line with legal require
HS-EME-5
Does the facility have an emergency alarm system in place to notify workers of emerg
HS-EME-6
Is the emergency alarm system in line with legal require

HS-EME-7

HS-EME-7-1
Emergency alarm system is fully fun
HS-EME-7-2
Emergency alarm system is regularly maintained and inspected
HS-EME-7-3
Emergency alarm system can be heard and seen across all facil
HS-EME-7-4
Emergency alarm system buttons/switches/pull stations are easily identified and ac
HS-EME-7-5
Emergency alarm system is fitted with a back-up power source (e.g., battery b
HS-EME-7-6
Emergency alarm system is automatic and cen
HS-EME-7-7
Emergency alarm system is distinct from regula
HS-EME-7-8
None of th

Fire-fighting Equipment
HS-EME-8
Does the facility have legally required fire fighting equ

HS-EME-8.1
Please describe the types of fire fighting equipment used and in which areas of the facility the fire
equipment is
HS-EME-9
Does the facility regularly test and service fire extinguishers in line with legal require

HS-EME-10

HS-EME-10-1
Fire-fighting equipment is clearly marked and equipped with instructions on how to
HS-EME-10-2
Certified fire resistant doors and fire resistant walls are in use in producti
HS-EME-10-3
None of th
HS-EME-11
Has the facility trained workers to use fire-fighting equipment in line with legal require

Evacuation Markings
HS-EME-12
Does the facility have legally required posted evacuation plans, markings (or plot plans), pathways and em

Emergency Exits
HS-EME-13
Are there at least 2 emergency exits from all work stations and rest areas, and on eve
HS-EME-14
Are all emergency exits clearly m

HS-EME-15
Are all emergency exits accessible, unobstructed and unlocked during working hours (including overtime) a
to a place o

HS-EME-16

HS-EME-16-1
Emergency exits are illuminated and visible when it is dark or there i
HS-EME-16-2
Emergency exit doors open outwards or are securely kept open during workin
HS-EME-16-3
Doors that are not exits are clearly marked as "Not
HS-EME-16-4
Emergency exit lighting has a back-up battery providing continuous lighting within a tim
HS-EME-16-5
None of th
HS-EME-17
Are emergency exits in line with other legal require

Evacuation Procedures
HS-EME-18
Does the facility conduct regular emergency drills for all workers in line with legal require

HS-EME-19

HS-EME-19-1
Emergency drills are unann
HS-EME-19-2
Emergency drills cover all shifts, floors, and buildings associated with th
HS-EME-19-3
Every worker ev
HS-EME-19-4
All workers know their primary evacuation route and their secondary route if the primary route is

HS-EME-19-5
Facility has designated emergency assembly areas/meeting points which are large enough to safely accom
all
HS-EME-19-6
Workers meet at assembly/meetin
HS-EME-19-7
All power is tu
HS-EME-19-8
Doors and windows ar

HS-EME-19-9
Staff monitors/leads are present to listen and watch to ensure all alarms work properly and all wor
evacuated as
HS-EME-19-10
There is a system in place to account for all workers during an emergency eva
HS-EME-19-11
There is an assessment after the drill to learn how to improve the evacuation
HS-EME-19-12
Emergency drills are documented in a wr
HS-EME-19-13
None of th
HS-EME-20
Are emergency evacuation procedures in line with legal require

Response Team

HS-EME-21
Does the facility have its own Fire Brigade/Emergency Response Team of designated workers with
responsibilities for fire

HS-EME-22

HS-EME-22-1
Members of the Fire Brigade/Emergency Response Team undergo both initial and refresher trainings
respon

HS-EME-22.1
Please describe when and how often members of the Fire Brigade/Emergency Response Team undergo bo
and refresher trainings on their respons

HS-EME-22-2
Members of the Fire Brigade/Emergency Response Team have the appropriate equipment to fight fires (in
the correct PPE, e.g., breathing ap
HS-EME-22-3
None of th
HS-EME-23
Is the facility accessible to fire response and emergency response v

Flammable and Combustible Materials

HS-FLA-1
Are flammable/combustible materials safely
HS-FLA-2
Are possible sources of ignition sufficiently safeg

Chemicals and Hazardous Substances

HS-CHE-1
Does the facility use chemicals and/or hazardous subs

HS-CHE-2
Has all legally required action been taken to assess, monitor, prevent and limit workers' exposure to chemi
hazardous subs

Storage

HS-CHE-3
Does the facility maintain an inventory of all chemicals and hazardous substances used in the workplace in l
legal require

HS-CHE-4
Are Safety Data Sheets ("SDS", formerly MSDS) available for all chemicals used in the workplace in line w
require
HS-CHE-5
Are chemicals and hazardous substances stored in line with legal require
HS-CHE-6
Are chemicals and hazardous substances labeled in line with legal require

HS-CHE-7

HS-CHE-7-1
Chemical storage areas are appropriately designed, constructed and located for the safe storage of chemi
hazardous sub
HS-CHE-7-2
Chemical storage areas have measures in place to prevent unauthoriz

HS-CHE-7-3
When not in use, all chemical containers are properly capped and stored away so as to prevent spillage,
and unsafe exposure to
HS-CHE-7-4
Chemical storage areas with flammable chemicals are equipped with an automatic fire extinguishing
HS-CHE-7-5
In cases of emergency, there are easy entry(ies) and exit(s) to all chemical stora
HS-CHE-7-6
Chemical storage areas have an alarm notification
HS-CHE-7-7
None of th

Handling
HS-CHE-8
Are workers trained on chemical hazards and safe work practices particular to their job assignment in line w
require

HS-CHE-9

HS-CHE-9-1
Training records on chemical use and handling and disposal and spill cleanup are maintained for the last 12
HS-CHE-9-2
Appropriate containers are used for dispensing all ch
HS-CHE-9-3
Written procedures are in place for reporting and responding to chemical spills inside the producti
HS-CHE-9-4
A complete spill kit (appropriate for the types and use of chemicals in the facility) is available
HS-CHE-9-5
Chemicals are not disposed of in waste bin containers which are generally used for food a
HS-CHE-9-6
None of th

HS-CHE-10
Does the facility have legally required showers, eyewash stations or other proper cleansing materials avai
workers in the event of exposure to hazardous che

HS-CHE-11

HS-CHE-11-1
Eyewash stations and showers are clearly ide
HS-CHE-11-2
Eyewash stations and showers are easy t
HS-CHE-11-3
Eyewash stations and showers are clear of clutte
HS-CHE-11-4
Eyewash stations and showers use potable water at the right temp and p
HS-CHE-11-5
Eyewash stations and showers are regularly in
HS-CHE-11-6
None of th

HS-CHE-12
Have any workers been exposed to a chemical at a level which surpassed the "Threshold Limit Value" ou
legal require

Gas Cylinders
HS-CHE-13
Does the facility use compressed gas cy

Other Legal Requirements


HS-CHE-15
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Chemi
Hazardous Subs

Worker Protection
Imminent Danger

HS-WOR-1
Are workers subject to negative consequences if they remove themselves from work situations that they
present an imminent and serious danger to life or

Special Categories
HS-WOR-2
Are pregnant and nursing workers protected against safety and health risks in line with legal require

Personal Protective Equipment (PPE)


HS-WOR-3
Are workers provided with Personal Protective Equipment (PPE) in line with legal require
HS-WOR-4
Are PPE and clothing paid for by the facility for all w
HS-WOR-5
Are workers trained and encouraged to use personal protective equipment in line with legal require
HS-WOR-5.1
Please describe how often workers are trained on proper use of personal protective equ

HS-WOR-6

HS-WOR-6-1
PPE equipment and clothing provided is in good condition and replaced as needed to ensure effectiven
protect workers from identified
HS-WOR-6-2
PPE is the correct size for all

HS-WOR-6-3
PPE equipment (such as hearing protection) is provided where noise levels approach or exceed the equivale
of 85 decibels (dB) for
HS-WOR-6-4
PPE equipment and clothing provided is consistently and effectively used by

HS-WOR-6-5
Warnings (either through verbal or written communication) are used to ensure that workers use PPE equ
and
HS-WOR-6-6
Penalties (monetary or otherwise) are used to ensure that workers use PPE equipment and
HS-WOR-6.1
Please describe the penalties (monetary or otherwise) used by the facility to ensure that workers
equipment and c
HS-WOR-6-7
The facility ensures the appropriate and safe storage of PPE equipment and clothing
HS-WOR-6-8
None of th

Machinery and Equipment


HS-WOR-7
Are legally required guards properly installed and maintained on all dangerous machinery and equ

HS-WOR-8
Does the facility have legally required and up to date permits/ certificates/ licenses for the installation/ op
maintenance of special machines and equipment (e.g., electrical installations, generator, boiler, other p
vessels, lifting equipment, elevators and/or w

HS-WOR-9
Do operators/ technicians for machinery, equipment, electrical installations, boiler, lifting equipment
welding have legally required license/ permit/ certification/ t

HS-WOR-10

HS-WOR-10-1
Machinery and equipment have a functioning lockout/tagout program, if ap
HS-WOR-10-2
Worker machinery and equipment training records are maintained for at least the last 12
HS-WOR-10-3
Machinery and equipment have safety instructions displayed or posted in the facility in workers' lang
HS-WOR-10-4
None of th
HS-WOR-11
Does the facility use laser or radiation producing equ

Ergonomics
HS-WOR-14
Does the facility have ergonomic measures in place that consider the requirements of both women an

HS-WOR-15

HS-WOR-15-1
Facility has a system for identifying, evaluating and minimizing risks from physically demanding work to
work-related injuries and health
HS-WOR-15-2
Workers are rotated to reduce exposure to repetiti
HS-WOR-15-3
Workers can take short ergonomic breaks during the w
HS-WOR-15-7
None of th
HS-WOR-16
Are ergonomic measures in line with legal require

Hot Work
HS-WOR-17
Does the facility perform any type of "hot work" (i.e. welding, solderin

Materials Handling and Storage


Storage

HS-MAT-1

HS-MAT-1-1
Storage racks and shelving has been secured to permanent st
HS-MAT-1-2
Lighting in storage areas is protected or explosio
HS-MAT-1-3
Facility storage racks have adequate strength to support existi
HS-MAT-1-4
None of th
HS-MAT-2
Are fuel storage tanks designed and handled in line with legal require

Ladders
HS-MAT-3
Does the facility use portable

HS-MAT-4

HS-MAT-4-1
Portable ladders have been inspected for damage and main
HS-MAT-4-2
Ladders have locking devices so that they are secure when open o
HS-MAT-4-3
Workers are trained to place ladders on a secure, even surface whe
HS-MAT-4-4
The facility prohibits tying or fastening together ladders to achieve additiona
HS-MAT-4-5
The facility prohibits placing ladders in front of any doors that may or may not be locked or
HS-MAT-4-6
The facility prohibits using ladders in the horizontal position as a platform or sca
HS-MAT-4-7
Ladders are secured when n
HS-MAT-4-8
None of th

Forklifts
HS-MAT-5
Does the facility have forklifts (or other types of lifting equi

Safety Warnings

HS-SAF-1
Are legally required safety warnings posted in the wo

Electrical Safety
Safety Warnings
HS-ELE-1
Do safety warning labels exist on all electrical equ

Electrical Panels

HS-ELE-2

HS-ELE-2-1
Electrical panels are not easy to access, blocked, and not sufficiently separated from wo
HS-ELE-2-2
Electrical panels including circuit breakers are not adequately
HS-ELE-2-3
Electrical panels including circuit breakers are not in line with legal requi

HS-ELE-2-4
Electrical panels / control panels / distribution boards are not well maintained and not fully enclosed
flammable
HS-ELE-2-5
Circuit breakers are not installed in the electrical p
HS-ELE-2-6
Electrical circuits show indications of overheating or burning due to being ove
HS-ELE-2-7
Switches, plugs and junction boxes are not covered and wires are
HS-ELE-2-8
Electrical wirings are not insulated in non-flammable material, and are
HS-ELE-2-9
None of th

Electrical Wiring
HS-ELE-3

HS-ELE-3-1
Switches, plugs and junction boxes are covered so that no wires are
HS-ELE-3-2
Electrical wirings are insulated in non-flammable
HS-ELE-3-3
Electrical wirings are adequately maintained and dam
HS-ELE-3-4
Electrical wirings are in a safe place (i.e. not on th
HS-ELE-3-5
Electrical wirings are properly grounded (i.e. with electrical panels, metal condu

HS-ELE-3-6
Electrical wires, cables, switches, plugs and equipment (e.g. transformer, generator) are in line w
requi
HS-ELE-3-7
None of th

Maintenance

HS-ELE-4
Is electrical equipment inspection and maintenance carried out by a certified, competent and authorized en
is the electrician licensed) in line with legal require
HS-ELE-5
Does the facility maintain records of electrical equipment maintenance ac
HS-ELE-6
Does the facility conduct maintenance on live electrical equ

Machinery

HS-ELE-7
Is all of the machinery equipment grounded in line with legal requirements (including production equ
compressors, transformer, generato
HS-ELE-8
Are Ground Fault Circuit Interrupters (GFCI) outlets used in wet environ
HS-ELE-9
Are machinery and lighting connected to the appropriate type of power source/industrial conn

High Voltage Areas


HS-ELE-10
Is access to high voltage areas and generator areas restricted to authorized personn
HS-ELE-11
Are any materials stored in high voltag

Sub-Station
HS-ELE-12
Is there an electrical power sub-station on-site at the
HS-ELE-13
Is the sub-station in line with legal requirements or fire-rated const

Emergency Systems
HS-ELE-14
Is a lightning protector/arrestor system installed on the b
HS-ELE-15
Is the lightning protector/arrestor system in line with legal require
HS-ELE-16
Is the back-up emergency power system working and in good co

Compressors and Generators


HS-ELE-17
Are the belt areas of compressors and generators fully enclosed and g

First Aid and Medical


First-aid

HS-FIR-1

HS-FIR-1-1
First-aid kits are sufficient in
HS-FIR-1-2
First-aid kits are sufficiently maintained (fully stocked and without expire
HS-FIR-1-3
First aid kits are clearly marked and readily ac
HS-FIR-1-4
Facility trains a sufficient number of workers in
HS-FIR-1-5
First aid training records are
HS-FIR-1-6
None of th

Health Checks

HS-FIR-2
Are specialized health checks conducted for workers performing high-risk activities (i.e. radiation, chemic
machine
HS-FIR-3
Are health checks of workers conducted in line with legal require
HS-FIR-4
Is documentation of health checks maintained and up

Medical Treatment
HS-FIR-5
Are on-site medical facilities/clinic(s) and staff in line with legal require

HS-FIR-6

HS-FIR-6-1
Medical facilities/clinic(s) are provided with supplies and equipment for the injuries e
HS-FIR-6-2
Medical facilities/clinics are kept clean and
HS-FIR-6-3
Medical facilities/clinics are in operation during all working hours, including o
HS-FIR-6-4
Medical facilities/clinic(s) have an appointed docto
HS-FIR-6-5
Medical facilities/clinic(s) are equipped for maternal he
HS-FIR-6-6
Medicines stored in medical facilities/clinics are kept under lock and key and only accessible by medical pe
HS-FIR-6-7
None of th

Medical Treatment Access


HS-FIR-7
Are workers allowed access to on-site medical facilities at an

Contagious Diseases
HS-FIR-8
Does the facility have a written plan for handling outbreaks of contagious d

HS-FIR-9

HS-FIR-9-1
Handwashing/sanitizing
HS-FIR-9-2
Workstations are more than 6
HS-FIR-9-3
Physical barriers between work
HS-FIR-9-4
Temperature checks or other health scans as workers enter the wo
HS-FIR-9-5
Training for workers on preventing the spread of contagious
HS-FIR-9-6
Providing workers with additional PPE (e.g. masks, gloves) specifically to prevent the spread of contagious
HS-FIR-9-7

HS-FIR-9.1
If other, please d
HS-FIR-9-8
Not Ap
HS-FIR-9-9
None of th

Work-related Accidents and Diseases

HS-FIR-10
Does the facility record work-related accidents and diseases and report them to the competent authorit
with legal require
HS-FIR-11
Were records of all work-related injuries, fatalities, accidents and incidents retained for at least 12 m
HS-FIR-12
Number of work-related injuries that resulted in at least three days of absence fro
HS-FIR-13
Number of work-related injuries that resulted in less than three days of absence fro

HS-FIR-14
Number of work-related dangerous occurrences in the last 12 months (e.g. collapse, partial collapse, exp
electrical fi
HS-FIR-15
Number of commuting injuries in the last 12
HS-FIR-16
Number of work-related diseases in the last 12

HS-FIR-17
Does the facility have an established accident investigation procedure to effectively determine root caus
corrective
HS-FIR-18
Does the facility comply with occupational safety and health-related legal requirements on HI

Contractor Safety

HS-CON-1
Does the facility use contractor personnel to perform maintenanc

Dormitories

HS-DOR-1
Are building/construction, structural safety and fire permits and certificates for housing/dormitories in l
legal require

HS-DOR-2

HS-DOR-2-1
Housing/dormitories are separate from the production and warehouse areas (even though they may be in th
compound/industr
HS-DOR-2-2
Housing/dormitories a
HS-DOR-2-3
Housing/dormitories provide a separate bed for each
HS-DOR-2-4
Housing/dormitories have minimum space dimensions in line with applicable legal requi
HS-DOR-2-5
Beds are arranged in tiers not more t
HS-DOR-2-6
Housing/dormitories are lit in line with applicable legal requi
HS-DOR-2-7
Housing/dormitories are ventilated in line with applicable legal requi
HS-DOR-2-8
Housing/dormitories are protected against heat, cold, and dampness in line with applicable legal requi
HS-DOR-2-9
Housing/dormitories are protected against noise in line with applicable legal requi

HS-DOR-2-10
Housing/dormitories are protected against disease carrying animals or insects in line with applica
requi
HS-DOR-2-11
Housing/dormitories cooking and storage facilities are in line with applicable legal requi
HS-DOR-2-12
Housing/dormitories offer workers adequate
HS-DOR-2-13
Housing/dormitories have free and potable water in line with applicable legal requi
HS-DOR-2-14
Housing/dormitories have legally required toilets, showers, sewage and garbage disposa
HS-DOR-2-15
Dormitories/ rooms, toilet and bathing facilities are marked, and segregated by
HS-DOR-2-16
Housing/dormitories are protected from fire in line with applicable legal requi
HS-DOR-2-17
Housing/dormitories are prepared for emergencies in line with applicable legal requi
HS-DOR-2-18
Housing/dormitories provide provisions for pregnant and nursing
HS-DOR-2-19
Housing/dormitories having trained security pe
HS-DOR-2-20
None of th
HS-DOR-3
Are housing/dormitories in line with all other health and safety legal require

Canteens

Childcare

HS-CHI-1
Are on-site childcare facilities in line with legal require
Children
Presence on Work Floor

HS-CHIL-1
Are children below the legal minimum age for employment allowed in the production area, even if they
w

Facilities

HS-FAC-1
Does the facility provide all legally required fa

Health and Safety


Other Legal Requirements

HS-HEAL-1
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding H

HS-HEAL-2
Is the facility in non-compliance with any legal requirements for Health & Safety pertaining to non-pro
workers and/or sub-contracted w

Facility Comments

HS-FACI-1
Please describe any concerns or difficulties with questions listed in this

TERMINATION

Section Instructions

Section Description: The purpose of the Termination section is to understand the facility's social and labor pr
employment relationship. Termination is typically voluntary in cases of resignation or retirement and involun

• Forced Labor
• Employment Practices
• Discrimination
• Facility Comments

Forced Labor
Sub-Section Instructions (Select/click on below cell to ensure you see all
Other relevant ILO documents: C181 Private Employment Agencies Convention, 1997 and C1 Hours of Work

Notice
TER-FOR-1
For workers seeking to end their employment, how many days of notice are required by the

Debts
TER-FOR-2
Can workers who owe debts to the facility and/or a third party freely leave the

Withholding

TER-FOR-3
Has the facility ever withheld - or threatened to withhold - or delayed wage payments in order to keep wo
the

Leaving
TER-FOR-4
Are workers free to terminate their employment after their notice period and/or contract

Employment Practices
Unjust Termination

TER-EMP-1
Does the facility not follow legal requirements when workers resign or are terminated in rela
• prior
• workers' opportunity to
• valid reasons for term
• outstanding
• termination pa
• termination payments all paid o
• compensation for unused annual leave,
• reinstatement/ compensation

Notice

Opportunity to Defend

Invalid Reasons
Outstanding Wages

Severance Payment

Timely Termination Payment

Unused Annual Leave

Other Termination Benefits

Reinstatement/ Compensation Orders

Suspension / Reduction Workforce

TER-EMP-3
Does the facility comply with legal requirements before suspending workers or reducing the size of the wo
due to economic, technological, structural, operational or other similar c

TER-EMP-4
Did the facility consult with worker representatives and/or trade union representatives to develop alterna
suspension or reduction in workforce that was due to economic, technological, structural, operational
similar c

Discrimination
Sub-Section Instructions (Select/click on below cell to ensure you see all

Overall International Labor Standard Compliance Guidance: Discrimination includes any distinction based on
unequal treatment. Other grounds of discrimination may be included in national law, such as disability, HIV/A
to be intentional. Indirect discrimination refers to apparently neutral practices, which in fact result in unequa
necessary because of the inherent requirements of the particular job, although this exception is rare. Also, m
international labor Conventions and Recommendations, such as maternity protection. Distinctions also may
example, laws that offer preferential treatment to women in hiring in order to remedy the effects of past dis

Applicable legal standards include the ILO Core Conventions, C100 Equal Remuneration Convention, 1951 an
standards for discrimination; other conventions in force in the country; applicable legislation; Collective Barg

Other relevant ILO documents: R90 Equal Remuneration Recommendation, 1951; R111 Discrimination (Empl
Convention, 1981; R165 Workers with Family Responsibilities Recommendation, 1981

Termination
TER-DIS-1
Have race, skin color, sex (gender), religion, political opinion, national extraction, social origin, disability, H
status, sexual orientation, pregnancy/maternity status, marital status, family responsibilitie
nationality/foreign migrant worker status been a factor in decisions regarding termination, forced resi
retrenchment or reti

Absence due to Illness

TER-DIS-3
Have decisions of termination, forced resignation, retrenchment or retirement been dependent upon a w
absence due to

Complaints / Proceedings

TER-DIS-4
Has termination, forced resignation, retrenchment or retirement ever occurred due to a worker filing a comp
taking part in proceedings against the

Other Legal Requirements

TER-DIS-5
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Discrim
in Term

Termination
Other Legal Requirements

TER-TER-1
Are facility practices out of compliance with any legal requirements not covered elsewhere regarding Term
Pr

TER-TER-2
Is the facility in non-compliance with any legal requirements for Termination pertaining to non-production
and/or sub-contracted w

Facility Comments

TER-FAC-1
Please describe any concerns or difficulties with questions listed in this

MANAGEMENT SYSTEMS

Section Instructions
Section Description: Management Systems related to Social and Labor practices are very facility dependent.
process and organizational maturity. However, despite their general differences, common themes can be fou
information gathering exercise on possible Social and Labor elements the facility might have based on a Plan
within this tool, covers the following items:

"Plan" - Polices and Procedures / Strategy and Goals


"Do" - Roles and Responsibility / Communication and Training
"Check" - Self-Assessment
"Act" - Continuous Improvement

The questions listed below are simply a starting point to better understand the various aspects that might m
itself a direct reflection of the overall quality of the management system. As with other sections within this t
additional discussions outside of the tool with interested parties can take place.

A note to the respondent: Many of the same social and labor topics mentioned in "Step 1" are also included
certain actions "are a taking place". While "Step 2" will determine if more formal management systems exist

Plan
Policies & Procedures

MS-PLA-1

MS-PLA-1-1
Written

MS-PLA-1.1

Please provide a list of all relevant written


MS-PLA-1-2
Written Pro
MS-PLA-1.2

Please provide a list of all relevant written proc


MS-PLA-1-3
No written policies or procedures in place (but informal procedures m

MS-PLA-2

MS-PLA-2-1
Reference to nati
MS-PLA-2-2
Reference to international law/ILO con
MS-PLA-2-3
Reference to other national or international requirements/declarations/goals/guiding princi
MS-PLA-2-4
No references to any of th

MS-PLA-3

MS-PLA-3-1
Recruitment an
MS-PLA-3.1
Please provide a list of all written policies and procedures referencing recruitment an
MS-PLA-3-2
Termination and retren
MS-PLA-3.2
Please provide a list of all written policies and procedures referencing termination and retren
MS-PLA-3-3
Facility workpla
MS-PLA-3.3
Please provide a list of all written policies and procedures referencing facility workpla
MS-PLA-3-4
Child labor and/or young
MS-PLA-3.4
Please provide a list of all written policies and procedures referencing child labor and/or young w
MS-PLA-3-5
Prohibition of forc
MS-PLA-3.5
Please provide a list of all written policies and procedures referencing prohibition of force
MS-PLA-3-6
Anti-harassment an
MS-PLA-3.6
Please provide a list of all written policies and procedures referencing anti-harassment and
MS-PLA-3-7
Anti-discrim
MS-PLA-3.7
Please provide a list of all written policies and procedures referencing anti-discrim
MS-PLA-3-8
Workin
MS-PLA-3.8
Please provide a list of all written policies and procedures referencing workin
MS-PLA-3-9
Wages and
MS-PLA-3.9
Please provide a list of all written policies and procedures referencing wages and b
MS-PLA-3-10
D
MS-PLA-3.10
Please provide a list of all written policies and procedures referencing di
MS-PLA-3-11
Freedom of association and collective ba

MS-PLA-3.11 Please provide a list of all written policies and procedures referencing freedom of association and c
bar
MS-PLA-3-12
Grievance
MS-PLA-3.12
Please provide a list of all written policies and procedures referencing grievance s
MS-PLA-3-14
Health an
MS-PLA-3.14
Please provide a list of all written policies and procedures referencing health and
MS-PLA-3-15
Foreign migrant
MS-PLA-3.15
Please provide a list of all written policies and procedures referencing foreign migrant w
MS-PLA-3-16
Domestic migrant
MS-PLA-3.16
Please provide a list of all written policies and procedures referencing domestic migrant w
MS-PLA-3-17
Home
MS-PLA-3-18
Suppliers/subcon
MS-PLA-3.18
Please provide a list of all written policies and procedures referencing suppliers/subcont
MS-PLA-3-19
Raw materials
MS-PLA-3.19
Please provide a list of all written policies and procedures referencing raw materials s
MS-PLA-3-20
Bribery and anti-co
MS-PLA-3.20
Please provide a list of all written policies and procedures referencing Bribery and anti-cor
MS-PLA-3-21

MS-PLA-3.21
If other, please describe and provide a list of the relevant written policies and proc

MS-PLA-4

MS-PLA-4-1
Facility minimum age requ
MS-PLA-4-2
Facility minimum age requirements for certain types of workers (if ap
MS-PLA-4-3
Age Verification

MS-PLA-4-4
Remediation for child labor (for when children under the legal minimum working age are found to be wor
the

MS-PLA-4-5
Children visiting facility production areas (i.e. for when those under the legal working are visiting the pro

MS-PLA-4-6
Work restrictions for young
MS-PLA-4-7
Work restrictions for apprentices/interns/
MS-PLA-4-8

MS-PLA-5

MS-PLA-5-1
Prohibition of forc
MS-PLA-5-2
Prohibition of bond
MS-PLA-5-3
Prohibition of indentur
MS-PLA-5-4
Prohibition of pris
MS-PLA-5-5
Prohibition of human tr
MS-PLA-5-6
Voluntary emp
MS-PLA-5-7
Voluntary o
MS-PLA-5-8
Freedom of mo
MS-PLA-5-9
Voluntary end of emp
MS-PLA-5-10
Ethical recruitment/ use of employment agencies, recruiters, and/or labo
MS-PLA-5-11
State-imposed forced labor/ Government-mandated forc
MS-PLA-5-12

MS-PLA-6

MS-PLA-6-1
Appropriate behavior among/between workers, management, sup
MS-PLA-6-2
Appropriate behavior by security guards (if ap
MS-PLA-6-3
Violence and harassment in the wo
MS-PLA-6-4
Anti-discrim
MS-PLA-6-5

MS-PLA-7

MS-PLA-7-1
Non-discrimination based on race / sk
MS-PLA-7-2
Non-discrimination based on sex
MS-PLA-7-3
Non-discrimination based on
MS-PLA-7-4
Non-discrimination based on political
MS-PLA-7-5
Non-discrimination based on national ex
MS-PLA-7-6
Non-discrimination based on soc
MS-PLA-7-7
Non-discrimination based on d
MS-PLA-7-8
Non-discrimination based on HIV/AIDS status (real or pe
MS-PLA-7-9
Non-discrimination based on sexual ori
MS-PLA-7-10
Non-discrimination based on pregnancy/maternit
MS-PLA-7-11
Non-discrimination based on marit
MS-PLA-7-12
Non-discrimination base
MS-PLA-7-13
Non-discrimination based on membership in worker organ
MS-PLA-7-14
Non-discrimination based on Nationality/foreign migrant worke
MS-PLA-7-15
Non-discrimination based on family respon
MS-PLA-7-16
Non-discrimination in recruitment an
MS-PLA-7-17
Non-discrimination in compensation and pr
MS-PLA-7-18
Non-discrimination in working co
MS-PLA-7-19
Non-discrimination in d
MS-PLA-7-20
Non-discrimination in term
MS-PLA-7-21
Unconsci
MS-PLA-7-22

MS-PLA-8

MS-PLA-8-1
Regul
MS-PLA-8-2
Overtime - Including maximum hours
MS-PLA-8-3
Premiu
MS-PLA-8-4
Overtime applicability and corresponding rate
MS-PLA-8-5
Overtime accessibility for all
MS-PLA-8-6

MS-PLA-9

MS-PLA-9-1
Wage p
MS-PLA-9-2
Wage calc
MS-PLA-9-3
Rate
MS-PLA-9-4
Overti
MS-PLA-9-5
Pa
MS-PLA-9-6
Annu
MS-PLA-9-7
S
MS-PLA-9-8
Matern
MS-PLA-9-9
Patern
MS-PLA-9-10
Emergency fam
MS-PLA-9-11

MS-PLA-9-12
De
MS-PLA-9-13

MS-PLA-10

MS-PLA-10-1
Facility rules concerning d
MS-PLA-10-2
Worker appeals
MS-PLA-10-3
Worker grievance
MS-PLA-10-4

MS-PLA-11

MS-PLA-11-1
Right to freedom of association / Right to form or join a trad
MS-PLA-11-2
Rights to freely choose worker representatives (or facility commitments to not obstr
MS-PLA-11-3
Rights to bargain col

MS-PLA-11-4
Non-discrimination and non-retaliation of workers on basis of trade union membership/non-membe
a
MS-PLA-11-5
Non-discrimination and non-retaliation of workers on basis of their worker representative role or a
MS-PLA-11-6
Democratic election and engagement of worker represe
MS-PLA-11-7
Communications and consultation
MS-PLA-11-8
Right to participate in strikes / industri
MS-PLA-11-9

MS-PLA-12
MS-PLA-12-1
Grievance system and
MS-PLA-12-2
Non-reprisal for workers filing a grievance/co
MS-PLA-12-3
Equal access to grievance systems for both female and male
MS-PLA-12-5
Equal importance given to all concerns and grie
MS-PLA-12-6
Commitment to confidentiality throughout the entire grievance
MS-PLA-12-7
Providing time off (including monetary compensation) during a grievance
MS-PLA-12-8

MS-PLA-13

MS-PLA-13-1
Occupational health and saf
MS-PLA-13-2
General work environment (i.e. ventilation, cleanliness, no
MS-PLA-13-3
Buildin
MS-PLA-13-4
Powered Motor Vehicles (PMV) pro
MS-PLA-13-5
Emergency prepa
MS-PLA-13-6
Chemicals/Hazardous sub
MS-PLA-13-7
Nanom
MS-PLA-13-8
Worker Protection (personal protective equipment, machinery and equipme
MS-PLA-13-9
Pressure vesse
MS-PLA-13-10
Materials handling and
MS-PLA-13-11
Above Ground Storage Tanks & Underground Storag
MS-PLA-13-12
Electric
MS-PLA-13-13
First aid/
MS-PLA-13-14
Bloodborne pathogens pro
MS-PLA-13-15
Contracto
MS-PLA-13-16
Dor
MS-PLA-13-17
C
MS-PLA-13-18
C
MS-PLA-13-19
Standard operating procedures (SOPs) for how to perform each jo
MS-PLA-13-20
Steps for workers to raise health and safety c
MS-PLA-13-21
Protection against retaliation for workers who raise health and safety c
MS-PLA-13-22

MS-PLA-14

MS-PLA-14-1
Reference to following all local laws for recruitment in both the sending and receiving c
MS-PLA-14-2
Recruitment fees and e
MS-PLA-14-3
Employment c
MS-PLA-14-4
D
MS-PLA-14-5
Bank a
MS-PLA-14-6
Handling of government-issued identification doc
MS-PLA-14-7
Accommo
MS-PLA-14-8
Arrival ori
MS-PLA-14-9
Freedom of mo
MS-PLA-14-10
Non-discrimination in emp
MS-PLA-14-11
Harassment and abuse in emp
MS-PLA-14-12
Discipline in emp
MS-PLA-14-13
Repatriation / end of emp
MS-PLA-14-14
Early termination of contract by migran
MS-PLA-14-15
Involuntary termination of contract by e
MS-PLA-14-16
Requirements for labor agents
MS-PLA-14-17

MS-PLA-15
MS-PLA-15-1
Recruitment fees and e
MS-PLA-15-2
Employment c
MS-PLA-15-3
D
MS-PLA-15-4
Wages and
MS-PLA-15-5
Workin
MS-PLA-15-6
Accommo
MS-PLA-15-7
Freedom of mo
MS-PLA-15-8
Non-discrimination in emp
MS-PLA-15-9
Harassment and abuse in emp
MS-PLA-15-10
Discipline in emp
MS-PLA-15-11
End of emp
MS-PLA-15-12
Requirements for labor agents
MS-PLA-15-13

MS-PLA-16

MS-PLA-16-1
Definition of supplier which includes service providers and raw materials s

MS-PLA-16-2
NEW and EXISTING suppliers/subcontractors - Risk assessment to differentiate high risk suppliers/subcon
within the supp

MS-PLA-16-3
NEW suppliers/subcontractors - Initial screening based on social and labor practices / conducting social a
due d
MS-PLA-16-4
EXISTING suppliers/subcontractors - Training and communication of the facility's social and labor pro

MS-PLA-16-5
EXISTING suppliers/subcontractors - Monitoring system of social and labor performance/ continued social a
due d
MS-PLA-16-6
Requiring suppliers to conduct social and labor due diligence of their suppl
MS-PLA-16-7
MS-PLA-17

MS-PLA-17-1
Customer and/or legal requirements for raw materials identification, reporting and/or due d

MS-PLA-17-2
Raw material supply chain policy applicable to suppliers/subcontractors through facility's sourcing agreeme
its suppliers/subcon
MS-PLA-17-3
Risk assessment to differentiate high risk materials within the supp
MS-PLA-17-4

Do
Roles and Responsibilities

MS-DO-1

MS-DO-1-1
Responsible person(s) have been defined and are accountable for written policies and/or pro
MS-DO-1-2
Responsible person(s) have been defined and are accountable for informal (not written) pro
MS-DO-1-3
The facility has not defined responsible p

MS-DO-2

MS-DO-2-1
Recruitment an
MS-DO-2-2
Termination and retren
MS-DO-2-3
Facility workpla
MS-DO-2-4
Child labor and young
MS-DO-2-5
Prohibition of forc
MS-DO-2-6
Anti-harassment an
MS-DO-2-7
Anti-discrim
MS-DO-2-8
Workin
MS-DO-2-9
Wages and
MS-DO-2-10
D
MS-DO-2-11
Freedom of association and collective ba
MS-DO-2-12
Grievance
MS-DO-2-14
Health an
MS-DO-2-15
Foreign migrant
MS-DO-2-16
Domestic migrant
MS-DO-2-17
Home
MS-DO-2-18
Suppliers/subcon
MS-DO-2-19
Raw materials
MS-DO-2-20
Bribery and anti-co
MS-DO-2-21

Communication and Training

MS-DO-4

MS-DO-4-1
Communication and training based upon written policies and/or pro
MS-DO-4-2
Communication and training based upon informal (not written) pro
MS-DO-4-3
The facility does not provide communication and training on social and labor p

MS-DO-5

MS-DO-5-1
Senior mana
MS-DO-5-2
Individuals responsible for implem
MS-DO-5-3
Production
MS-DO-5-4
Securit
MS-DO-5-5
Subcontractors / S
MS-DO-5-6

MS-DO-7
MS-DO-7-1
Recruitment an
MS-DO-7-2
Termination and retren
MS-DO-7-3
Facility workpla
MS-DO-7-4
Child labor and young
MS-DO-7-5
Prohibition of forc
MS-DO-7-6
Anti-harassment an
MS-DO-7-7
Anti-discrim

MS-DO-7-8
Specifically for senior managers responsible for promotion: non-bias in promotion of pregnant and married
MS-DO-7-9
Workin
MS-DO-7-10
Wages and
MS-DO-7-11
D
MS-DO-7-12
Freedom of association and collective ba
MS-DO-7-13
Grievance
MS-DO-7-15
Health an
MS-DO-7-16
Migrant
MS-DO-7-17
Home
MS-DO-7-18
Suppliers/subcon
MS-DO-7-19
Raw materials
MS-DO-7-20
Bribery and anti-co
MS-DO-7-21

MS-DO-9

MS-DO-9-1
Recruitment an
MS-DO-9-2
Specifically for managers responsible for hiring: non-bias in recruitment of pregnant and married
MS-DO-9-3
Termination and retren
MS-DO-9-4
Facility workpla
MS-DO-9-5
Child labor and young
MS-DO-9-6
Prohibition of forc
MS-DO-9-7
Anti-harassment an
MS-DO-9-8
Anti-discrim
MS-DO-9-9
Workin
MS-DO-9-10
Wages and
MS-DO-9-11
D
MS-DO-9-12
Freedom of association and collective ba
MS-DO-9-13
Grievance
MS-DO-9-15
Health an

MS-DO-9.1

Please provide a list of all trainings offered to workers responsible for implementation of health and safe

MS-DO-9-16
Migrant
MS-DO-9-17
Home
MS-DO-9-18
Suppliers/subcon
MS-DO-9-19
Raw materials
MS-DO-9-20
Bribery and anti-co
MS-DO-9-21

MS-DO-11

MS-DO-11-1
Recruitment an
MS-DO-11-2
Termination and retren
MS-DO-11-3
Facility workpla
MS-DO-11-4
Child labor and young
MS-DO-11-5
Prohibition of forc
MS-DO-11-6
Anti-harassment an
MS-DO-11-7
Anti-discrim
MS-DO-11-8
Workin
MS-DO-11-9
Wages and
MS-DO-11-10
D
MS-DO-11-11
Freedom of association and collective ba
MS-DO-11-12
Grievance
MS-DO-11-14
Health an
MS-DO-11.1
Please provide a list of all health and safety trainings offered to NEW production workers in th
MS-DO-11-15
Migrant
MS-DO-11-16
Home
MS-DO-11-17
Suppliers/subcon
MS-DO-11-18
Bribery and anti-co
MS-DO-11-19

MS-DO-13

MS-DO-13-1
Recruitment an
MS-DO-13-2
Termination and retren
MS-DO-13-3
Facility workpla
MS-DO-13-4
Child labor and young
MS-DO-13-5
Prohibition of forc
MS-DO-13-6
Anti-harassment an
MS-DO-13-7
Anti-discrim
MS-DO-13-8
Workin
MS-DO-13-9
Wages and
MS-DO-13-10
D
MS-DO-13-11
Freedom of association and collective ba
MS-DO-13-12
Grievance
MS-DO-13-14
Health an

MS-DO-13.1
Please provide a list of all health and safety trainings offered to EXISTING production workers in th
MS-DO-13-15
Migrant
MS-DO-13-16
Home
MS-DO-13-17
Suppliers/subcon
MS-DO-13-18
Bribery and anti-co
MS-DO-13-19

MS-DO-15

MS-DO-15-1
Prohibition of forc
MS-DO-15-2
Anti-harassment an
MS-DO-15-3
Anti-discrim
MS-DO-15-4
Bribery and anti-co
MS-DO-15-5

MS-DO-16

MS-DO-16-1
Verbal commu
MS-DO-16-2
Written communication (i.e. supply contracts might include reference to social and labor p
MS-DO-16-3
Multi-media communication (i.e. video, online learni
MS-DO-16-4
Training - new subcontractors/suppliers receive onboarding trainings in-person (i.e. classroom trainin
MS-DO-16-5
Training - existing subcontractors/suppliers receive on-going trainings in-person (i.e. classroom trainin
MS-DO-16-6
MS-DO-17

MS-DO-17-1
Child labor and young
MS-DO-17-2
Prohibition of forc
MS-DO-17-3
Anti-harassment an
MS-DO-17-4
Anti-discrim
MS-DO-17-5
Workin
MS-DO-17-6
Wages and
MS-DO-17-7
D
MS-DO-17-8
Freedom of association and collective ba
MS-DO-17-9
Grievance
MS-DO-17-10
Worker F
MS-DO-17-11
Health an
MS-DO-17-12
Migrant
MS-DO-17-13
Home
MS-DO-17-14
Supplier/subcontractor due diligence requi
MS-DO-17-15
Raw materials sourcing due diligence requi
MS-DO-17-16
Bribery and anti-co
MS-DO-17-17

Check
Monitoring

MS-CHE-1

MS-CHE-1-1
Facility conducts regular internal reviews and/or assessments of all social and labor policies and procedures
facility has imple
MS-CHE-1-2
Facility conducts regular reviews and/or assessments of social and labor practices within their supply chai
suppliers and subcontractors, including raw materials s
MS-CHE-1-3
Facility keeps records of these assessments and any violations that were un
MS-CHE-1-4
Results are reported to senior mana

MS-CHE-1-5
Facility does not perform regular reviews and/or assessments on social and labor practices within the facility
within their supp

Self Assessment

MS-CHE-2

MS-CHE-2-1
Government w
MS-CHE-2-2
Government offices /commun
MS-CHE-2-3
Con
MS-CHE-2-4

MS-CHE-2-5
Customer
MS-CHE-2-6
Health and safety e
MS-CHE-2-7
Corporate Social Responsibility or "CSR" team established i
MS-CHE-2-8
Management team briefs the w
MS-CHE-2-9
Appointed worke
MS-CHE-2-10
Magazine subscr
MS-CHE-2-11
Industry body b
MS-CHE-2-12

MS-CHE-2-13
Facility does not use any methods and is not aware of changes/

MS-CHE-3

MS-CHE-3-1
Recruitment an
MS-CHE-3.1
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-2
Termination and retren
MS-CHE-3.2
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-3
Facility workpla
MS-CHE-3.3
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-4
Child labor and young
MS-CHE-3.4
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-5
Prohibition of forc
MS-CHE-3.5
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-6
Anti-harassment an
MS-CHE-3.6
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-7
Anti-discrim
MS-CHE-3.7
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-8
Workin
MS-CHE-3.8
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-9
Wages and
MS-CHE-3.9
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-10
D
MS-CHE-3.10
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-11
Freedom of association and collective ba
MS-CHE-3.11
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-12
Grievance
MS-CHE-3.12
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-14
Health an
MS-CHE-3.14
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-15
Foreign migrant
MS-CHE-3.15
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-16
Domestic migrant
MS-CHE-3.16
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-17
Home
MS-CHE-3-18
Suppliers/subcon
MS-CHE-3.18
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-19
Raw materials
MS-CHE-3.19
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-20
Bribery and anti-co
MS-CHE-3.20
Please describe how often (or when) the policies and procedures are reviewed/u
MS-CHE-3-21

MS-CHE-3-22
Facility does not review/update policies and procedures (written or in

Act
Continuous Improvement

MS-ACT-1

MS-ACT-1-1
Plans are created based on issues uncovered through monitoring and ev
MS-ACT-1-2
Plans include root cause analys
MS-ACT-1-3
Plans include grievances and suggestions raised by
MS-ACT-1-4
Plans are completed and the related issues
MS-ACT-1-5
Written records are ma
MS-ACT-1-6

MS-ACT-1-7
The facility does not create improveme

Facility Comments

MS-FAC-1
Please describe any concerns or difficulties with questions listed in this
100.00%
RECRUITMENT & HIRING - Employment Practices - Contracts / 0.00% WAGES & B
T&Cs
###
###
###

cope of facility operations and determine what questions in other sections of the Tool are applicable to this specific facility.

cility Profile (especially within the "Building Structures" and "Worker Demographics" section) will dictate which questions you

ot Applicable".
es, please choose the most appropriate or positive answer and use the question under Sub-Section Facility Comments to

entire self/joint-assessment to ensure an accurate answer: FP-BAS-26 Date of self/ or joint-assessment submission (YYYY-

n date. If scheduling does not allow you to complete the verification in time, then ensure you update this self/joint-
###
###
###
###

ur facility would like to complete: Info Select: Step 2 FACILITY PR


###
###
###

y Name (as per business license): Info Response Here: PT. Kwangduk Worldwide FACILITY PR
Jalan Raya Cipeundeuy RT 04 / RW 06 Cikalong Village
Address (as per business license): Info Response Here: Cikalong Wetan District FACILITY PR
Address (as per business license): Info Response Here: West Bandung Regency FACILITY PR

Address (as per business license): Info Response Here: West Java FACILITY PR

Address (as per business license): Info Response Here: 40556 FACILITY PR

anguage as per business license): Info Response Here: Jalan


PT. Kwangduk Worldwide
Raya Cipeundeuy RT 04 / RW 06 Desa Cikalong FACILITY PR
Kecamatan Cikalong Wetan Kabupaten Bandung Barat Jawa
anguage as per business license): Info Response Here: Barat 40556 FACILITY PR

Facility Country: Info Select: Indonesia FACILITY PR

Facility Geolocation Latitude: Info Response Here: -6.740765 FACILITY PR

Facility Geolocation Longitude: Info Response Here: 107.427946 FACILITY PR

Facility Contact Name: Info Response Here: Mike Jung FACILITY PR

Facility Contact Title: Info Response Here: Head Manager FACILITY PR

Facility Contact Phone #: Info Response Here: 6282114738746 FACILITY PR

Facility Phone #: Info Response Here: 62226973456 FACILITY PR

Facility Email: Info Response Here: ykjung@kwangduk.com FACILITY PR


###
###

rmal Hours of Operation per day: Info Response Here: 07.00 - 16.00 FACILITY PR

on for each (Normal Operations): Info Response Here: Non shift FACILITY PR

ation for each (Peak Operations): Info Response Here: Non shift FACILITY PR
###
###

Peak Operation Months: Info Response Here: October to February & May to August FACILITY PR
###
###

Submission Type: Info Select: Self-assessment (SA) by facility (only) FACILITY PR

tting the self/ or joint-assessment: Response Here: Yadi Supahmi FACILITY PR

tting the self/ or joint-assessment: Response Here: kd-compliance@kwangduk.com FACILITY PR

ment submission (YYYY-MM-DD): Date Here: 2022-02-25 FACILITY PR


###
###
###

otal number of buildings on-site: Info Select: 1 FACILITY PR


###
###

r of production buildings on-site: Info Select: 1 FACILITY PR


###
###

Number of warehouses on-site: Info Select: 1 FACILITY PR

arate from production buildings? Info Select: Warehouses are within production buildings FACILITY PR
###
###

Number of on-site dormitories: Info Number Here: 1 FACILITY PR


###
###

ged or controlled by the facility? Info Select: No FACILITY PR

an entity other than the facility? Info Select: No FACILITY PR


###
###

an on-site canteen/eating area? Info Select: No FACILITY PR


###
###

there on-site childcare facilities? Info Select: No FACILITY PR


###
###

1. Security post and customs office : 75 m2


2. Temporary hazardous waste storage : 16 m2
3. Chemical storage : 24 m2
4. Dormitory : 624 m2 (management only)
5. Eating area : 1054 m2
6. Hanger warehouse : 90 m2
7. Machine warehouse : 72 m2
ribe any other types of buildings: Info Response Here: 8. Parking area : 420 m2 FACILITY PR
###
###
y Area (m2) - only built premises: Info Number Here: 16.154 FACILITY PR
###
###

The Factory's building is 15 years old building and consits of


one main building. The total area occupied by the factory is
approximately 47.823 square meters for land and 16.154
square meters for Building, detail as follow :
One main building had two floors. The first floor has used for
production and office areas. The second floor has used for
ding age of each facility building: Response Here: cutting and warehouse. FACILITY PR
###
###

lity is the legal owner of the site: Select: Yes FACILITY PR


###
###

acility is in a multi-floor building: Select: No FACILITY PR


###
###

with other facilities/enterprises: Select: No FACILITY PR


###
###

as been converted into a facility: Select: No FACILITY PR

ated within any facility buildings: Info Select: No FACILITY PR


###
###
###

f self/joint-assessment completion on the Accredited Host platform. ###

Total number of workers: Info Number Here: 1019 FACILITY PR

Total number of workers reflect? Info Number Here: 85.00% FACILITY PR

Number of male workers: Info Number Here: 50 FACILITY PR

Number of full-time workers: Info Number Here: 1019 FACILITY PR

umber of male full-time workers: Info Number Here: 50 FACILITY PR


Number of part-time workers: Info Number Here: 0 FACILITY PR

Number of permanent workers: Info Number Here: 151 FACILITY PR

ber of male permanent workers: Info Number Here: 25 FACILITY PR

Number of temporary workers: Info Number Here: 868 FACILITY PR

mber of male temporary workers: Info Number Here: 25 FACILITY PR

mber of agency/contract workers: Info Number Here: 0 FACILITY PR

t part of the production process: Info Number Here: 0 FACILITY PR

mber of foreign migrant workers: Info Number Here: 5 FACILITY PR

of male foreign migrant workers: Info Number Here: 5 FACILITY PR

ber of domestic migrant workers: Info Number Here: 0 FACILITY PR

Number of workers paid by unit: Info Number Here: 0 FACILITY PR

mber of workers under probation: Info Number Here: 0 FACILITY PR

Number of casual workers: Info Number Here: 0 FACILITY PR

r of workers under the age of 18: Number Here: 0 FACILITY PR

trainees, apprentices or interns: Info Number Here: 0 FACILITY PR

who are pregnant/breastfeeding: Number Here: 24 FACILITY PR

are currently on maternity leave Info Number Here: 2 FACILITY PR

ed to work from maternity leave Info Number Here: 4 FACILITY PR

mber of workers with disabilities: Info Number Here: 11 FACILITY PR

of male workers with disabilities: Info Number Here: 3 FACILITY PR

workers with refugee status/ visa: Info Number Here: 0 FACILITY PR

me or work at home exclusively: Info Number Here: 0 FACILITY PR


###
###

Number of supervisors: Info Number Here: 58 FACILITY PR

Number of male supervisors: Number Here: 6 FACILITY PR

er of foreign migrant supervisors: Info Number Here: 0 FACILITY PR


male foreign migrant supervisors: Info Number Here: 0 FACILITY PR
###
###

vernment-sponsored programs? Info Select: No FACILITY PR


###
###
###

rs and supervisors at the facility? Info Number Here: 2 FACILITY PR

Nationality #1 Info Select: Indonesia FACILITY PR

Approximate % of workers Info Number Here: 95% FACILITY PR

Approximate % of supervisors Info Number Here: 5% FACILITY PR

Nationality #2 Info Select: Korea- South FACILITY PR

Approximate % of workers Info Number Here: 0% FACILITY PR

Approximate % of supervisors Info Number Here: 100% FACILITY PR


###
###

ffectively communicate with ALL ###


workers? Info Number Here: 1 FACILITY PR

y language spoken at the facility: Info Select: Malay - Indonesian FACILITY PR

yy language
language spoken
spoken at
at the
the facility:
facility: Info Number Here: 100% FACILITY PR
Info Number Here: 100% FACILITY PR

spoken by facility management: Select: Malay - Indonesian FACILITY PR


###
###
###

ation is available and up to date: Select: Yes FACILITY PR

Operating License/Registration #: Response Here: Industrial Business License : 806/T/INDUSTRI/2006 FACILITY PR


###
###
###

/ labor audits have taken place? Info Number Here: 1 FACILITY PR


s has the facility participated in? Info Number Here: 1 FACILITY PR

Please provide information on the still valid independent certification/standard


audits: ###

Certification / Standard Audit #1 ###

Type Select: WRAP - Worldwide Responsible Accredited Production FACILITY PR

If other, please describe: Response Here: - FACILITY PR

First Audit Date (YYYY-MM-DD) Info Date Here: 2021-12-02 FACILITY PR

Last Audit Date (YYYY-MM-DD) Info Date Here: 2021-12-03 FACILITY PR

Audit Firm Info Response Here: ALGI International FACILITY PR

Audit Result (if applicable) Response Here: Gold Certificate of Compliance FACILITY PR

Certification # (if applicable) Response Here: 128338 FACILITY PR


###
###
###

SELECT ALL THAT APPLY WITH A "X": ###

Apparel "X" to select: X FACILITY PR

Footwear "X" to select: FACILITY PR

Home Textiles Info "X" to select: FACILITY PR

Accessories Info "X" to select: FACILITY PR

Home Furnishings "X" to select: FACILITY PR

Hard Goods Info "X" to select: FACILITY PR

Food and Beverage "X" to select: FACILITY PR

rsonal Care and Beauty Products "X" to select: FACILITY PR

Other "X" to select: FACILITY PR


###
###
SELECT ALL THAT APPLY WITH A "X": ###

ewing or Final Product Assembly "X" to select: X FACILITY PR

Footwear / Leather goods "X" to select: FACILITY PR

Printing or Dyeing "X" to select: FACILITY PR

Materials Supplier "X" to select: FACILITY PR

Trim "X" to select: FACILITY PR

Chemical "X" to select: FACILITY PR

Packaging "X" to select: FACILITY PR

Other "X" to select: FACILITY PR


###
###

de sandblasting in its processes? Select: No FACILITY PR

answer to the "Facility Type" above. ###

SELECT ALL THAT APPLY WITH A "X": ###

Sewing or Final Product Assembly ###

Casting "X" to select: FACILITY PR

Cutting "X" to select: X FACILITY PR

Embossing "X" to select: FACILITY PR

Priming "X" to select: FACILITY PR

Heat Press / Heating and Cooling "X" to select: FACILITY PR

Labeling "X" to select: FACILITY PR

Lasting "X" to select: FACILITY PR

Molding "X" to select: FACILITY PR

No sew "X" to select: FACILITY PR

Packaging "X" to select: X FACILITY PR


Gluing "X" to select: FACILITY PR

Seam Taping "X" to select: FACILITY PR

Sewing "X" to select: X FACILITY PR

Sundries Application "X" to select: FACILITY PR

Washing "X" to select: FACILITY PR

Welding "X" to select: FACILITY PR

Printing "X" to select: FACILITY PR

Embroidery "X" to select: FACILITY PR


###
###

y volume (unit of measurement): Info Select: Unit (piece or pair) FACILITY PR

thly volume (numerical amount): Number Here: 40000 FACILITY PR


###
###

capacity (unit of measurement): Info Select: Unit (piece or pair) FACILITY PR

hly capacity (numerical amount): Number Here: 40000 FACILITY PR

tion on regular working hours or


include overtime hours): Response Here: 8 hours of normal work FACILITY PR
###
###

roduction/ operations planning? Select: Weekly FACILITY PR

facility's definition of lead time? Info Response Here: Lead time 45 days after receiving fabric in factory. FACILITY PR

weeks as unit of measurement)? Number Here: 45 FACILITY PR

rders within the last 12 months? Select: No FACILITY PR


###
###
###

part of the production process? Info Select: No FACILITY PR


###
###
###

h questions listed in this section: Info Response Here: FACILITY PR


###
###
###
###

tand the facility's social and labor practices in the initial stages of employment. The “recruitment” process is designed to
w new workers are brought into the organization. Social and Labor topics within this section include:

###
###
###
nsure you see all text of the cell in the formula bar above) ###

deprives children of their childhood, their potential and their dignity, and that is harmful to physical and mental
rous and harmful to children and interferes with their schooling by depriving them of the opportunity to attend school, by
attendance with excessively long and heavy work. In its most extreme forms, children are involved in illegal activities, or in
work done by children is classified as child labor that should be eliminated. Work that does not affect children's health and
ludes activities such as helping parents around the home, helping in a family business or earning pocket money outside
or depends on the child’s age, the type and hours of work performed, and the impact of the work on the child's health,
child laborers working at the facility premises, the possibility of workers taking work home should be monitored. If work is
ers are doing it.

ention, 1973 and C182 Worst Forms of Child Labour Convention, 1999, which provide the baseline standards for child labor;
g Agreements and provisions in employment contracts that exceed legal requirements

Worst Forms of Child Labour Recommendation, 1999 ###


###
###

rements prior to hiring workers? Info Select: Yes RECRUITME


We verify minimum age requirement before hiring
workers by reviewing national identity cards, school
reviewed to verify minimum age certificates, and family cards for primary legal documentation
whether copies are maintained: Response Here: and only keep a copy of it in the employee file RECRUITME
###
###

e youngest worker in the facility? Info Select: 18 RECRUITME

minimum age for employment? Info Select: No RECRUITME


###
###

nder the legal minimum working


und to be working in the facility? Info Select: Yes RECRUITME

If it turns out, despite our best efforts, that we have


unlawfully employed a person who is believed to be of
working age but is actually a child, we immediately address
the issue by completing the following steps:
1. The child must immediately stop working,
2. We will contact the child's legal guardian to arrange for
return home delivery,
3. If the legal guardian cannot accompany the child back
home, we will send staff to
accompany the child home
4. We will pay the child all wages owed,
5. We will pay all costs incurred to send the child home,
6. We will review the recruitment process, and train
Responsible Persons so that children are not employed in the
hild remediation system in place: Response Here: future. RECRUITME
###
###

nimum working age when hired? Info Select: No RECRUITME


###
###
###
###
###
###

lsewhere regarding Child Labor? Info Select: No RECRUITME


###
###
###

/ trainee / internship programs? Info Select: No RECRUITME


###
###
nsure you see all text of the cell in the formula bar above) ###
7 and C1 Hours of Work (Industry) Convention, 1919 ###
###
###
###

s required of workers upon hire? Info Select: No RECRUITME


###
###

tment of workers to the facility? Info Select: No RECRUITME


###
###

h applicable legal requirements? Info Select: Yes RECRUITME


###
###

costs, the worker or the facility? Info Select: Facility RECRUITME

s in line with legal requirements? Info Select: Not Applicable RECRUITME


###
###
###

oes the facility use prison labor? Info Select: No RECRUITME


###
###

rnment-mandated forced labor? Info Select: No RECRUITME


###
###
nsure you see all text of the cell in the formula bar above) ###

any distinction based on race, color, sex, religion, political opinion, national extraction or social origin, which results in
w, such as disability, HIV/AIDS status, age and sexual orientation. Discrimination may be direct or indirect and does not have
h in fact result in unequal treatment of people with certain characteristics. Distinctions are permissible when they are
exception is rare. Also, measures to protect certain categories of workers are acceptable when they are provided for under
n. Distinctions also may be permissible under national laws designed to help groups who need special protection, for
dy the effects of past discrimination.

Convention, 1951 and C111 Discrimination (Employment and Occupation) Convention, 1958, which provide the baseline
gislation; Collective Bargaining Agreements and provisions in employment contracts that exceed legal requirements

111 Discrimination (Employment and Occupation) Recommendation, 1958; C156 Workers with Family Responsibilities
81 ###
###
###

plication forms ever reference an


xtraction, social origin, disability,
us, family responsibilities, age or
y/foreign migrant worker status? Info Select: No RECRUITME
###
###

on, social origin, HIV/AIDS status,


bilities, age or nationality/foreign
tor in decisions regarding hiring? Select: No RECRUITME
###
###

Does the facility follow any of the following practices related to worker pregnancy
before or at hiring? (SELECT all that apply with a "X") ###

regnancy test before or at hiring Info "X" to select: RECRUITME

s virginity test before or at hiring Info "X" to select: RECRUITME

t they will not become pregnant Info "X" to select: RECRUITME

er forms of birth control at hiring Info "X" to select: RECRUITME

None of the above "X" to select: X RECRUITME


###
###

s in line with legal requirements? Info Select: No RECRUITME


###
###

esting during the hiring process? Info Select: No RECRUITME

titis B) during the hiring process? Info Select: No RECRUITME


###
###

ewhere regarding Discrimination


in Recruitment and Hiring? Info Select: No RECRUITME
###
###
nsure you see all text of the cell in the formula bar above) ###

general employment terms and practices in the facility.


terms of employment, training and probation periods, homework. ###
###
###

comply with legal requirements? Info Select: Yes RECRUITME

ble in all languages spoken at the


facility, during orientation? Info Select: Yes RECRUITME

oms, toilets, etc.) in all languages


spoken in the facility? Info Select: Yes RECRUITME
###
###

r all positions within the facility? Info Select: Yes RECRUITME

health information confidential? Info Select: Yes RECRUITME

d in line with legal requirements? Info Select: Yes RECRUITME


###
###

ses and offsite, have a contract? Info Select: Yes RECRUITME


ises and offsite, in line with legal
requirements? Info Select: Yes RECRUITME

Does the facility follow any of the following practices related to contracts? (SELECT
all that apply with a "X") ###

ch worker are maintained on file Info "X" to select: X RECRUITME

s and conditions of employment Info "X" to select: X RECRUITME

th applicable legal requirements Info Select: X RECRUITME

None of the above "X" to select: RECRUITME

written employment contracts? Info Select: Yes RECRUITME

facility use fixed-term contracts? Info Select: Yes RECRUITME

the use of fixed-term contracts? Info Select: Yes RECRUITME

in line with legal requirements? Info Select: Yes RECRUITME

in line with legal requirements? Info Select: Yes RECRUITME


###
###

en employment contract prior to


leaving their home country? Info Select: Yes RECRUITME

a new contract once they are in


their host country? Info Select: Yes RECRUITME

terms and conditions the same? Info Select: Yes RECRUITME


###
###
###
###

nary/trainee/fixed-term contract
orkers to avoid legal obligations? Info Select: No RECRUITME
###
###
ewhere regarding Contracts and
Hiring Practices? Info Select: No RECRUITME

iring Practices pertaining to non-


and/or sub-contracted workers? Info Select: No RECRUITME
###
###
###
###
###
###

h questions listed in this section: Info Response Here: RECRUITME


###
###
###
###

and labor practices with respect to Working Hours. Social and labor topics within this section include:

###
###
###
nsure you see all text of the cell in the formula bar above) ###

plus overtime, time spent at the place of work, when the worker is at the disposal of the employer. Working Hours are a
wise) should be respected. For industrial enterprises, international standards limit regular (pre-overtime) working hours to 8
at workers must have at least one day off in seven. The sub-section below includes questions on items such as working hour
###
###
###

Info How are hours of work recorded for all workers? (SELECT all that apply with a "X")
###

Manually (i.e. written record) "X" to select: WORKING H


Mechanically (i.e. punch card) "X" to select: WORKING H

Electronically (i.e. swipe card) "X" to select: WORKING H

rically (i.e. fingerprint/face scan) "X" to select: X WORKING H

None of the above "X" to select: WORKING H

Who performs the clock-in/clock-out function for workers? (SELECT all that apply
Info with a "X") ###

The individual worker "X" to select: X WORKING H

Management "X" to select: WORKING H

Security "X" to select: WORKING H

Other "X" to select: WORKING H

in line with legal requirements? Info Select: Yes WORKING H

Does the facility follow any of the following practices regarding working hour
records? (SELECT all that apply with a "X") ###

ed for at least the last 12 months Info "X" to select: X WORKING H

d overtime hours are maintained Info "X" to select: X WORKING H

e recorded for all periods of work Info "X" to select: X WORKING H

xact time in/out in time records. Info "X" to select: X WORKING H

nt with payroll and other records Info "X" to select: X WORKING H

fy the accuracy of working hours Info "X" to select: X WORKING H

None of the above "X" to select: WORKING H


###
###

ekly hours worked at the facility: Info Number Here: 40 WORKING H

daily hours worked at the facility: Info Number Here: 8 WORKING H

ours exceed legal requirements? Info Select: No WORKING H

ate regular hours as an average? Info Select: No WORKING H


###
###

nly for reasons permitted by law? Info Select: Yes WORKING H

ng hours in line with legal limits? Info Select: Yes WORKING H

rom governmental authorities in


order to work overtime? Info Select: No applicable legal requirements WORKING H

in line with legal requirements? Info Select: No applicable legal requirements WORKING H
###
###

vertime) within any given week? Info Select: No WORKING H


###
###

y in line with legal requirements? Info Select: Yes WORKING H

g in line with legal requirements? Info Select: Yes WORKING H


###
###

s in line with legal requirements? Info Select: Yes WORKING H


###
###

est days provided by the facility: Info Number Here: 2 WORKING H

y in line with legal requirements? Info Select: Yes WORKING H

least 24 consecutive hours long? Info Select: Yes WORKING H


###
###
nsure you see all text of the cell in the formula bar above) ###
7 and C1 Hours of Work (Industry) Convention, 1919 ###
###
###

vertime under threat of penalty? Info Select: No WORKING H


###
###
###

efuse overtime for ANY REASON? Info Select: Yes WORKING H


, in line with legal requirements? Info Select: Yes WORKING H
###
###

e orders, weather disasters etc.)


nges to its production schedules? Info Select: No WORKING H

overtime work and/or changes in


rest days? Info Select: Yes WORKING H

nce about overtime work and/or


s in line with legal requirements? Info Select: Yes WORKING H

work/production in the facility? Info Select: No WORKING H


###
###
###

ed elsewhere regarding Working


Hours? Info Select: No WORKING H

urs pertaining to non-production


and/or sub-contracted workers? Info Select: No WORKING H
###
###
###

h questions listed in this section: Info Response Here: WORKING H


###
###
###
###

and labor practices with respect to Wages and Benefits. Social and Labor topics within this section include:

###
###
###
nsure you see all text of the cell in the formula bar above) ###

iving - as a result of their work in the facility. Wages refer specifically to the monetary (cash) wages received. And benefits
sh) wages. Minimum wages may be set by law or regulation, by wage boards, councils, courts or tribunals, or by collective
of economic activity, or by geographical location. The sub-section below includes questions on items such as minimum wage,
orker leave. ###
###
###

le. Please ensure that your answers are correct or the appropriate questions will not appear below. ###
###
###

cable three letter currency code: Info Select: IDR WAGES & B

What are the units for rate of pay for production workers? (SELECT all that apply
Info with a "X") ###

Hourly "X" to select: WAGES & B

Daily "X" to select: WAGES & B

Weekly "X" to select: WAGES & B

Twice a month "X" to select: WAGES & B

Monthly "X" to select: X WAGES & B

Unit Rate "X" to select: WAGES & B

Other "X" to select: WAGES & B


###
###

in line with legal requirements? Info Select: Yes WAGES & B

Does the facility follow any of the following practices related to maintaining
payroll records: (SELECT all that apply with a "X") ###

ed for at least the last 12 months Info "X" to select: X WAGES & B

dance records and other records Info "X" to select: X WAGES & B

None of the above "X" to select: WAGES & B


###
###

wage required by contract, CBA, Yes. Workers wages in line with all applicable legal
nt) for all regular hours worked? Info Select: requirements WAGES & B

gal minimum wage (and/or wage Yes. Workers wages in line with all applicable legal
nt) for all regular hours worked? Info Select: requirements WAGES & B
###
###

ertime hours as legally required:


• Ordinary overtime hours
ertime hours performed at night
s performed on weekly rest days
rs performed on public holidays? Info Select: No WAGES & B

LEAST 1.25 times the base rate? Info Select: Yes WAGES & B
###
###

urs worked at a premium rate as


legally required:
• Regular hours worked at night
ours worked on weekly rest days
hours worked on public holidays? Info Select: No WAGES & B

pay as legally required based on:


xperience, skills, training) and/or
re of the work (e.g. hazard pay)? Info Select: No WAGES & B
###
###
###
###

utside of regular working hours? Info Select: No WAGES & B


###
###
d in line with legal requirements? Info Select: Yes WAGES & B
###
###

cility define wage grades/ levels? Info Select: Grade (1/2/3/4/5/6/7) WAGES & B

es/ levels does the facility have? Number Here: 6 WAGES & B

r selection of "Skill" as wage level definition, the Tool only supports 3 wage levels (3 entries for facility data). If you have
###

of workers in wage level Grade 1 Number Here: 895 WAGES & B

of workers in wage level Grade 2 Number Here: 30 WAGES & B

of workers in wage level Grade 3 Number Here: 62 WAGES & B

of workers in wage level Grade 4 Number Here: 17 WAGES & B

of workers in wage level Grade 5 Number Here: 12 WAGES & B

of workers in wage level Grade 6 Number Here: 3 WAGES & B

What are individual worker's basic wages based upon? (SELECT all that apply with
Info a "X") ###

actual agreement) requirements Info "X" to select: X WAGES & B

Living Wage Estimate Info "X" to select: WAGES & B

Skills Info "X" to select: WAGES & B

Experience Info "X" to select: WAGES & B

Length of Employment Info "X" to select: WAGES & B

Performance Info "X" to select: WAGES & B

Other "X" to select: WAGES & B

None of the above "X" to select: WAGES & B


###
###

For the most representative department within the facility, indicate the number of
workers that where promoted with an increase in their basic wage as a result of
Info their promotion: ###
e department within the facility: Info Response Here: Sewing department WAGES & B

ge as a result of their promotion Number Here: 26 WAGES & B

ge as a result of their promotion Number Here: 4 WAGES & B


###
###

uctivity (or "production") bonus? Info Select: Yes WAGES & B

Outing Program for all employees, Korea Visit Program for


oduction / productivity bonuses: Response Here: Active Employees, and Year-End Incentives. WAGES & B
###
###

in line with legal requirements? Info Select: Yes WAGES & B

s in the legally required manner? Info Select: Yes WAGES & B

How are workers paid? (SELECT all that apply with a "X") ###

Cash Info "X" to select: WAGES & B

Check Info "X" to select: WAGES & B

irect deposit into a bank account Info "X" to select: X WAGES & B

rect deposit into bank accounts? Number Here: 100% WAGES & B

Mobile money Info "X" to select: WAGES & B

Card (with a stored value) Info "X" to select: WAGES & B

Other Info "X" to select: WAGES & B

ontrol of the bank account once


opened? Info Select: Yes WAGES & B

lity or through 3rd party agents? Info Select: By the Facility WAGES & B

l requirements (e.g. through pay


slips)? Info Select: Yes WAGES & B

age all workers can understand? Info Select: Yes WAGES & B
nd comprehensive manner for all
workers? Info Select: Yes WAGES & B

firmed in writing by all workers? Info Select: Yes WAGES & B


###
###

in line with legal requirements? Info Select: No WAGES & B

in line with legal requirements? Info Select: Yes WAGES & B


###
###

withholdings and social security)? Info Select: No WAGES & B

Are workers ever responsible for the cost of any of the following? (SELECT all that
Info apply with a "X") ###

IDs/Badges/Swipe Cards Info "X" to select: WAGES & B

Uniforms Info "X" to select: WAGES & B

Other "X" to select: WAGES & B

None of the above "X" to select: X WAGES & B


###
###

Does the facility collect and forward workers' contributions to any of the following
social insurance or social security programs in line with legal requirements?
Info (SELECT all that apply with an "X") ###

Pension/ Provident fund Info Select: X WAGES & B

Medical Info Select: X WAGES & B

ork-related injury/ illness/ death Info Select: X WAGES & B

Unemployment Info Select: WAGES & B

Maternity Info Select: WAGES & B

Other Info Select: WAGES & B

None of the above Info "X" to select: WAGES & B


Which of the following facility social insurance contributions (both calculations
and types required) are in line with legal requirements? (SELECT all that apply with
Info an "X") ###

Pension/ Provident fund Info Select: X WAGES & B

Medical Info Select: X WAGES & B

ork-related injury/ illness/ death Info Select: X WAGES & B

Unemployment Info Select: WAGES & B

Maternity Info Select: WAGES & B

Other Info Select: WAGES & B

None of the above "X" to select: WAGES & B

al protection directly to workers


dent, illness and death benefits)?

Info Select: Yes WAGES & B


###
###

s in line with legal requirements? Info Select: No WAGES & B


###
###

ypes of leave as legally required:


• All public holidays
• Annual leave
• Sick leave
• Maternity leave
• Paternity leave
• Personal leave
• Other types of required leave? Info Select: No WAGES & B
ypes of leave as legally required:
• All public holidays
• Annual leave
• Sick leave
• Maternity leave
• Paternity leave
• Personal leave
• Other types of required leave? Info Select: No WAGES & B

kers applying for or taking leave? Info Select: No WAGES & B

take leave once given approval? Info Select: Yes WAGES & B

rding payment instead of leave? Info Select: Yes WAGES & B


###
###

ff in line with legal requirements? Info Select: Yes WAGES & B


###
###

s in line with legal requirements? Info Select: Yes WAGES & B


###
###

s in line with legal requirements? Info Select: Yes WAGES & B


###
###

elsewhere regarding Wages and


Benefits? Info Select: No WAGES & B

fits pertaining to non-production


and/or sub-contracted workers? Info Select: No WAGES & B
###
###
###

h questions listed in this section: Info Response Here: WAGES & B


###
###
###
###

how the facility treats workers while they are in the facility. From freedom of movement to harassment, this section seeks to
icable legal standards. Social and Labor topics within this section include:

###
###
###
nsure you see all text of the cell in the formula bar above) ###
7 and C1 Hours of Work (Industry) Convention, 1919 ###
###
###

tactics to force workers to work? Info Select: No WORKER TR


###
###

ce them to work occurred at the


workplace? Info Select: No WORKER TR

s against a worker's family/close


e permits, etc.) occurred in order
grant workers to stay at the job? Info Select: No WORKER TR
###
###

ment for participation in a strike? Info Select: No WORKER TR


###
###

in order to force them to work? Info Select: No WORKER TR

rk or zone in which the facility is


located? Info Select: No WORKER TR
###
###

orts, work permits and ID cards)? Select: Yes WORKER TR

tificates, passports, work permits


ID cards) when they need them? Info Select: No WORKER TR
###
###

sewhere regarding Forced Labor


in Worker Treatment? Info Select: No WORKER TR
###
###
nsure you see all text of the cell in the formula bar above) ###

No worker shall be subject to any physical, sexual, psychological or verbal harassment, abuse or threats of abuse.
arassment, discriminatory harassment and use of security personnel. ###
###
###

chological harassment or abuse? Info Select: No WORKER TR


###
###

s cases of harassment or abuse? Info Select: Yes WORKER TR


Included in the Company's Procedures and Policies on the
s, please describe the processes: Response Here: Prohibition of Harassment and Abuse WORKER TR
###
###

s for) security personnel on-site? Select: Yes WORKER TR

curity personnel have occurred? Number Here: 0 WORKER TR

curity personnel carry weapons? Select: No WORKER TR


###
###

tical opinion, national extraction,


gnancy/maternity status, marital
y/foreign migrant worker status? Info Select: No WORKER TR
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

elsewhere regarding Harassment


and Abuse? Info Select: No WORKER TR
###
###
nsure you see all text of the cell in the formula bar above) ###
any distinction based on race, color, sex, religion, political opinion, national extraction or social origin, which results in
w, such as disability, HIV/AIDS status, age and sexual orientation. Discrimination may be direct or indirect and does not have
h in fact result in unequal treatment of people with certain characteristics. Distinctions are permissible when they are
exception is rare. Also, measures to protect certain categories of workers are acceptable when they are provided for under
n. Distinctions also may be permissible under national laws designed to help groups who need special protection, for
dy the effects of past discrimination.

tion Convention, 1951 and C111 Discrimination (Employment and Occupation) Convention, 1958, which provide the baseline
gislation; Collective Bargaining Agreements and provisions in employment contracts that exceed legal requirements

111 Discrimination (Employment and Occupation) Recommendation, 1958; C156 Workers with Family Responsibilities
81 ###
###
###

rs subject to sexual harassment? Info Select: No WORKER TR


###
###

social origin, disability, HIV/AIDS


us, family responsibilities, age or
promotion or access to training? Select: No WORKER TR
###
###

social origin, disability, HIV/AIDS


us, family responsibilities, age or
cisions regarding compensation? Select: No WORKER TR
###
###

social origin, disability, HIV/AIDS


us, family responsibilities, age or
ns regarding conditions of work? Info Select: No WORKER TR
###
###
Does the facility maintain any of the following for workers during and after
Info maternity leave? (SELECT all that apply with a "X") ###

Employment status Info "X" to select: X WORKER TR

Position Info "X" to select: X WORKER TR

Wages Info "X" to select: X WORKER TR

Benefits Info "X" to select: X WORKER TR

Not Applicable Info "X" to select: WORKER TR

None of the above "X" to select: WORKER TR

rs' period of continuous service? Info Select: Yes WORKER TR

Does the facility follow any of the following practices related to worker pregnancy
at any time during employment? (SELECT all that apply with a "X") ###

t at any time during employment Info "X" to select: WORKER TR

at any time during employment Info "X" to select: WORKER TR

None of the above "X" to select: X WORKER TR


###
###

for physically disabled persons? Info Select: Yes WORKER TR

Arrangements for workers with physical disabilities include


being allowed to use sandals when going to the toilet or
modations/arrangements made: Response Here: ablution and no running activities at all. WORKER TR

isabled persons in line with legal


requirements? Info Select: Yes WORKER TR

disabled (for whatever reason)? Info Number Here: 0 WORKER TR


###
###

at any time during employment? Info Select: No WORKER TR

at any time during employment? Info Select: No WORKER TR

k if they were medically able to? Info Select: Yes WORKER TR


S in line with legal requirements? Info Select: Yes WORKER TR

HIV/AIDS) to retain their work if


they were medically able to? Info Select: Yes WORKER TR

in line with legal requirements? Info Select: Yes WORKER TR


###
###

ewhere regarding Discrimination


in Worker Treatment? Info Select: No WORKER TR
###
###
nsure you see all text of the cell in the formula bar above) ###

oes not meet established company rules. The sub-section below includes questions on disciplinary measures,
###
###
###

s in line with legal requirements? Info Select: Yes WORKER TR


###
###

is that worker always informed? Info Select: Yes WORKER TR

nary actions taken against them? Info Select: Yes WORKER TR


###
###

y decisions without any negative


repercussions? Info Select: Yes WORKER TR

on or by worker representatives
contesting disciplinary decisions? Info Select: Yes WORKER TR
###
###

ined in workers' personnel files? Info Select: Yes WORKER TR

tained in worker personnel files? Info Number Here: 12 WORKER TR


###
###

elsewhere regarding Discipline? Info Select: No WORKER TR


###
###
###

assment and Abuse pertaining to


and/or sub-contracted workers? Info Select: No WORKER TR
###
###
###

h questions listed in this section: Info Response Here: WORKER TR


###
###
###
###

d how the facility involves workers in the improvement process within the facility.
ks to understand the facility's mechanisms in place to facilitate dialogue and action between management and workers.

###
###
###
nsure you see all text of the cell in the formula bar above) ###
means the right of workers to join together to create organizations (unions) that represent them. It also applies to employer
d employers, usually on working conditions and terms of employment. Both are fundamental rights, and they are linked
e the views of the workers cannot be properly represented. Workers themselves must be free to choose how they are to be

ation and Protection of the Right to Organize Convention, 1948; C98 Right to Organize and Collective Bargaining Convention
e bargaining; other conventions in force in the country; applicable legislation; Collective Bargaining Agreements and

154 Collective Bargaining Convention, 1981; R143 Workers' Representatives Recommendation, 1971; R163 Collective
###
###
###

a trade union of their choosing? Info Select: Yes WORKER IN

a trade union of their choosing? Info Select: Yes WORKER IN


###
###

egistered trade union(s) on-site? Info Select: No WORKER IN


###
###

ess to workers in the workplace? Info Select: Yes WORKER IN

in line with legal requirements? Info Select: No applicable legal requirements WORKER IN
###
###

ut the presence of management? Info Select: Yes WORKER IN

ctivities a factor during the hiring


process? Select: Yes WORKER IN

h applicable legal requirements? Info Select: Not Applicable WORKER IN


###
###

ood faith with the union, worker


n federations or confederations? Info Select: No WORKER IN
###
###
heir non-union representatives? Info Select: Yes WORKER IN
###
###
nsure you see all text of the cell in the formula bar above) ###

ade unions and employers, other measures may be put in place to promote consultation and co-operation between
s to engage in dialogue with the employer, and/or facilities may establish bipartite committees, which include both workers'
ons legally require these types of measures.

ace cooperation. ###


###
###

in line with legal requirements? Info Select: Yes WORKER IN


###
###

enewed worker contracts due to


representative role or activities? Info Select: No WORKER IN
###
###

mmittee(s) in place at the facility? Info Select: Yes WORKER IN

in line with legal requirements? Info Select: Yes WORKER IN

s are in the bipartite committee? Info Number Here: 14 WORKER IN

s are in the bipartite committee? Info Number Here: 8 WORKER IN

s are in the bipartite committee? Info Number Here: 2 WORKER IN

s are in the bipartite committee? Info Number Here: 2 WORKER IN

s are in the bipartite committee? Info Number Here: 8 WORKER IN

s are in the bipartite committee? Info Number Here: 0 WORKER IN

Does the facility observe any of the following practices related to the bipartite
Info committee? (SELECT all that apply with a "X") ###

tings are held on a monthly basis "X" to select: X WORKER IN

etings are held at least quarterly Info "X" to select: WORKER IN


es are shared with the workforce "X" to select: X WORKER IN

meeting action items are tracked "X" to select: X WORKER IN

y workers to upper management "X" to select: X WORKER IN

None of the above "X" to select: WORKER IN


###
###

elsewhere regarding Workplace


ration, Grievances and Disputes? Info Select: No WORKER IN
###
###
###

CBAs) are in effect at the facility? Info Number Here: 0 WORKER IN


###
###

ers from participating in a strike? Info Select: No WORKER IN

al actions/strikes have occurred? Info Number Here: 0 WORKER IN


###
###

elsewhere regarding Freedom of


iation and Collective Bargaining? Info Select: No WORKER IN
###
###
nsure you see all text of the cell in the formula bar above) ###

ts, recommendations, reports or complaints concerning the workplace, and seek redress of their grievances through a
ick, and non-retaliatory. Grievance systems aim to address complaints quickly and systematically, and to build mutual trust
###
###
###

d dispute resolution procedures? Info Select: Yes WORKER IN


Listed in the Company's Procedures and Policies regarding
rs are able to submit grievances: Info Response Here: Freedom of Speech & Suggestion Box WORKER IN
Are grievance handling and dispute resolution procedures accessible in different
languages? (SELECT all that apply with a "X") ###

l languages spoken at the facility "X" to select: X WORKER IN

guages spoken at the facility, but


not all "X" to select: WORKER IN

male and female workers, unions


tative structures and managers? Info Select: Yes WORKER IN

handling and dispute resolution? Info Select: Yes WORKER IN


###
###

esolving complaints, grievances,


harassment or abuse cases? Info Select: No WORKER IN
###
###

Info How are complaints and grievances settled? (SELECT all that apply with a "X") ###

r and their immediate supervisor "X" to select: X WORKER IN

man Resources (HR) department,


ns, Worker Representative, etc.) "X" to select: X WORKER IN

ments assist with the settlement: Response Here: Human Resources (HR) Department WORKER IN

with the supervisor or additional


eholders/departments has failed "X" to select: X WORKER IN

to and/or appeal the settlement "X" to select: X WORKER IN

None of the above "X" to select: WORKER IN

d in line with legal requirements? Info Select: Yes WORKER IN


###
###
negative consequences towards
workers who report grievances? Info Select: Yes WORKER IN
###
###

ponse maintained for at least 12


months? Select: Yes WORKER IN

ere received by female workers? Number Here: 9 WORKER IN

were received by male workers? Number Here: 1 WORKER IN


###
###
###

h questions listed in this section: Info Response Here: WORKER IN


###
###
###
###
and labor practices with respect to Health and Safety in the facility's operations. Facilities include those involved in
.g. distribution. The term "production" should not be seen as limiting to production of goods only, but rather general

###
###
###
nsure you see all text of the cell in the formula bar above) ###

ational safety and health enhance productivity by reducing the number of interruptions in the manufacturing process, by
fficiency. Safety is preventative. The cooperation of workers and employers is essential. While the government has
oyers and workers also have responsibilities and rights to ensure occupational safety and health.

/global/topics/safety-and-health-at-work/areasofwork/occupational-health/WCMS_108547/lang--en/index.htm
al/topics/safety-and-health-at-work/areasofwork/occupational-health/WCMS_117570/lang--en/index.htm ###
###
###
###

articulates/ dust/ fibers/ fumes)? Info Select: No HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S

h applicable legal requirements? Info Select: Yes HEALTH & S


###
###

acility monitor indoor air quality? Info Select: Yes HEALTH & S
###
###

g in line with legal requirements? Info Select: Yes HEALTH & S


###
###

testing performed at the facility? Info Select: Yes HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S


###
###

Is the workplace clean and tidy? Select: Yes HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S

permits available and up to date? Select: Yes HEALTH & S

ollection, and disposal of waste? Info Select: Yes HEALTH & S

e point where they pose a safety


hazard or obstruct exits? Select: No HEALTH & S

and legally dispose of hazardous


waste? Info Select: Yes HEALTH & S

entation of the final destination? Select: Yes HEALTH & S

s burning of waste done on-site? Select: No HEALTH & S


###
###

s in line with legal requirements? Info Select: Yes HEALTH & S

and sanitized on a regular basis? Info Select: Yes HEALTH & S

provided for males and females? Select: Yes HEALTH & S


ap, along with a sanitary way for
rying hands after washing them? Info Select: Yes HEALTH & S

ilets for the number of workers? Select: Yes HEALTH & S

stocked with necessary supplies? Info Select: Yes HEALTH & S


###
###

o toilets/restrooms at any time? Info Select: Yes HEALTH & S


###
###

ith free, potable drinking water? Info Select: Yes HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S


###
###

ss to drinking water at any time? Info Select: Yes HEALTH & S


###
###
###

in line with legal requirements? Info Select: Yes HEALTH & S


###
###

ent building's structure and use? Select: Yes HEALTH & S

grity and stability of the facility? Select: No HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S


###
###

Does the facility have any of the following safety measures in place for flooring?
(SELECT all that apply with a "X") ###

struction or lack of maintenance Info Select: X HEALTH & S

ater due to inadequate drainage Info Select: X HEALTH & S


missing covers/suitable barriers Info Select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

Does the facility have any of the following safety measures in place for stairs and
Info raised platforms? (SELECT all that apply with a "X") ###

posed platforms) have adequate


guardrails and fencing Info Select: X HEALTH & S

h hand railings in good condition Info Select: X HEALTH & S

ll facility stairway steps are even Info Select: X HEALTH & S

rotection (i.e. anti-slip stickers or


embossed/rough surfaces) Info Select: X HEALTH & S

ects underneath graded surfaces Info Select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

workers from falls from heights? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place for fall
Info protection? (SELECT all that apply with a "X") ###

use fall protection when needed "X" to select: X HEALTH & S

n equipment is in good condition "X" to select: X HEALTH & S

properly in a designated location "X" to select: X HEALTH & S

use of fall protection equipment "X" to select: X HEALTH & S

ection at all times when working


in these areas) "X" to select: X HEALTH & S

Not Applicable Info "X" to select: HEALTH & S

None of the above Info "X" to select: HEALTH & S


###
###

the facility have elevators (lifts)? Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place for elevators?
Info (SELECT all that apply with a "X") ###

tors (lifts) are inspected regularly "X" to select: X HEALTH & S

clearly displayed in all elevators "X" to select: X HEALTH & S

"Do not use elevator in cases of


emergency") "X" to select: X HEALTH & S

ng unless the elevator is present "X" to select: X HEALTH & S

le when elevator doors are open "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

) in line with legal requirements? Info Select: Yes HEALTH & S


###
###

he facility have confined spaces? Info Select: No HEALTH & S


###
###

ntify if equipment contains PCB? Info Select: No HEALTH & S

owing safety measures in place:


nspected and labeled accordingly
understand the hazards of PCBs? Info Select: Not Applicable HEALTH & S
###
###

Does the facility have safety measures in place regarding asbestos? (SELECT all
that apply with a "X") ###

n asbestos exposure assessment Info "X" to select: HEALTH & S

kers are not exposed to asbestos Info "X" to select: HEALTH & S

posure areas are labeled as such Info Select: HEALTH & S


None of the above "X" to select: X HEALTH & S
###
###

site vehicle traffic at the facility? Info Select: No HEALTH & S


###
###
###

ealth and safety risk assessment? Info Select: Yes HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S

last risk assessment conducted? Select: Within the last 6 months HEALTH & S

nstruction are introduced to the


facility? Select: Yes HEALTH & S
###
###
###

in line with legal requirements? Info Select: Yes HEALTH & S


###
###
###

ts regarding qualified OSH staff?


Info Select: Yes HEALTH & S
###
###
###

ety and health (OSH) committee? Select: Yes HEALTH & S

g in line with legal requirements? Info Select: Yes HEALTH & S

mbers are in the OSH committee? Number Here: 24 HEALTH & S

mbers are in the OSH committee? Info Number Here: 13 HEALTH & S

mbers are in the OSH committee? Number Here: 4 HEALTH & S

mbers are in the OSH committee? Number Here: 4 HEALTH & S


mbers are in the OSH committee? Info Number Here: 20 HEALTH & S

tives are in the OSH committee? Info Number Here: 0 HEALTH & S

Does the facility observe any of the following practices related to the OSH
committee? (SELECT all that apply with a "X") ###

tings are held on a monthly basis "X" to select: X HEALTH & S

etings are held at least quarterly Info "X" to select: HEALTH & S

es are shared with the workforce "X" to select: X HEALTH & S

meeting action items are tracked "X" to select: X HEALTH & S

bout OHS to upper management "X" to select: X HEALTH & S

es/ accepts the safety committee "X" to select: X HEALTH & S

dentify opportunities for further


mprovement of safety conditions "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###
###

n occupational safety and health


g in line with legal requirements? Info Select: Yes HEALTH & S
###
###
###

itten Emergency Response Plan? Info Select: Yes HEALTH & S

urate capture and handling of all


possible emergency situations? Select: Yes HEALTH & S
###
###

/heat detector) system in place? Info Select: Yes HEALTH & S

m in line with legal requirements? Info Select: Yes HEALTH & S


o notify workers of emergencies? Info Select: Yes HEALTH & S

m in line with legal requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place related to the
emergency alarm system? (SELECT all that apply with a "X") ###

alarm system is fully functioning "X" to select: X HEALTH & S

maintained and inspected/ tested "X" to select: X HEALTH & S

and seen across all facility areas Info "X" to select: X HEALTH & S

e easily identified and accessible "X" to select: X HEALTH & S

wer source (e.g., battery back-up) "X" to select: X HEALTH & S

tem is automatic and centralized Info "X" to select: HEALTH & S

m is distinct from regular alarms "X" to select: HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

equired fire fighting equipment? Info Select: Yes HEALTH & S

eas of the facility the fire fighting We have 82 Fire Extinguishers and 1 Hydrant Installation to
equipment is present: Info Response Here: cover the entire Factory Area HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place related to fire-
fighting equipment? (SELECT all that apply with a "X") ###

h instructions on how to operate "X" to select: X HEALTH & S

alls are in use in production units "X" to select: HEALTH & S

None of the above "X" to select: HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S


###
###
plans), pathways and emergency
lighting? Info Select: Yes HEALTH & S
###
###

d rest areas, and on every floor? Info Select: Yes HEALTH & S

emergency exits clearly marked? Info Select: Yes HEALTH & S

urs (including overtime) and lead


to a place of safety? Info Select: Yes HEALTH & S

Does the facility have any of the following additional safety measures in place
related to emergency exits? (SELECT all that apply with a "X") ###

when it is dark or there is smoke "X" to select: X HEALTH & S

kept open during working hours Info "X" to select: X HEALTH & S

e clearly marked as "Not an Exit" "X" to select: X HEALTH & S

uous lighting within a timeframe "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

e with other legal requirements? Info Select: Yes HEALTH & S


###
###

in line with legal requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following measures in place related to emergency
drills? (SELECT all that apply with a "X") ###

mergency drills are unannounced "X" to select: X HEALTH & S

dings associated with the facility Info "X" to select: X HEALTH & S

Every worker evacuates "X" to select: X HEALTH & S

te if the primary route is blocked "X" to select: X HEALTH & S

e enough to safely accommodate


all workers "X" to select: X HEALTH & S
meet at assembly/meeting points "X" to select: X HEALTH & S

All power is turned off "X" to select: X HEALTH & S

Doors and windows are closed "X" to select: HEALTH & S

work properly and all workers are


evacuated as planned "X" to select: X HEALTH & S

during an emergency evacuation Info "X" to select: X HEALTH & S

improve the evacuation process "X" to select: X HEALTH & S

are documented in a written log "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S


###
###

designated workers with special


responsibilities for fire safety? Select: Yes HEALTH & S

Does the facility have any of the following measures in place related to a Fire
Brigade/Emergency Response Team? (SELECT all that apply with a "X") ###

l and refresher trainings on their


responsibilities "X" to select: X HEALTH & S

ponse Team undergo both initial


rainings on their responsibilities: Response Here: Twice a year HEALTH & S

quipment to fight fires (including


ct PPE, e.g., breathing apparatus) "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

d emergency response vehicles? Info Select: Yes HEALTH & S


###
###
###

bustible materials safely stored? Info Select: Yes HEALTH & S


gnition sufficiently safeguarded? Info Select: Yes HEALTH & S
###
###
###

ls and/or hazardous substances? Info Select: Yes HEALTH & S

rkers' exposure to chemicals and


hazardous substances? Info Select: Yes HEALTH & S
###
###

sed in the workplace in line with


legal requirements? Info Select: Yes HEALTH & S

n the workplace in line with legal


requirements? Info Select: Yes HEALTH & S

d in line with legal requirements? Info Select: Yes HEALTH & S

d in line with legal requirements? Info Select: Yes HEALTH & S

Does the facility have any additional safety measures in place related to the
storage of chemicals and hazardous substances? (SELECT all that apply with a "X")
###

he safe storage of chemicals and


hazardous substances "X" to select: X HEALTH & S

ce to prevent unauthorized entry "X" to select: X HEALTH & S

o as to prevent spillage, leakage,


and unsafe exposure to workers "X" to select: X HEALTH & S

omatic fire extinguishing system Info Select: X HEALTH & S

t(s) to all chemical storage areas "X" to select: X HEALTH & S

ave an alarm notification system "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###
job assignment in line with legal
requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following measures in place to ensure the safe
handling of chemicals and hazardous substances? (SELECT all that apply with a
"X") ###

aintained for the last 12 months "X" to select: X HEALTH & S

used for dispensing all chemicals "X" to select: X HEALTH & S

spills inside the production area "X" to select: X HEALTH & S

in the facility) is available for use "X" to select: X HEALTH & S

generally used for food and drink "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

cleansing materials available for


xposure to hazardous chemicals? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place regarding
eyewash stations and showers? (SELECT all that apply with a "X") ###

d showers are clearly identifiable "X" to select: X HEALTH & S

s and showers are easy to access "X" to select: X HEALTH & S

howers are clear of clutter/debris "X" to select: X HEALTH & S

er at the right temp and pressure "X" to select: X HEALTH & S

showers are regularly inspected "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

hreshold Limit Value" outlined in


legal requirements? Info Select: No HEALTH & S
###
###

y use compressed gas cylinders? Select: No HEALTH & S


###
###
ewhere regarding Chemicals and
Hazardous Substances? Info Select: No HEALTH & S
###
###
###

work situations that they believe


serious danger to life or health? Select: No HEALTH & S
###
###

in line with legal requirements? Info Select: Yes HEALTH & S


###
###

in line with legal requirements? Info Select: Yes HEALTH & S

or by the facility for all workers? Select: Yes HEALTH & S

in line with legal requirements? Info Select: Yes HEALTH & S

personal protective equipment: Response Here: Twice a year HEALTH & S

Does the facility have any of the following measures in place related to Personal
Protective Equipment (PPE)? (SELECT all that apply with a "X") ###

eded to ensure effectiveness and


workers from identified hazards "X" to select: X HEALTH & S

is the correct size for all workers Info "X" to select: X HEALTH & S

ch or exceed the equivalent dose


of 85 decibels (dB) for 8 hours "X" to select: X HEALTH & S

y and effectively used by workers "X" to select: X HEALTH & S

that workers use PPE equipment


and clothing "X" to select: X HEALTH & S

use PPE equipment and clothing "X" to select: X HEALTH & S


y to ensure that workers use PPE Verbal warning, First warning letter, Second warning letter,
equipment and clothing: Response Here: Third warning letter, etc. HEALTH & S

E equipment and clothing on-site "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

rous machinery and equipment? Info Select: Yes HEALTH & S

s for the installation/ operation/


generator, boiler, other pressure
ment, elevators and/or welding)? Info Select: Yes HEALTH & S

boiler, lifting equipment, and/or


e/ permit/ certification/ training? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place related to
machinery and equipment? (SELECT all that apply with a "X") ###

out/tagout program, if applicable Info "X" to select: X HEALTH & S

ed for at least the last 12 months "X" to select: X HEALTH & S

he facility in workers' language(s) "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

radiation producing equipment? Select: No HEALTH & S


###
###

ments of both women and men? Info Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place related to
ergonomics? (SELECT all that apply with a "X") ###

cally demanding work to prevent


lated injuries and health impacts "X" to select: X HEALTH & S

duce exposure to repetitive tasks Info Select: Not Applicable HEALTH & S
omic breaks during the work day "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

s in line with legal requirements? Info Select: Yes HEALTH & S


###
###

rk" (i.e. welding, soldering etc.)? Info Select: No HEALTH & S


###
###
###

Does the facility have any of the following safety measures in place related to
storage areas? (SELECT all that apply with a "X") ###

secured to permanent structures "X" to select: X HEALTH & S

s is protected or explosion proof "X" to select: HEALTH & S

trength to support existing loads "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

d in line with legal requirements? Info Select: Not Applicable HEALTH & S
###
###

the facility use portable ladders? Select: Yes HEALTH & S

Does the facility have any of the following safety measures in place related to
portable ladders? (SELECT all that apply with a "X") ###

ed for damage and maintenance "X" to select: X HEALTH & S

y are secure when open or in use "X" to select: X HEALTH & S

secure, even surface when in use "X" to select: X HEALTH & S

ders to achieve additional height "X" to select: X HEALTH & S

or may not be locked or guarded "X" to select: X HEALTH & S

ition as a platform or scaffolding "X" to select: X HEALTH & S

ders are secured when not in use "X" to select: X HEALTH & S
None of the above "X" to select: HEALTH & S
###
###

ther types of lifting equipment)? Select: No HEALTH & S


###
###
###

arnings posted in the workplace? Info Select: Yes HEALTH & S


###
###
###

exist on all electrical equipment? Select: Yes HEALTH & S


###
###

Are there any instances of unsafe maintenance related to electrical panels /


control panels / distribution boards? (SELECT all that apply with a "X") ###

ently separated from work areas "X" to select: HEALTH & S

akers are not adequately labeled Info "X" to select: HEALTH & S

ot in line with legal requirements Info Select: HEALTH & S

ed and not fully enclosed in non-


flammable material "X" to select: HEALTH & S

stalled in the electrical panel box "X" to select: HEALTH & S

burning due to being overloaded "X" to select: HEALTH & S

t covered and wires are exposed "X" to select: HEALTH & S

mable material, and are exposed Info "X" to select: HEALTH & S

None of the above "X" to select: X HEALTH & S


###
###
Are the following measures in place related to electrical wires, cables, switches,
plugs and equipment (e.g. transformer, generator)? (SELECT all that apply with a
"X") ###

red so that no wires are exposed "X" to select: X HEALTH & S

lated in non-flammable material "X" to select: X HEALTH & S

ely maintained and damage free Info "X" to select: X HEALTH & S

a safe place (i.e. not on the floor) Info "X" to select: X HEALTH & S

rical panels, metal conduits etc.) Info "X" to select: X HEALTH & S

, generator) are in line with legal


requirements Info Select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

petent and authorized entity (i.e.


) in line with legal requirements? Info Select: Yes HEALTH & S

uipment maintenance activities? Select: Yes HEALTH & S

nce on live electrical equipment? Info Select: No HEALTH & S


###
###

ncluding production equipment,


rs, transformer, generator, etc.)? Info Select: Yes HEALTH & S

utlets used in wet environments? Info Select: Not Applicable HEALTH & S

r source/industrial connections? Select: Yes HEALTH & S


###
###

ed to authorized personnel only? Info Select: Yes HEALTH & S

ials stored in high voltage areas? Info Select: No HEALTH & S


###
###
ub-station on-site at the facility? Select: Yes HEALTH & S

ments or fire-rated construction? Info Select: Yes HEALTH & S


###
###

system installed on the building? Select: Yes HEALTH & S

m in line with legal requirements? Info Select: Yes HEALTH & S

m working and in good condition? Info Select: Yes HEALTH & S


###
###

tors fully enclosed and guarded? Info Select: Yes HEALTH & S
###
###
###

Does the facility comply with legal requirements for any of the following related to
Info first aid? (SELECT all that apply with a "X") ###

-aid kits are sufficient in number Info Select: X HEALTH & S

cked and without expired items) Info Select: X HEALTH & S

rly marked and readily accessible Info Select: X HEALTH & S

nt number of workers in first aid Info Select: X HEALTH & S

aid training records are retained Info Select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

es (i.e. radiation, chemicals, loud


machinery etc.)? Info Select: Yes HEALTH & S

d in line with legal requirements? Info Select: Yes HEALTH & S

ecks maintained and up to date? Info Select: Yes HEALTH & S


###
###
ff in line with legal requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following measures in place related to on-site
medical treatment? (SELECT all that apply with a "X") ###

ipment for the injuries expected "X" to select: X HEALTH & S

linics are kept clean and sanitary "X" to select: X HEALTH & S

orking hours, including overtime "X" to select: X HEALTH & S

have an appointed doctor/nurse "X" to select: X HEALTH & S

quipped for maternal healthcare Info "X" to select: X HEALTH & S

accessible by medical personnel "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S


###
###

ite medical facilities at any time? Info Select: Yes HEALTH & S
###
###

utbreaks of contagious diseases? Info Select: Yes HEALTH & S

What health and safety measures does the facility have to prevent the spread of
Info contagious diseases? (SELECT all that apply with a "X") ###

Handwashing/sanitizing stations "X" to select: X HEALTH & S

kstations are more than 6ft apart "X" to select: HEALTH & S

al barriers between workstations "X" to select: HEALTH & S

s as workers enter the workplace "X" to select: X HEALTH & S

he spread of contagious diseases "X" to select: X HEALTH & S

he spread of contagious diseases "X" to select: X HEALTH & S

Other "X" to select: X HEALTH & S


Every employee uses a face shield as a physical barrier
If other, please describe: Response Here: between workers HEALTH & S

Not Applicable Info "X" to select: HEALTH & S


None of the above Info "X" to select: HEALTH & S
###
###

o the competent authority in line


with legal requirements? Info Select: Yes HEALTH & S

retained for at least 12 months? Select: Yes HEALTH & S

hree days of absence from work: Info Number Here: 0 HEALTH & S

hree days of absence from work: Info Number Here: 0 HEALTH & S

apse, partial collapse, explosions,


electrical fire, etc.): Info Number Here: 0 HEALTH & S

ng injuries in the last 12 months: Info Number Here: 0 HEALTH & S

d diseases in the last 12 months: Info Number Here: 0 HEALTH & S

vely determine root cause(s) and


corrective actions? Select: Yes HEALTH & S

egal requirements on HIV/AIDS? Info Select: Yes HEALTH & S


###
###
###

l to perform maintenance work? Select: No HEALTH & S


###
###
###

housing/dormitories in line with


legal requirements? Info Select: Yes HEALTH & S

Does the facility have any of the following measures in place regarding
Info housing/dormitories? (SELECT all that apply with a "X") ###

though they may be in the same


compound/industrial park) Info "X" to select: X HEALTH & S
Housing/dormitories are clean "X" to select: X HEALTH & S

e a separate bed for each worker "X" to select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

anged in tiers not more than two Info "X" to select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

sects in line with applicable legal


requirements Info Select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

s offer workers adequate privacy Info "X" to select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

age and garbage disposal system Info Select: X HEALTH & S

arked, and segregated by gender "X" to select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

th applicable legal requirements Info Select: X HEALTH & S

or pregnant and nursing mothers Info "X" to select: HEALTH & S

having trained security personnel "X" to select: X HEALTH & S

None of the above "X" to select: HEALTH & S

h and safety legal requirements? Info Select: Yes HEALTH & S


###
###
###
###
###
###

s in line with legal requirements? Info Select: Not Applicable HEALTH & S
###
###
###

duction area, even if they are not


working? Select: No HEALTH & S
###
###
###

vide all legally required facilities? Info Select: Yes HEALTH & S
###
###
###

ed elsewhere regarding Health &


Safety? Info Select: No HEALTH & S

ety pertaining to non-production


and/or sub-contracted workers? Info Select: No HEALTH & S
###
###
###

h questions listed in this section: Info Response Here: HEALTH & S


###
###
###
###

cility's social and labor practices in the final stages of employment. Termination is the voluntary or involuntary ending of the
r retirement and involuntary in cases of dismissal or layoffs. Social and Labor topics within this section include:

###
###
###
nsure you see all text of the cell in the formula bar above) ###
7 and C1 Hours of Work (Industry) Convention, 1919 ###
###
###

otice are required by the facility? Info Number Here: 30 TERMINATI


###
###

hird party freely leave their jobs? Info Select: Yes TERMINATI
###
###

ents in order to keep workers at


the facility? Info Select: No TERMINATI
###
###

e period and/or contract expiry? Info Select: Yes TERMINATI


###
###
###

or are terminated in relation to:


• prior notice,
workers' opportunity to defend,
• valid reasons for termination,
• outstanding wages,
• termination payments,
ation payments all paid on time,
for unused annual leave, and/or
atement/ compensation orders? Info Select: No TERMINATI
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###
###

ducing the size of the workforce


ational or other similar changes? Info Select: Yes TERMINATI

atives to develop alternatives to


, structural, operational or other
similar changes? Info Select: Yes TERMINATI
###
###
nsure you see all text of the cell in the formula bar above) ###

any distinction based on race, color, sex, religion, political opinion, national extraction or social origin, which results in
w, such as disability, HIV/AIDS status, age and sexual orientation. Discrimination may be direct or indirect and does not have
h in fact result in unequal treatment of people with certain characteristics. Distinctions are permissible when they are
exception is rare. Also, measures to protect certain categories of workers are acceptable when they are provided for under
n. Distinctions also may be permissible under national laws designed to help groups who need special protection, for
dy the effects of past discrimination.

tion Convention, 1951 and C111 Discrimination (Employment and Occupation) Convention, 1958, which provide the baseline
gislation; Collective Bargaining Agreements and provisions in employment contracts that exceed legal requirements

111 Discrimination (Employment and Occupation) Recommendation, 1958; C156 Workers with Family Responsibilities
81 ###
###
###
social origin, disability, HIV/AIDS
us, family responsibilities, age or
termination, forced resignation,
retrenchment or retirement? Select: No TERMINATI
###
###

been dependent upon a worker's


absence due to illness? Info Select: No TERMINATI
###
###

to a worker filing a complaint or


proceedings against the facility? Info Select: No TERMINATI
###
###

ewhere regarding Discrimination


in Termination? Info Select: No TERMINATI
###
###
###

elsewhere regarding Termination


Practices? Info Select: No TERMINATI

ining to non-production workers


and/or sub-contracted workers? Info Select: No TERMINATI
###
###
###

h questions listed in this section: Info Response Here: TERMINATI


###
###
###
###
very facility dependent. They can take many forms depending upon a facility's size, worker demographics, production
mmon themes can be found within most social management systems. With this in mind, the questions below represent an
ght have based on a Plan, Do Check, Act "PDCA" structure. PDCA is framework for managing processes and systems and

us aspects that might make up a facility's management system. Having - or not having - certain items in place is not in and of
her sections within this tool, answers simply offer an opportunity to further understand the facility's processes so that

tep 1" are also included in the questions below. "Step 1" questions primarily ask about whether certain items "exist" or
anagement systems exist. ###
###
###
###

Does the facility have written policies and/or formal procedures for social and
Info labor practices? (SELECT all that apply with a "X") ###

Written Policies Info "X" to select: X MANAGEM

1. Compliance with Laws and Workplace Regulations


2. Prohibition of Forced Labor
3. Prohibition of Child Labor
4. Prohibition of Harassment or Abuse
5. Compensation and Benefits
6. Hours of Work
7. Prohibition of Discrimination
8. Health and Safety
9. Freedom of Association and Collective Bargaining
10. Environment
11. Customs Compliance
st of all relevant written policies: Response Here: 12. Security MANAGEM

Written Procedures Info "X" to select: X MANAGEM


1. Compliance with Laws and Workplace Regulations
2. Prohibition of Forced Labor
3. Prohibition of Child Labor
4. Prohibition of Harassment or Abuse
5. Compensation and Benefits
6. Hours of Work
7. Prohibition of Discrimination
8. Health and Safety
9. Freedom of Association and Collective Bargaining
10. Environment
11. Customs Compliance
f all relevant written procedures: Response Here: 12. Security MANAGEM

t informal procedures may exist) Info "X" to select: MANAGEM

Do these policies and/or procedures have a reference to national law and/or


international requirements? (SELECT all that apply with a "X") ###

Reference to national law Info "X" to select: X MANAGEM

nternational law/ILO conventions Info "X" to select: MANAGEM

ons/goals/guiding principles etc. Info "X" to select: MANAGEM

o references to any of the above "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures? (SELECT all that apply with a "X") ###
Included in the policy procedures on the Prohibition of Child
Recruitment and hiring "X" to select: X
Labor, Compensation and Benefits, Hours of Work, MANAGEM
Prohibition of Discrimination, Occupational Safety and
erencing recruitment and hiring: Response Here: Health, Freedom of Speech & Suggestion Box, and Security MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

g termination and retrenchment: Response Here: Work termination MANAGEM

Facility workplace rules "X" to select: X MANAGEM

erencing facility workplace rules: Response Here: Company rule book MANAGEM

Child labor and/or young workers Info "X" to select: X MANAGEM


Stated in the policy procedure on the Prohibition of Child
hild labor and/or young workers: Response Here: Labor MANAGEM

Prohibition of forced labor Info "X" to select: X MANAGEM


Stated in the policy procedure on the Prohibition of Forced
ncing prohibition of forced labor: Response Here: Labor MANAGEM
Anti-harassment and abuse Info "X" to select: X MANAGEM
Contained in the policy procedure on the Prohibition of
cing anti-harassment and abuse: Response Here: Harassment and Abuse MANAGEM

Anti-discrimination Info "X" to select: X MANAGEM


Stated in the policy procedure on the Prohibition of
s referencing anti-discrimination: Response Here: Discrimination MANAGEM

Working hours Info "X" to select: X MANAGEM

dures referencing working hours: Response Here: Stated in the policy procedure regarding Working Hours MANAGEM

Wages and benefits Info "X" to select: X MANAGEM

referencing wages and benefits: Response Here: Stated in the policy procedure on Compensation and Benefits MANAGEM

Discipline Info "X" to select: X MANAGEM

rocedures referencing discipline: Response Here: Company rule book MANAGEM

ociation and collective bargaining Info "X" to select: X MANAGEM

dom of association and collective Contained in the policy procedure on Freedom of Association
bargaining: Response Here: and Collective Bargaining MANAGEM

Grievance systems Info "X" to select: X MANAGEM


Contained in the policy procedures on Freedom Of Speech
s referencing grievance systems: Response Here: And Suggestion Box MANAGEM

Health and safety Info "X" to select: X MANAGEM

es referencing health and safety: Response Here: Contained in the policy procedures of Health and Safety MANAGEM

Foreign migrant workers Info "X" to select: X MANAGEM


Contained in the policy procedure on the Employment and
rencing foreign migrant workers: Response Here: Recruitment of Foreign Workers MANAGEM

Domestic migrant workers Info "X" to select: X MANAGEM


Stated in the policy regarding the Admission of Domestic
ncing domestic migrant workers: Response Here: Migrant Workers MANAGEM

Homeworkers Info "X" to select: MANAGEM

Suppliers/subcontractors Info "X" to select: X MANAGEM


Included in the security procedures for the company's
encing suppliers/subcontractors: Response Here: business partners MANAGEM

Raw materials sourcing Info "X" to select: X MANAGEM


Conflict Mineral Policy & Strict prohibition against all forms of
erencing raw materials sourcing: Response Here: forced labor MANAGEM

Bribery and anti-corruption Info "X" to select: X MANAGEM


cing Bribery and anti-corruption: Response Here: Contained in the policy procedure on Anti-Bribery MANAGEM

Other "X" to select: X MANAGEM


Policies and Procedures regarding Compliance with Laws at
written policies and procedures: Response Here: Workplace, Environment, Customs, and Security MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for child labor and young workers? (SELECT all that apply with a "X")###

acility minimum age requirement Info "X" to select: X MANAGEM

n types of workers (if applicable) "X" to select: MANAGEM

Age Verification Process Info "X" to select: X MANAGEM

age are found to be working for


the facility) "X" to select: X MANAGEM

orking are visiting the production


floor) "X" to select: MANAGEM

rk restrictions for young workers Info "X" to select: MANAGEM

for apprentices/interns/trainees Info "X" to select: MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for the prohibition of forced labor? (SELECT all that apply with a "X")###

Prohibition of forced labor Info "X" to select: X MANAGEM

Prohibition of bonded labor "X" to select: MANAGEM

Prohibition of indentured labor "X" to select: MANAGEM

Prohibition of prison labor "X" to select: X MANAGEM

Prohibition of human trafficking "X" to select: X MANAGEM

Voluntary employment "X" to select: X MANAGEM

Voluntary overtime "X" to select: X MANAGEM

Freedom of movement Info "X" to select: X MANAGEM

Voluntary end of employment "X" to select: X MANAGEM


s, recruiters, and/or labor agents "X" to select: X MANAGEM

ernment-mandated forced labor "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for anti-harassment and abuse? (SELECT all that apply with a "X") ###

orkers, management, supervisors "X" to select: X MANAGEM

by security guards (if applicable) "X" to select: X MANAGEM

and harassment in the workplace Info "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for anti-discrimination? (SELECT all that apply with a "X") ###

nation based on race / skin color "X" to select: X MANAGEM

rimination based on sex / gender "X" to select: X MANAGEM

-discrimination based on religion "X" to select: X MANAGEM

nation based on political opinion "X" to select: X MANAGEM

tion based on national extraction Info "X" to select: X MANAGEM

rimination based on social origin Info "X" to select: X MANAGEM

discrimination based on disability "X" to select: X MANAGEM

V/AIDS status (real or perceived) "X" to select: X MANAGEM

ation based on sexual orientation "X" to select: X MANAGEM

d on pregnancy/maternity status "X" to select: X MANAGEM

mination based on marital status "X" to select: X MANAGEM

Non-discrimination based on age "X" to select: X MANAGEM

mbership in worker organizations "X" to select: X MANAGEM

ty/foreign migrant worker status "X" to select: X MANAGEM


n based on family responsibilities "X" to select: X MANAGEM

ination in recruitment and hiring "X" to select: X MANAGEM

in compensation and promotion "X" to select: X MANAGEM

rimination in working conditions "X" to select: X MANAGEM

Non-discrimination in discipline "X" to select: X MANAGEM

on-discrimination in termination "X" to select: X MANAGEM

Unconscious bias Info "X" to select: X MANAGEM

Other Info "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for working hours? (SELECT all that apply with a "X") ###

Regular hours "X" to select: X MANAGEM

cluding maximum hours possible "X" to select: X MANAGEM

Premium rates "X" to select: X MANAGEM

y and corresponding rates of pay "X" to select: X MANAGEM

rtime accessibility for all workers "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for wages and benefits? (SELECT all that apply with a "X") ###

Wage payments "X" to select: X MANAGEM

Wage calculations "X" to select: X MANAGEM

Rates by unit "X" to select: MANAGEM

Overtime pay "X" to select: X MANAGEM

Paid leave "X" to select: X MANAGEM

Annual leave "X" to select: X MANAGEM

Sick leave "X" to select: X MANAGEM

Maternity leave "X" to select: X MANAGEM


Paternity leave "X" to select: X MANAGEM

Emergency family leave "X" to select: X MANAGEM

Benefits "X" to select: X MANAGEM

Deductions "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for discipline? (SELECT all that apply with a "X") ###

acility rules concerning discipline "X" to select: X MANAGEM

Worker appeals process "X" to select: X MANAGEM

Worker grievance process "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for freedom of association and collective bargaining? (SELECT all that
apply with a "X") ###

ght to form or join a trade union "X" to select: X MANAGEM

mmitments to not obstruct this) "X" to select: X MANAGEM

Rights to bargain collectively "X" to select: X MANAGEM

membership/non-membership or
activities "X" to select: X MANAGEM

r representative role or activities "X" to select: X MANAGEM

ement of worker representatives "X" to select: X MANAGEM

cations and consultation process "X" to select: X MANAGEM

ipate in strikes / industrial action "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for grievance systems? (SELECT all that apply with a "X") ###
Grievance system and process "X" to select: X MANAGEM

kers filing a grievance/complaint "X" to select: X MANAGEM

or both female and male workers "X" to select: X MANAGEM

n to all concerns and grievances "X" to select: X MANAGEM

out the entire grievance process "X" to select: X MANAGEM

ation) during a grievance process "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for health and safety? (SELECT all that apply with a "X") ###

upational health and safety laws "X" to select: X MANAGEM

ntilation, cleanliness, noise, etc.) Info "X" to select: X MANAGEM

Building safety Info "X" to select: X MANAGEM

Motor Vehicles (PMV) procedures "X" to select: MANAGEM

Emergency preparedness Info "X" to select: X MANAGEM

Chemicals/Hazardous substances Info "X" to select: X MANAGEM

Nanomaterials "X" to select: MANAGEM

machinery and equipment etc. ) Info "X" to select: X MANAGEM

Pressure vessels safety "X" to select: X MANAGEM

Materials handling and storage Info "X" to select: X MANAGEM

ks & Underground Storage Tanks "X" to select: MANAGEM

Electrical safety Info "X" to select: X MANAGEM

First aid/Medical Info "X" to select: X MANAGEM

oodborne pathogens procedures "X" to select: X MANAGEM

Contractor safety Info "X" to select: X MANAGEM

Dormitories Info "X" to select: MANAGEM

Canteens Info "X" to select: MANAGEM


Childcare Info "X" to select: MANAGEM

r how to perform each job safely "X" to select: X MANAGEM

raise health and safety concerns "X" to select: X MANAGEM

raise health and safety concerns "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for foreign migrant workers? (SELECT all that apply with a "X") ###

sending and receiving countries "X" to select: X MANAGEM

Recruitment fees and expenses "X" to select: X MANAGEM

Employment contracts "X" to select: X MANAGEM

Deposits "X" to select: MANAGEM

Bank accounts "X" to select: MANAGEM

-issued identification documents "X" to select: X MANAGEM

Accommodations "X" to select: X MANAGEM

Arrival orientation "X" to select: X MANAGEM

Freedom of movement "X" to select: X MANAGEM

on-discrimination in employment "X" to select: X MANAGEM

sment and abuse in employment "X" to select: X MANAGEM

Discipline in employment "X" to select: X MANAGEM

epatriation / end of employment "X" to select: X MANAGEM

on of contract by migrant worker "X" to select: X MANAGEM

mination of contract by employer "X" to select: MANAGEM

ements for labor agents/brokers "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
procedures for domestic migrant workers? (SELECT all that apply with a "X") ###
Recruitment fees and expenses "X" to select: MANAGEM

Employment contracts "X" to select: X MANAGEM

Deposits "X" to select: X MANAGEM

Wages and benefits "X" to select: X MANAGEM

Working Hours "X" to select: X MANAGEM

Accommodations "X" to select: MANAGEM

Freedom of movement "X" to select: X MANAGEM

on-discrimination in employment "X" to select: X MANAGEM

sment and abuse in employment "X" to select: X MANAGEM

Discipline in employment "X" to select: X MANAGEM

End of employment "X" to select: X MANAGEM

ements for labor agents/brokers "X" to select: MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are included within the facility's written policies and
Info procedures for suppliers/subcontractors? (SELECT all that apply with a "X") ###

ders and raw materials suppliers Info "X" to select: X MANAGEM

igh risk suppliers/subcontractors


within the supply chain Info "X" to select: X MANAGEM

ces / conducting social and labor


due diligence Info "X" to select: X MANAGEM

ity's social and labor procedures Info "X" to select: X MANAGEM

ance/ continued social and labor


due diligence Info "X" to select: X MANAGEM

e diligence of their supply chains Info "X" to select: X MANAGEM

Other "X" to select: MANAGEM


Which of the following topics are included within the facility's written policies and
procedures for raw materials sourcing? (SELECT all that apply with a "X") ###

n, reporting and/or due diligence "X" to select: X MANAGEM

cility's sourcing agreements with


its suppliers/subcontractors "X" to select: X MANAGEM

materials within the supply chain Info "X" to select: X MANAGEM

Other "X" to select: MANAGEM


###
###
###

Has the facility defined the person(s) responsible for the implementation and
management of social and labor practices? (SELECT all that apply with a "X") ###

ritten policies and/or procedures "X" to select: X MANAGEM

nformal (not written) procedures "X" to select: MANAGEM

ot defined responsible person(s) "X" to select: MANAGEM

Which of the following topics have been assigned to a responsible person(s)?


(SELECT all that apply with a "X") ###

Recruitment and hiring "X" to select: X MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

Facility workplace rules "X" to select: X MANAGEM

Child labor and young workers "X" to select: X MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Working hours "X" to select: X MANAGEM

Wages and benefits "X" to select: X MANAGEM

Discipline "X" to select: X MANAGEM


ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

Foreign migrant workers "X" to select: X MANAGEM

Domestic migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: MANAGEM

Raw materials sourcing "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM


###
###

Does the facility provide communication and training on social and labor
practices? (SELECT all that apply with a "X") ###

ritten policies and/or procedures "X" to select: X MANAGEM

nformal (not written) procedures "X" to select: MANAGEM

ning on social and labor practices "X" to select: MANAGEM

Who receives communication and training? (SELECT all that apply with a "X") ###

Senior management "X" to select: X MANAGEM

s responsible for implementation Info "X" to select: X MANAGEM

Production workers "X" to select: X MANAGEM

Security guards "X" to select: X MANAGEM

Subcontractors / Suppliers "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are part of the communication and training for
Info senior management? (SELECT all that apply with a "X") ###
Recruitment and hiring "X" to select: X MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

Facility workplace rules "X" to select: X MANAGEM

Child labor and young workers "X" to select: X MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

of pregnant and married workers "X" to select: MANAGEM

Working Hours "X" to select: X MANAGEM

Wages and Benefits "X" to select: X MANAGEM

Discipline "X" to select: X MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

Migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: MANAGEM

Raw materials sourcing "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are part of the communication and training for
Info individuals responsible for implementation? (SELECT all that apply with a "X") ###

Recruitment and hiring "X" to select: X MANAGEM

of pregnant and married workers "X" to select: MANAGEM

Termination and retrenchment "X" to select: X MANAGEM


Facility workplace rules "X" to select: X MANAGEM

Child labor and young workers "X" to select: X MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Working Hours "X" to select: X MANAGEM

Wages and Benefits "X" to select: X MANAGEM

Discipline "X" to select: X MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

General Occupational Health and Safety Expert Training &


Certification, OSH Training of First Aid at Workplace, Boiler
Operator OSH License, Freight Lift Operator OSH License,
Electrical Engineering Competency Certification, Hyperkes and
tation of health and safety in the Occupational Safety Training for Company Paramedics, The
facility Response Here: OSH Technical Training of Fire Prevention MANAGEM

Migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: MANAGEM

Raw materials sourcing "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are part of the communication and training to NEW
production workers? (SELECT all that apply with a "X") ###

Recruitment and hiring "X" to select: X MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

Facility workplace rules "X" to select: X MANAGEM

Child labor and young workers "X" to select: X MANAGEM


Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Working Hours "X" to select: X MANAGEM

Wages and Benefits "X" to select: X MANAGEM

Discipline "X" to select: X MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

production workers in the facility Response Here: PPE, Machine Safety Training, and Fire Drill & Evacuation MANAGEM

Migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are part of the on-going communication and training
to EXISTING production workers? (SELECT all that apply with a "X") ###

Recruitment and hiring "X" to select: X MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

Facility workplace rules "X" to select: X MANAGEM

Child labor and young workers "X" to select: X MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Working Hours "X" to select: X MANAGEM

Wages and Benefits "X" to select: X MANAGEM


Discipline "X" to select: X MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

PPE , Fire Drill and Evacuation , Machine Safety, Chemical


Handling, First Aid , HIV AIDS Awareness, and Covid-19
production workers in the facility Response Here: Training MANAGEM

Migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM

Which of the following topics are part of the communication and training to
security guards? (SELECT all that apply with a "X") ###

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM

How does the facility provide communication and training to


suppliers/subcontractors? (SELECT all that apply with a "X") ###

Verbal communication "X" to select: MANAGEM

nce to social and labor practices) "X" to select: X MANAGEM

n (i.e. video, online learning, etc.) "X" to select: MANAGEM

son (i.e. classroom trainings etc.) "X" to select: MANAGEM

son (i.e. classroom trainings etc.) "X" to select: MANAGEM

Other "X" to select: MANAGEM


Which of the following topics are part of the communication and training to
suppliers/subcontractors? (SELECT all that apply with a "X") ###

Child labor and young workers "X" to select: X MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

Anti-discrimination "X" to select: X MANAGEM

Working Hours "X" to select: X MANAGEM

Wages and Benefits "X" to select: X MANAGEM

Discipline "X" to select: X MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

Grievance systems "X" to select: X MANAGEM

Worker Feedback "X" to select: X MANAGEM

Health and safety "X" to select: X MANAGEM

Migrant workers "X" to select: MANAGEM

Homeworkers "X" to select: MANAGEM

actor due diligence requirements Info "X" to select: MANAGEM

rcing due diligence requirements Info "X" to select: MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

Other "X" to select: MANAGEM


###
###
###

Does the facility conduct regular reviews and/or assessments of social and labor
practices? (SELECT all that apply with a "X") ###

policies and procedures that the


facility has implemented Info "X" to select: X MANAGEM
s within their supply chain, i.e. of
ncluding raw materials suppliers Info "X" to select: X MANAGEM

y violations that were uncovered "X" to select: X MANAGEM

reported to senior management "X" to select: X MANAGEM

actices within the facility and/or


within their supply chain "X" to select: MANAGEM
###
###

Does the facility have a system for reviewing policies and procedures (written or
informal) for changes/updates to existing requirements (legal or other)? (SELECT
all that apply with a "X") ###

Government websites "X" to select: X MANAGEM

rnment offices /communications "X" to select: X MANAGEM

Consultants "X" to select: MANAGEM

Internet "X" to select: X MANAGEM

Customer briefing "X" to select: X MANAGEM

Health and safety executive "X" to select: X MANAGEM

"CSR" team established in facility "X" to select: X MANAGEM

ement team briefs the workforce "X" to select: X MANAGEM

Appointed worker / team "X" to select: X MANAGEM

Magazine subscription(s) "X" to select: MANAGEM

Industry body briefings "X" to select: MANAGEM

Other "X" to select: MANAGEM

is not aware of changes/updates "X" to select: MANAGEM

Does the facility review/update policies and procedures (written or informal)?


(SELECT all that apply with a "X") ###

Recruitment and hiring "X" to select: X MANAGEM


ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Termination and retrenchment "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Facility workplace rules "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Child labor and young workers "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Prohibition of forced labor "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Anti-harassment and abuse "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Anti-discrimination "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Working Hours "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Wages and Benefits "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Discipline "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

ociation and collective bargaining "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Grievance systems "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Health and safety "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Foreign migrant workers "X" to select: X MANAGEM


ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Domestic migrant workers "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Homeworkers "X" to select: MANAGEM

Suppliers/subcontractors "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Raw materials sourcing "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Bribery and anti-corruption "X" to select: X MANAGEM

ocedures are reviewed/updated: Response Here: Annually or more often MANAGEM

Other "X" to select: MANAGEM

procedures (written or informal) "X" to select: MANAGEM


###
###
###

Does the facility create improvement plans based on social and labor practices?
(SELECT all that apply with a "X") ###

rough monitoring and evaluation "X" to select: X MANAGEM

nclude root cause analysis (RCA) "X" to select: X MANAGEM

nd suggestions raised by workers "X" to select: X MANAGEM

d and the related issues resolved "X" to select: X MANAGEM

Written records are maintained "X" to select: X MANAGEM

Other "X" to select: MANAGEM

es not create improvement plans "X" to select: MANAGEM


###
###
###

h questions listed in this section: Info Response Here: MANAGEM


###
###
SOCIAL & LABOR Verification Summary Completion: 100.00%
CONVERGENCE PT. Kwangduk
Facility Name: Worldwide Accuracy Index: 100.00%
Verification Start Date:
Click here (no double-click) and wait to create/update Verification Summary

Step Section Sub-section Category Number Question Facility Response Verification Selection Final Verified Response Verification Data Non-Compliance Legal Reference

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